Assessing knowledge and skills of maternity care professionals regarding neonatal hyperbilirubinaemia: a nationwide survey
Abstract Background Neonatal hyperbilirubinaemia is a physiologic phenomenon, but, when severe, may cause lifelong disability. Maternity care assistants (MCAs) play an important role in timely recognition of severe neonatal jaundice. We assessed knowledge and skills of MCAs regarding neonatal hyperb...
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doaj-4e72d5d157f741d98b32cb8b0bb960b12021-01-24T12:16:45ZengBMCBMC Pregnancy and Childbirth1471-23932021-01-0121111310.1186/s12884-020-03463-0Assessing knowledge and skills of maternity care professionals regarding neonatal hyperbilirubinaemia: a nationwide surveyBerthe A. M. van der Geest0Imke M. Theeuwen1Irwin K. M. Reiss2Eric A. P. Steegers3Jasper V. Been4Department of Paediatrics, Division of Neonatology, Erasmus MC – Sophia Children’s Hospital, University Medical Centre RotterdamDepartment of Paediatrics, Division of Neonatology, Erasmus MC – Sophia Children’s Hospital, University Medical Centre RotterdamDepartment of Paediatrics, Division of Neonatology, Erasmus MC – Sophia Children’s Hospital, University Medical Centre RotterdamDepartment of Obstetrics and Gynaecology, Division of Obstetrics and Foetal Medicine, Erasmus MC, University Medical Centre RotterdamDepartment of Paediatrics, Division of Neonatology, Erasmus MC – Sophia Children’s Hospital, University Medical Centre RotterdamAbstract Background Neonatal hyperbilirubinaemia is a physiologic phenomenon, but, when severe, may cause lifelong disability. Maternity care assistants (MCAs) play an important role in timely recognition of severe neonatal jaundice. We assessed knowledge and skills of MCAs regarding neonatal hyperbilirubinaemia. Methods All Dutch MCAs (n = 9065) were invited to fill out a questionnaire assessing knowledge, expertise, and handling of neonatal jaundice. Additionally, we developed an e-learning and provided training sessions to a subgroup of MCAs (n = 99), and assessed their knowledge on neonatal hyperbilirubinaemia before and after the training. Results One thousand four hundred sixty-five unique online questionnaires were completed (response 16.2%). The median number of correctly answered knowledge questions was 5 (out of six; IQR 1). Knowledge was significantly better when respondents had had in-service training on neonatal hyperbilirubinaemia in the previous year (p = 0.024). Although 82% of respondents felt highly skilled or skilled to assess jaundice, accuracy of estimation of total serum bilirubin levels by assessing skin colour was generally poor and prone to underestimation. Among participants attending a training session, those who completed the e-learning beforehand had higher pre-training scores (5 (IQR 1) vs. 4 (IQR 2); p < 0.001). The median post-training score was higher than pre-training (6 (IQR 1) vs. 5 (IQR 2); p < 0.001). Conclusions Background knowledge of MCAs regarding neonatal hyperbilirubinaemia was adequate, but can be improved by further training. Estimation of total serum bilirubin levels based on skin colour was often inadequate. Approaches to improve timely recognition of jaundiced neonates are needed.https://doi.org/10.1186/s12884-020-03463-0Neonatal hyperbilirubinaemiaNeonatal jaundiceMaternity care professionalsMaternity care assistantsKnowledgeRecognition |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Berthe A. M. van der Geest Imke M. Theeuwen Irwin K. M. Reiss Eric A. P. Steegers Jasper V. Been |
spellingShingle |
Berthe A. M. van der Geest Imke M. Theeuwen Irwin K. M. Reiss Eric A. P. Steegers Jasper V. Been Assessing knowledge and skills of maternity care professionals regarding neonatal hyperbilirubinaemia: a nationwide survey BMC Pregnancy and Childbirth Neonatal hyperbilirubinaemia Neonatal jaundice Maternity care professionals Maternity care assistants Knowledge Recognition |
author_facet |
Berthe A. M. van der Geest Imke M. Theeuwen Irwin K. M. Reiss Eric A. P. Steegers Jasper V. Been |
author_sort |
Berthe A. M. van der Geest |
title |
Assessing knowledge and skills of maternity care professionals regarding neonatal hyperbilirubinaemia: a nationwide survey |
title_short |
Assessing knowledge and skills of maternity care professionals regarding neonatal hyperbilirubinaemia: a nationwide survey |
title_full |
Assessing knowledge and skills of maternity care professionals regarding neonatal hyperbilirubinaemia: a nationwide survey |
title_fullStr |
Assessing knowledge and skills of maternity care professionals regarding neonatal hyperbilirubinaemia: a nationwide survey |
title_full_unstemmed |
Assessing knowledge and skills of maternity care professionals regarding neonatal hyperbilirubinaemia: a nationwide survey |
title_sort |
assessing knowledge and skills of maternity care professionals regarding neonatal hyperbilirubinaemia: a nationwide survey |
publisher |
BMC |
series |
BMC Pregnancy and Childbirth |
issn |
1471-2393 |
publishDate |
2021-01-01 |
description |
Abstract Background Neonatal hyperbilirubinaemia is a physiologic phenomenon, but, when severe, may cause lifelong disability. Maternity care assistants (MCAs) play an important role in timely recognition of severe neonatal jaundice. We assessed knowledge and skills of MCAs regarding neonatal hyperbilirubinaemia. Methods All Dutch MCAs (n = 9065) were invited to fill out a questionnaire assessing knowledge, expertise, and handling of neonatal jaundice. Additionally, we developed an e-learning and provided training sessions to a subgroup of MCAs (n = 99), and assessed their knowledge on neonatal hyperbilirubinaemia before and after the training. Results One thousand four hundred sixty-five unique online questionnaires were completed (response 16.2%). The median number of correctly answered knowledge questions was 5 (out of six; IQR 1). Knowledge was significantly better when respondents had had in-service training on neonatal hyperbilirubinaemia in the previous year (p = 0.024). Although 82% of respondents felt highly skilled or skilled to assess jaundice, accuracy of estimation of total serum bilirubin levels by assessing skin colour was generally poor and prone to underestimation. Among participants attending a training session, those who completed the e-learning beforehand had higher pre-training scores (5 (IQR 1) vs. 4 (IQR 2); p < 0.001). The median post-training score was higher than pre-training (6 (IQR 1) vs. 5 (IQR 2); p < 0.001). Conclusions Background knowledge of MCAs regarding neonatal hyperbilirubinaemia was adequate, but can be improved by further training. Estimation of total serum bilirubin levels based on skin colour was often inadequate. Approaches to improve timely recognition of jaundiced neonates are needed. |
topic |
Neonatal hyperbilirubinaemia Neonatal jaundice Maternity care professionals Maternity care assistants Knowledge Recognition |
url |
https://doi.org/10.1186/s12884-020-03463-0 |
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