Alhassan Afizu, Fuseini Abdul-Ganiyu, Osman Wahab, Basour Adam Alhassan
Senior Health Tutor, Nursing and Midwifery Training College, Kpembe, P.O. Box SL98, Salaga, Ghana.
Department of Nursing, School of Allied Health Sciences, University for Development Studies, P.O. Box 1883, Tamale, Ghana.
Nurs Res Pract. 2019 Jan 2;2019:3652608. doi: 10.1155/2019/3652608. eCollection 2019.
Efforts to reduce under-five mortality across the globe are being hindered by a disproportionately high rate of neonatal deaths. About a quarter of these neonatal deaths are caused by birth asphyxia. Available evidence shows that effective neonatal resuscitation delivered by providers skilled in and knowledgeable about neonatal resuscitation can significantly reduce neonatal mortality rates. This cross-sectional study was conducted to determine knowledge and experience in neonatal resuscitation among midwives in Tamale, and the factors associated with their knowledge on neonatal resuscitation. This was a cross-sectional study involving all midwives practicing in three large hospitals in Tamale. We developed a questionnaire to collect data on demographic characteristics of participants, and their knowledge and experience in neonatal resuscitation. We used the Statistical Package for Social Sciences (SPSS), version 21, to analyse the data. Demographic characteristics of participants were summarized using descriptive statistics. Pearson's correlation was used to determine associations between knowledge and some selected demographic features, while the one-way ANOVA was conducted to determine differences in level of knowledge based on the demographic features. 98.1% of the participants in this study had insufficient knowledge on neonatal resuscitation. Midwives at the Tamale Central Hospital demonstrated a statistically significantly higher level of knowledge , compared to those at the Tamale Teaching Hospital and Tamale West Hospital . Those who had a first-degree qualification in midwifery and those with a Post-NAC/NAP midwifery certificate had a statistically significantly higher knowledge than those with a diploma in midwifery. Training in neonatal resuscitation was associated with more knowledge in neonatal resuscitation ((158) = .195, p = .013). In terms of experience, 55% of the participants in this study were not experienced in performing neonatal resuscitation. There were no differences in their level of experience based on their academic qualification, work place, and years of practice as a midwife. Considering the generally low level of knowledge and experience of midwives in neonatal resuscitation as discovered in this study, there is an urgent need for government to provide more opportunities for all practicing midwives to be trained in this important lifesaving skill.
全球五岁以下儿童死亡率的降低工作正受到新生儿死亡率过高的阻碍。这些新生儿死亡中约四分之一是由出生窒息导致的。现有证据表明，由熟练掌握并了解新生儿复苏技术的医护人员进行有效的新生儿复苏，可显著降低新生儿死亡率。本横断面研究旨在确定塔马利助产士对新生儿复苏的知识和经验，以及与他们新生儿复苏知识相关的因素。这是一项横断面研究，涉及在塔马利三家大型医院执业的所有助产士。我们编制了一份问卷，以收集参与者的人口统计学特征数据，以及他们在新生儿复苏方面的知识和经验。我们使用社会科学统计软件包（SPSS）21版来分析数据。参与者的人口统计学特征用描述性统计进行总结。使用皮尔逊相关性来确定知识与一些选定人口统计学特征之间的关联，同时进行单因素方差分析以确定基于人口统计学特征的知识水平差异。本研究中98.1%的参与者对新生儿复苏知识不足。与塔马利教学医院和塔马利西部医院的助产士相比，塔马利中心医院的助产士知识水平在统计学上显著更高。拥有助产士一级资格证书和国家助产士证书后阶段证书的人，其知识水平在统计学上显著高于有助产士文凭的人。新生儿复苏培训与更多的新生儿复苏知识相关（（158）=.195，p =.013）。在经验方面，本研究中55%的参与者没有进行新生儿复苏的经验。根据他们的学历、工作地点和助产士执业年限，他们的经验水平没有差异。鉴于本研究发现助产士在新生儿复苏方面的知识和经验普遍较低，政府迫切需要为所有执业助产士提供更多机会，使其接受这项重要的救生技能培训。
