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Evaluation of the Cognitive Effect of Newborn Resuscitation Training on Health-care Workers in Selected States in Northern Nigeria

Overview
Journal Ann Afr Med
Specialty General Medicine
Date 2018 Jan 25
PMID 29363634
Citations 3
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Abstract

Background: Neonatal deaths contribute significantly to slower progress in under-5 mortality reduction. Lack of sufficiently trained birth assistants partly contributes to early neonatal deaths. Resuscitation training equips frontline health-care workers (HCWs) with requisite knowledge and skills to prevent birth asphyxia.

Objective: The objective of this study was to evaluate the immediate impact of newborn resuscitation training on cognitive ability of HCWs.

Materials And Methods: This is a descriptive observational study using pre- and posttraining scores obtained by HCWs who were participants in 1-day training on emergency newborn resuscitation. The Newborn Resuscitation Manual of the UK Resuscitation Council (2006) was used to train HCWs. The course included lectures, skill and scenario demonstrations using mannequins, and basic resuscitation equipment. Cognitive knowledge was evaluated using a pre- and post-training questionnaire. Participants' scores were collated, analyzed, and results were presented as tables, charts, and descriptive statistics with P < 0.05 considered statistically significant.

Results: A total of 293 HCWs completed the course (81 doctors and 212 nurse/midwives), with variable improvements of mean posttraining marks over the pretraining scores. Resident doctors obtained significantly higher mean pre- and post-training marks with lower mean difference than senior doctors and medical officers. The junior nurses obtained significantly higher mean pretraining scores compared to the senior nursing cadre, while the intermediate nursing cadre obtained significantly higher mean posttraining scores compared to senior nurses.

Conclusion: Resuscitation training improved the knowledge of HCWs. Further evaluation could ascertain impacts on knowledge/skills' retention and neonatal survival. Preservice training and continuing education for frontline HCWs who conduct deliveries are recommended.

Citing Articles

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Basic neonatal resuscitation: retention of knowledge and skills of primary health care workers in Port Harcourt, Rivers State, Southern Nigeria.

Briggs D, Eneh A, Alikor E Pan Afr Med J. 2021; 38:75.

PMID: 33889241 PMC: 8033185. DOI: 10.11604/pamj.2021.38.75.25812.


Evaluating the Instructional Design and Effect on Knowledge, Teamwork, and Skills of Technology-Enhanced Simulation-Based Training in Obstetrics in Uganda: Stepped-Wedge Cluster Randomized Trial.

van Tetering A, Segers M, Ntuyo P, Namagambe I, van der Hout-van der Jagt M, Byamugisha J JMIR Med Educ. 2021; 7(1):e17277.

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