Effective Factors on Maintaining Neonatal Resuscitation Skills among the Nurses and Midwives in Kerman Province Hospitals

Niknafs, Nikoo; Niknafs, Pedram; Bahman-Bijari, Bahare

Effective Factors on Maintaining Neonatal Resuscitation Skills among the Nurses and Midwives in Kerman Province Hospitals

Document Type : Original Article

Authors

Nikoo Niknafs ¹

Pedram Niknafs ²

Bahare Bahman-Bijari ³

¹ Resident of Neonatology, Tehran University of Medical Sciences, Tehran, Iran

² Subspecialist in Neonatology, Professor of Pediatrics Dept., School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

³ Subspecialist in Neonatology, Assistant Professor of Pediatrics Dept., School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Background & Objective : Many cases of neonatal deaths which are caused by asphyxia could be prevented by appropriate resuscitation Successful resuscitation depends on several factors including the skill of nurses and midwives involved in taking care of sick neonates Methods : In this study 88 nurses and midwives in Kerman Province Hospitals participated and all completed an 11hour neonatal resuscitation course Among the participants 25 were selected for the based line survey After five months all of them sat for a theoretical and practical test including nine stations Results : Five months after the workshop the mean theoretical and practical scores of the participants in different hospitals showed a significant difference (P=00001) Scores of the practical test varied in different stations The highest score belonged to “neonates tactile stimulation” while the lowest was given to “resuscitating a non vigorous meconium stained neonate” There was a weak inverse yet significant relationship between age and the time past from graduation with the practical score (P=0035 r=023 and P=0017 and r=025 respectively) Practicing on mannequin and studying the provided notes on resuscitation led to getting a significantly higher score (P=00001 and P=0046 respectively) Conclusion : This study shows that teaching resuscitation alone may not guarantee skill in people Maintaining resuscitation skill is influenced by factors such as age job status practicing on mannequin and participation in neonatal resuscitation

Keywords

Neonatal resuscitation

Maintaining resuscitation skills

Nurse

Midwife

neonate

Kattwinkel J. Textbook of neonatal resuscitation. 5th ed. American Heart Association, American Academy of Pediatrics; 2006.
Bahman Bijari B, Niknafs P, Alavi SA. The role of education methods, on knowledge and skills of neonatal resuscitation in nursing students. Iranian Journal of Pediatrics 2006; 4(16): 467-75. [In Persian]
Hamilton R. Nurses’ knowledge and skill following cardiopulmonary resuscitation training: A review of the literature. J Adv Nurs 2005; 51: 288-97.
Murphy M, Fitzsimons D. Does attendance at an immediate life support course influence nurses’ skill deployment during cardiac arrest? Resuscitation 2004; 62: 49-54.
West H. Basic infant life support: Retention of knowledge and skill. Pediatrics Nurs 2000; 12(1): 34-7.
Nagashima K, Takahato O, Fujimoto K, Susuki A, Iwasaki H. Investigation on nurses’ knowledge of and experience in cardiopulmonary resuscitation and on nurses’ knowledge of the guidelines for cardiopulmonary resuscitation and emergency cardiovascular care established in 2000-results of a survey in Asahikawa Medical College Hospital. Masui 2003; 52: 427-30.
Dracup K, Doering LV, Moser DK, Evangelista L. Retention and use of cardiopulmonary resuscitation skills in parents of infants at high risk for cardiopulmonary arrest. Ped Nurs1998; 24: 219-25.
Riegel B, Nafziger SD, McBurnie MA, Powell J, Ledingham R, Sehra R, et al. How well are cardio respiratory resuscitation and automated external defibrillator skills retained over time? Results from public access defibrillation (PAD) trial. Acad Emerg Med 2006; 13: 254-63.
Hammand F, Saba M, Simes T, Cross R. Advanced life support: Retention of registered nurses’ knowledge 18 months after initial training. Aust Crit Care 2000; 13: 99-104.
Su E, Schmidt TA, Mann NC, Zechnich AD. A randomized controlled trial to assess decay in acquired knowledge among paramedics completing a pediatric resuscitation course. Acad Emerg Med 2000; 7 (7): 779-86.
Adib Bagheri M, Afazel MR, Musavi SG, Nourizad S. A survey if knowledge and skill of cardiopulmonary resuscitation among the personnel’s of Kashan Community Hospitals. Scientific Journal of Kashan University of Medical Sciences & Health Services-Feiz 2001; 19 (5): 96-103. [In Persian]
Haj Zeinali AM, Panah Khahi M. The study of knowledge and attitude of new coming residents in cardiopulmonary resuscitation in Tehran University of Medical Sciences, 1998-1999. The Journal of Tehran Faculty of Medicine 2000; 4 (58): 89-96. [In Persian]
Khosravi F, Haghdoost AA, Nouhi E. Attitudes of students, teachers and graduates towards the role of educational contents in clinical skill laboratories. The Journal of Qazvin University of Medical Sciences & Health Services 2002; 6 (22): 68-74. [In Persian]
Rafati Rahimzadeh M. A comparison of individual problems of nurses in emergency and cardiac care unit. Journal of Babol University of Medical sciences 2002; 15(4): 51-7. [In Persian]
Kadivar M, Panhkhahi M, Javadnia N. Assessment of knowledge and attitude of the pediatric residents about neonatal and pediatric cardiopulmonary resuscitation. Journal of Research in Medical Sciences 2003; 3 (8): 65-8. [In Persian]
Yeganeh N, Moradi B. Knowledge and skills of medical students around CPCR. Journal of Iranian Society of Anesthesiology and Intensive Care 2002; 37 (22): 25-31. [In Persian]
Bakhshaei MH, Razavi n. A survey of practical and theoretical education effects for nursing staffs in cardio-pulmonary resuscitation. Scientific Journal of Hamadan University of Medical Sciences and Heath Services 2000; 7(3): 50-3. [In Persian]
Ahmadi M, Nasiri E, Emadi SA, Mohammadpour AR. A survey of the knowledge, attitude and behavior in the participants of the neonatal resuscitation workshops of Mazandaran University of Medical Sciences Health Services. Journal of Mazandaran University of Medical Sciences 2007; 58 (17): 109-16. [In Persian]
Dracup K, Moser DK, Doering LV, Guzy PM. Comparison of cardiopulmonary resuscitation training methods for parents of infants at high risk for cardiopulmonary arrest. Ann Emerg Med 1998; 32(2): 170-7.