Kitila Sena B, Sudhakar Morankar, Feyissa Garumma T
School of Nursing and Midwifery.
Department of Health, Behavior and Society, Ethiopian Evidence Based Healthcare Centre, Institute of Health, Jimma University, Jimma, Ethiopia.
JBI Evid Implement. 2020 Sep;18(3):337-344. doi: 10.1097/XEB.0000000000000237.
The WHO has a series of comprehensive care instructions to improve the health of newborns from prior to conception, throughout pregnancy, soon after birth and in the postnatal period.
The objective of this best practice implementation project was to promote evidence-based best practice of immediate newborn care practice among midwives working in the maternity ward.
Baseline and postimplementation audits were conducted using the JBI Practical Application of Evidence System using nine audit criteria for immediate newborn care. The gaps and barriers were analyzed using Getting Research into Practice strategies based on the baseline audit result. Discussion was conducted on the identified gaps and the implementation strategies.
A total of 94 cases were observed for both a baseline and follow-up audit. We found that follow-up compliance rates for all criteria were improved compared with the baseline audit. For instance, criterion 5 improved from 26% during baseline to 96% during follow-up audit, and the overall average compliance at baseline was 58% and for the postimplementation audit was 96%.
The current project revealed that training of the health professionals and presenting evidence summaries to them were strategies that resulted in improved compliance to best available evidence to immediate newborn care.
世界卫生组织制定了一系列全面的护理指南，以改善从受孕前、整个孕期、出生后不久到产后阶段新生儿的健康状况。
本最佳实践实施项目的目的是在产科病房工作的助产士中推广基于证据的新生儿即时护理最佳实践。
采用循证卫生保健国际协作中心的证据系统实用应用方法进行基线和实施后审计，使用九条新生儿即时护理审计标准。根据基线审计结果，采用将研究成果应用于实践的策略分析差距和障碍。针对识别出的差距和实施策略进行了讨论。
基线审计和随访审计共观察了94例。我们发现，与基线审计相比，所有标准的随访合规率均有所提高。例如，标准5从基线时的26%提高到随访审计时的96%，基线时的总体平均合规率为58%，实施后审计时为96%。
当前项目表明，对卫生专业人员进行培训并向他们提供证据总结是提高对新生儿即时护理最佳现有证据的依从性的策略。
