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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Aftermath of a clinical trial: Evaluating the sustainability of a medical device intervention in ghana
Journal of Tropical Pediatrics, Volume 60, No. 1, Article fmt074, Year 2014
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Description
A randomized controlled trial recently demonstrated that continuous positive airway pressure (CPAP) effectively decreases respiratory rate in children presenting to Ghanaian district hospitals with respiratory distress. A follow-up study 16 months later evaluated the extent to which the skills and equipment necessary for CPAP use have been maintained. Seven of eight CPAP machines were functional, but five of eight oxygen concentrators and three of four electric generators were non-functional. Nurses trained by US study personnel (first-generation) and nurses trained by Ghanaian nurses after the study (second-generation) were evaluated on CPAP knowledge and skills. Twenty-eight nurses participated in the study, 9 first-generation and 19 second-generation. First-generation trainees scored significantly higher than second-generation trainees on both skills and knowledge assessments (p = 0.003). Appropriate technical support and training must be ensured to address equipment maintenance. Protocolization of the training program, in conjunction with skills and knowledge assessment, may improve acquisition and retention among second- and future-generation trainees. © The Author [2013]. Published by Oxford University Press. All rights reserved.
Authors & Co-Authors
Wilson, Patrick T.
Unknown Affiliation
Brooks, Joshua C.
Unknown Affiliation
Otupiri, Easmon
Unknown Affiliation
Moresky, Rachel Tara
Unknown Affiliation
Morris, Marilyn Cummings
Unknown Affiliation
Statistics
Citations: 27
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1093/tropej/fmt074
ISSN:
01426338
e-ISSN:
14653664
Research Areas
Maternal And Child Health
Study Design
Randomised Control Trial
Cohort Study
Study Approach
Quantitative
Study Locations
Ghana