Ryan C A, Ahmed S, Abdullah H, McCarthy-Clark L, Malone A
Erinville Maternity Hospital, Cork.
Ir Med J. 1998 Mar-Apr;91(2):51-2.
We evaluated the need for a structured Neonatal Resuscitation Programme (NRP) by means of a questionnaire sent to 25 Irish maternity hospitals inquiring about staff availability and current teaching structures. Having taught NRP to almost 1000 health care providers, we present a descriptive evaluation of the programme by a sample of 429 NRP participants, exploring their opinions of NRP. Our results show that midwives were responsible for newborn resuscitation at all low risk deliveries. Only 5 units (23%) had a registrar available on-site 24 hours a day, while the remaining units (77%) had to summon additional medical help from outside, in emergency situations occurring outside of normal working hours. Resuscitation equipment was checked by nurses alone (52%), or by a nurse and physician (48%), on a daily (45%), alternate days (41%) or weekly basis (14%). Although 19 units had some form of neonatal resuscitation training available, only 35% of respondents were happy with the current training structures. Almost half of the 429 providers (45%) replied to the survey. Most (85%) indicated that NRP improved their skills and confidence. Two thirds of participants found the lesson on medications the most difficult theory lesson, while 45% found endotracheal intubation the most difficult skills station. Because of the wide geographical distribution of deliveries in this country, we conclude that all perinatal professionals should be trained to perform newborn resuscitation in a coordinated, team-approach manner. NRP provides such training with a high degree of approval from Irish health care providers.
我们通过向25家爱尔兰妇产医院发送问卷，询问人员配备情况和当前教学结构，评估了实施结构化新生儿复苏计划（NRP）的必要性。在向近1000名医疗服务提供者传授NRP后，我们通过429名NRP参与者的样本对该计划进行了描述性评估，探讨了他们对NRP的看法。我们的结果表明，在所有低风险分娩中，助产士负责新生儿复苏。只有5个单位（23%）有住院医师24小时在岗，而其余单位（77%）在正常工作时间以外出现紧急情况时，必须从外部召唤额外的医疗帮助。复苏设备仅由护士（52%）或护士和医生（48%）每天（45%）、隔天（41%）或每周（14%）进行检查。虽然有19个单位提供了某种形式的新生儿复苏培训，但只有35%的受访者对当前的培训结构感到满意。429名提供者中近一半（45%）回复了调查。大多数（85%）表示NRP提高了他们的技能和信心。三分之二的参与者认为药物治疗课程是最难的理论课程，而45%的人认为气管插管是最难的技能操作环节。由于该国分娩地点分布广泛，我们得出结论，所有围产期专业人员都应接受培训，以协调的团队方式进行新生儿复苏。NRP提供了这样的培训，并获得了爱尔兰医疗服务提供者的高度认可。
