Mildenberger Clare, Ellis Cathryn, Lee Kelley
Simon Fraser University, Blusson Hall, Room 11300, 8888 University Drive, Burnaby, BC, Canada V5A 1S6.
Midwifery Program, Department of Family Practice, Faculty of Medicine, Suite 320 - 5950 University Boulevard, Vancouver, BC, Canada V6T 1Z3.
Midwifery. 2017 Jul;50:36-41. doi: 10.1016/j.midw.2017.03.017. Epub 2017 Mar 27.
The objective of this project was to improve birth outcomes for babies in a regional referral hospital in Uganda by strengthening factors that influence the retention and application of neonatal resuscitation skills. Initial training in neonatal resuscitation is not enough on its own. In order to better understand the gap between training and effective practice, an evaluation of a neonatal resuscitation program was carried out. This included practical skill testing of local midwives using a neonatal resuscitation doll pre- and post-training, as well as follow up testing at 1 month and 12 months, followed by focus groups and interviews. Test scores revealed that participants' knowledge grew significantly immediately following the workshop, and remained high after 1 month, but fell by 12 months post-training. Interviews with hospital staff revealed a number of facilitators and barriers to practice, namely knowledge retention and skill application. The most important barrier identified is the lack of refresher training post-workshop. Importantly, the findings demonstrated a need not for refresher training alone, but for improved organizational and administrative support for the newly assigned trainers.
该项目的目标是通过强化影响新生儿复苏技能保持与应用的因素，改善乌干达一家地区转诊医院中婴儿的出生结局。仅靠新生儿复苏的初始培训本身是不够的。为了更好地理解培训与有效实践之间的差距，对一个新生儿复苏项目进行了评估。这包括在培训前和培训后使用新生儿复苏模拟人偶对当地助产士进行实践技能测试，以及在1个月和12个月时进行后续测试，随后开展焦点小组讨论和访谈。测试分数显示，参与者的知识在研讨会结束后立即显著增长，1个月后仍保持较高水平，但在培训后12个月时下降了。对医院工作人员的访谈揭示了一些实践的促进因素和障碍，即知识保持和技能应用。所确定的最重要障碍是研讨会后缺乏进修培训。重要的是，研究结果表明不仅需要进修培训，还需要为新指定的培训人员提供更好的组织和行政支持。
