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. 2015 Dec 11;10(12):e0144443.
doi: 10.1371/journal.pone.0144443. eCollection 2015.

Effect of a Neonatal Resuscitation Course on Healthcare Providers' Performances Assessed by Video Recording in a Low-Resource Setting

Daniele Trevisanuto  1 , Federica Bertuola  1 , Paolo Lanzoni  2 , Francesco Cavallin  3 , Eduardo Matediana  4 , Olivier Wingi Manzungu  5 , Ermelinda Gomez  5 , Liviana Da Dalt  1 , Giovanni Putoto  2
Affiliations

Effect of a Neonatal Resuscitation Course on Healthcare Providers' Performances Assessed by Video Recording in a Low-Resource Setting

Daniele Trevisanuto et al. PLoS One. .

Abstract

Background: We assessed the effect of an adapted neonatal resuscitation program (NRP) course on healthcare providers' performances in a low-resource setting through the use of video recording.

Methods: A video recorder, mounted to the radiant warmers in the delivery rooms at Beira Central Hospital, Mozambique, was used to record all resuscitations. One-hundred resuscitations (50 before and 50 after participation in an adapted NRP course) were collected and assessed based on a previously published score.

Results: All 100 neonates received initial steps; from these, 77 and 32 needed bag-mask ventilation (BMV) and chest compressions (CC), respectively. There was a significant improvement in resuscitation scores in all levels of resuscitation from before to after the course: for "initial steps", the score increased from 33% (IQR 28-39) to 44% (IQR 39-56), p<0.0001; for BMV, from 20% (20-40) to 40% (40-60), p = 0.001; and for CC, from 0% (0-10) to 20% (0-50), p = 0.01. Times of resuscitative interventions after the course were improved in comparison to those obtained before the course, but remained non-compliant with the recommended algorithm.

Conclusions: Although resuscitations remained below the recommended standards in terms of quality and time of execution, clinical practice of healthcare providers improved after participation in an adapted NRP course. Video recording was well-accepted by the staff, useful for objective assessment of performance during resuscitation, and can be used as an educational tool in a low-resource setting.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Total scores before and after the course in the three levels (initial steps, BMV and CC) of resuscitation.
Data are expressed as median (interquartile range).
Fig 2
Fig 2. Detailed scores before and after the course in initial steps.
(see S1 Dataset). Legend: AC, after the course; BF-before the course; HR- heart rate.
Fig 3
Fig 3. Detailed scores before and after the course in BMV.
(see S1 Dataset). Legend: AC, after the course; BF-before the course; FM-face mask; HR- heart rate; PPV- positive pressure ventilation.
Fig 4
Fig 4. Detailed scores before and after the course in CC.
(see S1 Dataset). Legend: AC, after the course; BF-before the course; CC- chest compressions; HR- heart rate.
Fig 5
Fig 5. Initiation times and duration of procedures.
Data are expressed as medians.
See this image and copyright information in PMC

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References

    1. WHO. Health-related Millennium Development Goals. World Health Statistics. 2014. Available: http://www.who.int/gho/publications/world_health_statistics/2014/en/.
    1. Unicef, Levels & Trends in Child Mortality. Report 2013. New York, USA, 2013. Available: http://www.data.unicef.org/fckimages/uploads/1410869227_Child_Mortality_....
    1. Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, et al. Child Health Epidemiology Reference Group of WHO and UNICEF. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet. 2012; 379(9832):2151–61. 10.1016/S0140-6736(12)60560-1 Epub 2012 May 11. . - DOI - PubMed
    1. Ministério da Saúde da República de Moçambique, “No Title,” 2014.
    1. Lawn JE, Blencowe H, Oza S, You D, Lee AC, Waiswa P, et al. Lancet Every Newborn Study Group. Progress, priorities, and potential beyond survival. Lancet. 2014; 384(9938):189–205. 10.1016/S0140-6736(14)60496-7 Epub 2014 May 19. . - DOI - PubMed

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