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评估指导对卢旺达护士和助产士掌握新生儿复苏知识和自我效能的影响。

Assessing the impact of mentorship on knowledge about and self-efficacy for neonatal resuscitation among nurses and midwives in Rwanda.

机构信息

Department of Nursing, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, P.O.Box 3286, Kigali, Rwanda.

The Arthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, Room FNB 2307, FIMS/Nursing Building, London, Ontario, N6A 5B9, Canada.

出版信息

Nurse Educ Pract. 2021 Mar;52:103030. doi: 10.1016/j.nepr.2021.103030. Epub 2021 Mar 19.

DOI:10.1016/j.nepr.2021.103030
PMID:33773483
Abstract

In the first minute of life after birth, it is critical to effectively manage an infant's respiratory status. Given the critical nature of newborn airway management, it is vital that health professionals have the knowledge and confidence to engage in airway management procedures. Consequently, there has been a call for nurses and midwives to be prepared to skillfully enact neonatal resuscitation interventions when required, especially in low-resource environments, to help reduce neonatal death. The purpose of this study was to assess the impact of a mentorship program that involves an education component for neonatal resuscitation in the first minute after birth. The study examined changes to knowledge and self-efficacy of Rwandan nurses and midwives towards newborn airway care outcomes. A pre-/post-test, quasi-experimental study design was used to assess the changes in knowledge about and self-efficacy for neonatal resuscitation. Using a paired t-test, the results suggested that nurses' and midwives' knowledge and self-efficacy increased significantly, and participants' knowledge correlated positively to self-efficacy. Therefore, a mentorship program that supports professional development through education appears to be an effective strategy to enhance nurses' and midwives' knowledge about and self-efficacy for neonatal resuscitation and could eventually lead to neonatal practice improvements.

摘要

在出生后的第一分钟,有效地管理婴儿的呼吸状况至关重要。鉴于新生儿气道管理的关键性,卫生专业人员必须具备知识和信心,以便能够进行气道管理程序。因此,有人呼吁护士和助产士在需要时能够熟练地进行新生儿复苏干预,尤其是在资源匮乏的环境中,以帮助降低新生儿死亡率。本研究旨在评估一项涉及出生后第一分钟新生儿复苏教育部分的指导计划对卢旺达护士和助产士的影响。该研究考察了新生儿气道护理结果方面的知识和自我效能变化。使用预/后测试、准实验设计评估了新生儿复苏知识和自我效能的变化。使用配对 t 检验,结果表明护士和助产士的知识和自我效能显著提高,并且参与者的知识与自我效能呈正相关。因此,通过教育支持专业发展的指导计划似乎是增强护士和助产士对新生儿复苏的知识和自我效能的有效策略,最终可能会导致新生儿护理实践的改善。

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