University of Newcastle, Faculty of Health and Medicine, School of Nursing and Midwifery, University Drive, Callaghan, NSW 2308, Australia.
University of Newcastle, Faculty of Health and Medicine, School of Nursing and Midwifery, University Drive, Callaghan, NSW 2308, Australia.
Women Birth. 2020 Nov;33(6):e505-e510. doi: 10.1016/j.wombi.2020.01.002. Epub 2020 Jan 18.
More than 300,000 babies are born in Australia each year, with almost 20% of newborns requiring some form of neonatal resuscitation at birth. The most common first responders to a neonatal resuscitation emergency are midwives. While the Australian and New Zealand Council on Resuscitation guides midwives' practice during a neonatal resuscitation, each state and territory uses varying strategies to train and assess midwives proficiency in neonatal resuscitation.
To examine the neonatal resuscitation training requirements for midwives and raise awareness for the lack of consistency in training in Australia.
A significant variation was found in the teaching methods and frequency of training for neonatal resuscitation across Australia. Neonatal resuscitation is mandated through a state-wide guideline or policy in only four of the states with seven formal neonatal resuscitation training programs used across seven states and territories. Although a multi-modal approach to learning is present in all of the programs, the combination of teaching methods differ.
A standardised, evidence-based training program is required to ensure consistency in training for midwives in Australia. Multi-modal learning is common across all current training programs; however, the best combination of multi-modal teaching methods needs to be determined. Neonatal resuscitation training needs to occur at least annually, as recommended by the Australian and New Zealand Council on Resuscitation.
澳大利亚每年有超过 30 万名婴儿出生，其中近 20%的新生儿在出生时需要进行某种形式的新生儿复苏。在新生儿复苏急救中，最常见的第一反应者是助产士。虽然澳大利亚和新西兰复苏委员会指导助产士在新生儿复苏期间的实践，但每个州和地区都采用不同的策略来培训和评估助产士在新生儿复苏方面的熟练程度。
检查助产士的新生儿复苏培训要求，并提高对澳大利亚培训缺乏一致性的认识。
在澳大利亚，新生儿复苏的教学方法和培训频率存在显著差异。只有四个州通过全州范围的准则或政策强制要求进行新生儿复苏培训，而七个州和地区使用了七个正式的新生儿复苏培训计划。尽管所有的课程都采用了多模式的学习方法，但教学方法的组合却有所不同。
澳大利亚需要制定标准化、基于证据的培训计划，以确保助产士培训的一致性。多模式学习在所有当前的培训课程中都很常见；然而，需要确定多模式教学方法的最佳组合。根据澳大利亚和新西兰复苏委员会的建议，新生儿复苏培训至少每年进行一次。
