Evaluation of a Neonatal Resuscitation Curriculum in Liberia
Neonatal mortality in Africa is among the highest in the world. In Liberia, providers face significant challenges due to lack of resources, and providers in referral centers need to be prepared to appropriately provide neonatal resuscitation. A team of American Heart Association health care provider...
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doaj-1aad6c5d704a4cb1ab7ab322bbd934402021-04-02T04:13:17ZengMDPI AGChildren2227-90672019-04-01645610.3390/children6040056children6040056Evaluation of a Neonatal Resuscitation Curriculum in LiberiaMary P. Chang0Camila B. Walters1Carmelle Tsai2Deborah Aksamit3Francis Kateh4John Sampson5Department of Emergency Medicine, University of Texas at Southwestern Medical Center, Dallas, TX 75390, USADepartment of Anesthesiology/Pediatric Anesthesiology, Vanderbilt University Medical Center, Nashville, TN 37232, USADepartment of Pediatrics, Division of Emergency Medicine, The Children’s Hospital of Philadelphia and University of Pennsylvania, Philadelphia, PA 19104, USAOffice of Emergency Training, Response, and Evaluation, Johns Hopkins School of Medicine, Baltimore, MD 21205; USAMinistry of Health and Social Welfare, P. O. Box 10-9009 1000, Monrovia 10, LiberiaDepartment of Anesthesiology/Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USANeonatal mortality in Africa is among the highest in the world. In Liberia, providers face significant challenges due to lack of resources, and providers in referral centers need to be prepared to appropriately provide neonatal resuscitation. A team of American Heart Association health care providers taught a two-day neonatal resuscitation curriculum designed for low-resource settings at a regional hospital in Liberia. The goal of this study was to evaluate if the curriculum improved knowledge and comfort in participation. The curriculum included simulations and was based on the Neonatal Resuscitation Protocol (NRP). Students learned newborn airway management, quality chest compression skills, and resuscitation interventions through lectures and manikin-based simulation sessions. Seventy-five participants were trained. There was a 63% increase in knowledge scores post training (<i>p</i> < 0.00001). Prior cardiopulmonary resuscitation (CPR) training, age, occupation, and pre-intervention test score did not have a significant effect on post-intervention knowledge test scores. The median provider comfort score improved from a 4 to 5 (<i>p</i> < 0.00001). Factors such as age, sex, prior NRP education, occupation, and post-intervention test scores did not have a significant effect on the post-intervention comfort level score. A modified NRP and manikin simulation-based curriculum may be an effective way of teaching health care providers in resource-limited settings. Training of providers in limited-resource settings could potentially help decrease neonatal mortality in Liberia. Modification of protocols is sometimes necessary and an important part of providing context-specific training. The results of this study have no direct relation to decreasing neonatal mortality until proven. A general resuscitation curriculum with modified NRP training may be effective, and further work should focus on the effect of such interventions on neonatal mortality rates in the region.https://www.mdpi.com/2227-9067/6/4/56neonatal resuscitationnewborn resuscitationneonatal mortalitysimulation trainingcardiopulmonary resuscitation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mary P. Chang Camila B. Walters Carmelle Tsai Deborah Aksamit Francis Kateh John Sampson |
spellingShingle |
Mary P. Chang Camila B. Walters Carmelle Tsai Deborah Aksamit Francis Kateh John Sampson Evaluation of a Neonatal Resuscitation Curriculum in Liberia Children neonatal resuscitation newborn resuscitation neonatal mortality simulation training cardiopulmonary resuscitation |
author_facet |
Mary P. Chang Camila B. Walters Carmelle Tsai Deborah Aksamit Francis Kateh John Sampson |
author_sort |
Mary P. Chang |
title |
Evaluation of a Neonatal Resuscitation Curriculum in Liberia |
title_short |
Evaluation of a Neonatal Resuscitation Curriculum in Liberia |
title_full |
Evaluation of a Neonatal Resuscitation Curriculum in Liberia |
title_fullStr |
Evaluation of a Neonatal Resuscitation Curriculum in Liberia |
title_full_unstemmed |
Evaluation of a Neonatal Resuscitation Curriculum in Liberia |
title_sort |
evaluation of a neonatal resuscitation curriculum in liberia |
publisher |
MDPI AG |
series |
Children |
issn |
2227-9067 |
publishDate |
2019-04-01 |
description |
Neonatal mortality in Africa is among the highest in the world. In Liberia, providers face significant challenges due to lack of resources, and providers in referral centers need to be prepared to appropriately provide neonatal resuscitation. A team of American Heart Association health care providers taught a two-day neonatal resuscitation curriculum designed for low-resource settings at a regional hospital in Liberia. The goal of this study was to evaluate if the curriculum improved knowledge and comfort in participation. The curriculum included simulations and was based on the Neonatal Resuscitation Protocol (NRP). Students learned newborn airway management, quality chest compression skills, and resuscitation interventions through lectures and manikin-based simulation sessions. Seventy-five participants were trained. There was a 63% increase in knowledge scores post training (<i>p</i> < 0.00001). Prior cardiopulmonary resuscitation (CPR) training, age, occupation, and pre-intervention test score did not have a significant effect on post-intervention knowledge test scores. The median provider comfort score improved from a 4 to 5 (<i>p</i> < 0.00001). Factors such as age, sex, prior NRP education, occupation, and post-intervention test scores did not have a significant effect on the post-intervention comfort level score. A modified NRP and manikin simulation-based curriculum may be an effective way of teaching health care providers in resource-limited settings. Training of providers in limited-resource settings could potentially help decrease neonatal mortality in Liberia. Modification of protocols is sometimes necessary and an important part of providing context-specific training. The results of this study have no direct relation to decreasing neonatal mortality until proven. A general resuscitation curriculum with modified NRP training may be effective, and further work should focus on the effect of such interventions on neonatal mortality rates in the region. |
topic |
neonatal resuscitation newborn resuscitation neonatal mortality simulation training cardiopulmonary resuscitation |
url |
https://www.mdpi.com/2227-9067/6/4/56 |
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