Neonatal Unit, Department of Pediatrics, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Department of Neonatology, Government Medical College Hospital, Chandigarh, India.
Indian J Ophthalmol. 2020 Feb;68(Suppl 1):S115-S120. doi: 10.4103/ijo.IJO_2087_19.
With improving survival of preterm neonates, retinopathy of prematurity (ROP) is emerging as a major cause of childhood blindness. Incidence of sight-threatening ROP can be reduced by improving the quality of care provided to preterm neonates.
This before-and-after study was designed to develop a need-based intervention package to improve knowledge, skills, and practices of those providing care for preterm neonates, and to evaluate the effectiveness of this package when combined with point-of-care quality improvement (POCQI) in improving survival of preterm neonates without sight-threatening ROP. The study had a formative component to assess baseline knowledge, skills, practices and attitudes, and to assess the needs of the healthcare staff to improve the care of preterm neonates. It was conducted in four special care neonatal units (SCNU) in the state of Madhya Pradesh in India.
A theory of change was developed to guide the development of study tools including needs assessment and educational package development. The educational package thus developed has been tested at the study sites in combination with POCQI projects driven by local teams of healthcare providers. The effectiveness of the interventions has been evaluated by collection of individual-level data on neonates admitted at the study sites.
A multidimensional educational package integrated with system changes in the form of quality improvement (QI) endeavours driven by local context and needs were developed and evaluated in the project.
随着早产儿存活率的提高，早产儿视网膜病变（ROP）正成为儿童失明的主要原因。通过提高对早产儿的护理质量，可以降低威胁视力的 ROP 的发生率。
本项前后对照研究旨在制定一项基于需求的干预方案，以提高为早产儿提供护理的人员的知识、技能和实践水平，并评估在结合床边质量改进（POCQI）时，该方案在改善无威胁视力的 ROP 的早产儿存活率方面的有效性。该研究具有形成性组成部分，以评估基线知识、技能、实践和态度，并评估医疗保健人员改善早产儿护理的需求。该研究在印度中央邦的四个新生儿特别护理单位（SCNU）进行。
制定了一个变革理论来指导研究工具的开发，包括需求评估和教育包的开发。由此开发的教育包已在研究地点与由当地医疗保健提供者团队驱动的 POCQI 项目结合使用进行了测试。通过收集研究地点入院新生儿的个体数据来评估干预措施的效果。
在该项目中，针对特定的当地情况和需求，制定并评估了一种多维教育包，该教育包与以质量改进（QI）为形式的系统变化相结合。
