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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Educational Impact of the Neonatal Resuscitation Program in Low-Risk Delivery Centers in a Developing Country
Journal of Pediatrics, Volume 154, No. 4, Year 2009
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Description
Objective: To evaluate the effectiveness of the American Academy of Pediatrics Neonatal Resuscitation Program (NRP) in improving knowledge, skills, and self-efficacy of nurse midwives in low-risk delivery clinics in a developing country. Study design: We used the content specifications of the NRP material applicable to college-educated nurse midwives working in low-risk clinics in Zambia to develop performance and self-efficacy evaluations focused on principles of resuscitation, initial steps, ventilation, and chest compressions. These evaluations were administered to 127 nurse midwives before and after NRP training and 6-months later. Results: After training, written scores (knowledge evaluation) improved from 57% ± 14% to 80% ± 12% (mean ± SD; P < .0001); performance scores (skills evaluation) improved the most from 43% ± 21% to 88% ± 9% (P < .0001); self-efficacy scores improved from 74% ± 14% to 90% ± 10% (P < .0001). Written and performance scores decreased significantly 6 months after training, but self-efficacy scores remained high. Conclusions: As conducted, the NRP training improved educational outcomes in college-educated practicing nurse midwives. Pre-training knowledge and skills scores were relatively low despite the advanced formal education and experience of the participants, whereas the self-efficacy scores were high. NRP training has the potential to substantially improve knowledge and skills of neonatal resuscitation. © 2009 Mosby, Inc. All rights reserved.
Authors & Co-Authors
Carlo, Waldemar A.
United States, Birmingham
The University of Alabama at Birmingham
Wright, Linda L.
United States, Bethesda
National Institute of Child Health and Human Development Nichd
Chomba, Elwyn Nachanya
Zambia, Lusaka
University of Zambia
McClure, Elizabeth M.
United States, Research Triangle Park
Rti International
Carlo, Maria E.
United States, Birmingham
The University of Alabama at Birmingham
Bann, Carla M.
United States, Research Triangle Park
Rti International
Collins, Monica
United States, Birmingham
The University of Alabama at Birmingham
Harris, H.
United States, Research Triangle Park
Rti International
Statistics
Citations: 106
Authors: 8
Affiliations: 4
Identifiers
Doi:
10.1016/j.jpeds.2008.10.005
ISSN:
00223476
Research Areas
Health System And Policy
Maternal And Child Health
Study Locations
Zambia