Renesme Laurent, Merched Maria, Tandonnet Olivier, Naud Julien
Neonatal Intensive Care Unit, University Hospital of Bordeaux, Bordeaux, France.
INSERM, Bordeaux, France.
J Matern Fetal Neonatal Med. 2022 Dec;35(25):6561-6565. doi: 10.1080/14767058.2021.1918087. Epub 2021 Apr 29.
To describe the effectiveness of the Newborn Life Support (NLS) course in terms of attendees' knowledge, perceived self-efficacy, and clinical applicability.
We conducted an electronic survey of NLS course attendees (NLS + group). A control group (NLS-) was recruited via our regional perinatal network. The survey data were analyzed anonymously. Multiple linear regression analysis examined the following: NLS course, job tenure, maternity level, and profession.
The survey completion rate was 62% (200/323) for the NLS + group. Among participants, 84% had participated in neonatal resuscitation since their course. The scores for positive perceived experience for neonatal resuscitation (fluency, security, and quality of care delivered) were higher in the NLS + group than the NLS- group (<.006). After adjustment, the independent factors associated with a higher positive perceived experience were the NLS course, work in tertiary level maternity ward, and job tenure >5 years. The multiple-choice questions (MCQs) score ( = 10) was 8.2 ± 1.3 (NLS+) vs. 6.7 ± 1.5 (NLS-) (<.0001). NLS course, medical degree, and work in a tertiary level maternity ward were independently associated with higher knowledge scores.
The NLS course was associated with a positive perceived experience regarding neonatal resuscitation.Key notesNeonatal resuscitation training programs, like the Newborn Life Support (NLS), have been developed to improve the management and outcomes of newborns with poor adaptation at birth.The NLS course was associated with better knowledge of, and a positive perceived experience (fluency, safety, and quality of care delivered) regarding, neonatal resuscitation.Participation to the NLS course seems to strengthen the perceived self-efficacy in healthcare professionals, which is critical to performing neonatal resuscitation.
从学员的知识水平、自我效能感及临床适用性方面描述新生儿生命支持(NLS)课程的效果。
我们对NLS课程学员(NLS+组)进行了电子调查。通过我们的区域围产期网络招募了一个对照组(NLS-组)。调查数据进行匿名分析。多元线性回归分析考察了以下因素:NLS课程、工作年限、产科级别和职业。
NLS+组的调查完成率为62%(200/323)。在参与者中,84%自参加课程后参与过新生儿复苏。NLS+组新生儿复苏的积极体验得分(流畅性、安全性及提供的护理质量)高于NLS-组(<.006)。调整后,与更高积极体验相关的独立因素为NLS课程、在三级产科病房工作及工作年限>5年。多项选择题(MCQ)得分(满分=10分),NLS+组为8.2±1.3,NLS-组为6.7±1.5(<.0001)。NLS课程、医学学位及在三级产科病房工作与更高的知识得分独立相关。
NLS课程与新生儿复苏的积极体验相关。
关键要点
新生儿复苏培训项目,如新生儿生命支持(NLS),已被开发用于改善出生时适应不良新生儿的管理及结局。
NLS课程与对新生儿复苏有更好的知识及积极体验(流畅性、安全性及提供的护理质量)相关。
参加NLS课程似乎能增强医护人员的自我效能感,这对进行新生儿复苏至关重要。