Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria, Australia
Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria, Australia.
BMJ Open. 2020 Feb 2;10(1):e032873. doi: 10.1136/bmjopen-2019-032873.
Over 310 000 women gave birth in Australia in 2016, with approximately 80 000 births in the state of Victoria. While most of these births occur in metropolitan Melbourne and other large regional centres, a significant proportion of Victorian women birth in local rural health services. The Victorian state government recently mandated the provision of a maternal and neonatal emergency training programme, called Maternal and Newborn Emergencies (MANE), to rural and regional maternity service providers across the state. MANE aims to educate maternity and newborn care clinicians about recognising and responding to clinical deterioration in an effort to improve clinical outcomes. This paper describes the protocol for an evaluation of the MANE programme.
This study will evaluate the effectiveness of MANE in relation to: clinician confidence, skills and knowledge; changes in teamwork and collaboration; and consumer experience and satisfaction, and will explore and describe any governance changes within the organisations after MANE implementation. The Kirkpatrick Evaluation Model will provide a framework for the evaluation. The participants of MANE, 27 rural and regional Victorian health services ranging in size from approximately 20 to 1000 births per year, will be invited to participate. Baseline data will be collected from maternity service staff and consumers at each health service before MANE delivery, and at four time-points post-MANE delivery. There will be four components to data collection: a survey of maternity services staff; follow-up interviews with Maternity Managers at health services 4 months after MANE delivery; consumer feedback from all health services collected through the Victorian Healthcare Experience Survey; case studies with five regional or rural health service providers.
This evaluation has been approved by the La Trobe University Science, Health and Engineering College Human Ethics Sub-Committee. Findings will be presented to project stakeholders in a deidentified report, and disseminated through peer-reviewed publications and conference presentations.
2016 年澳大利亚有超过 31 万名女性分娩，其中约有 8 万名在维多利亚州。虽然大多数分娩发生在墨尔本大都市和其他大型地区中心，但维多利亚州仍有相当一部分女性在当地农村卫生服务机构分娩。维多利亚州政府最近规定，全州农村和地区产妇服务提供商必须提供一项名为母婴急症培训项目（Maternal and Newborn Emergencies，简称 MANE）。该项目旨在教育产科和新生儿护理临床医生识别和应对临床恶化，以改善临床结果。本文介绍了对 MANE 项目进行评估的方案。
本研究将评估 MANE 对以下方面的有效性：临床医生的信心、技能和知识；团队合作和协作的变化；以及消费者的体验和满意度，并将探索和描述 MANE 实施后组织内的任何治理变化。柯克帕特里克评估模型将为评估提供框架。将邀请 27 家农村和地区维多利亚卫生服务机构的 MANE 参与者参加，这些机构的规模从每年大约 20 到 1000 名婴儿不等。在 MANE 交付之前和之后的四个时间点，将从每个卫生服务机构的产妇服务人员和消费者收集基线数据。数据收集将有四个组成部分：对产妇服务人员的调查；MANE 交付后 4 个月对卫生服务的产科经理进行后续访谈；通过维多利亚医疗保健体验调查从所有卫生服务机构收集消费者反馈；对五家区域或农村卫生服务提供商进行案例研究。
该评估已获得拉筹伯大学科学、健康和工程学院人类伦理小组委员会的批准。研究结果将以匿名报告的形式提交给项目利益相关者，并通过同行评议的出版物和会议报告进行传播。
