REFINE (Rapid Feedback for quality Improvement in Neonatal rEsuscitation): an observational study of neonatal resuscitat
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(2020) 20:756
STUDY PROTOCOL
Open Access
REFINE (Rapid Feedback for quality Improvement in Neonatal rEsuscitation): an observational study of neonatal resuscitation training and practice in a tertiary hospital in Nepal Rejina Gurung1 , Abhishek Gurung1 , Omkar Basnet1, Joar Eilevstjønn2, Helge Myklebust2, Sakina Girnary2, Shree Krishna Shrestha3, Dela Singh3, Laxman Bastola3, Prajwal Paudel4, Sandhya Baral1 and Ashish KC5,6*
Abstract Background: Simulation-based training in neonatal resuscitation is more effective when reinforced by both practice and continuous improvement processes. We aim to evaluate the effectiveness of a quality improvement program combined with an innovative provider feedback device on neonatal resuscitation practice and outcomes in a public referral hospital of Nepal. Methods: A pre- and post-intervention study will be implemented in Pokhara Academy of Health Sciences, a hospital with 8610 deliveries per year. The intervention package will include simulation-based training (Helping Babies Breathe) enhanced with a real-time feedback system (the NeoBeat newborn heart rate meter with the NeoNatalie Live manikin and upright newborn bag-mask with PEEP) accompanied by a quality improvement process. An independent research team will collect perinatal data and conduct stakeholder interviews. Discussion: This study will provide further information on the efficiency of neonatal resuscitation training and implementation in the context of new technologies and quality improvement processes. Trial registration: https://doi.org/10.1186/ISRCTN18148368, date of registration-31 July 2018 Keywords: Newborn, Newborn resuscitation, REFINE, Helping babies breathe
Background Worldwide, approximately 10 million newborns every year require assistance to breathe after birth. Studies show that timely and effective ventilation of these babies can significantly improve newborn survival. However, insufficient number of providers trained in newborn * Correspondence: [email protected] 5 Society of Public Health Physician Nepal, Kathmandu, Nepal 6 Department of Women’s and Children’s Health, Uppsala University, Dag Hammarskjölds väg 14B, 1 tr, 752 37 Uppsala, Sweden Full list of author information is available at the end of the article
resuscitation and a lack of clinical tools remain significant barriers [1–3]. The American Academy of Pediatrics (AAP) and their partners developed Helping Babies Breathe (HBB), a simulation-based curriculum, to train and equip healthcare providers to evaluate and support breathing at birth [4]. However, in resource-constrained environments like Nepal, there are several challenges to neonatal resuscitation training and implementation, including lack of time, equipment and resources [5]. Singhal et al., while developing an education program for newborn resuscitation
© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as lon
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