助产士在帮助婴儿呼吸培训前后对新生儿复苏和生存的知识和观点:乌干达的一项定性研究
Susanna Myrnerts Höök1,2,3, Marielle Abrahamsson3, Sarah Namusoko4
1Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden susanna.myrnerts.hook@ki.se.
BMJ open
|February 7, 2025
概括
乌干达的助产士面临着诸如繁重的工作负载和设备不足等挑战,尽管有帮助婴儿呼吸培训,但阻碍了新生儿复苏. 改善支持和资源对于更好的婴儿存活率至关重要.
科学领域:
- 新生儿护理和公共卫生在低资源环境.
- 医疗保健提供者培训及其对临床实践的影响.
- 母婴健康结果. 母婴健康结果.
背景情况:
- 产后窒息是新生儿死亡的主要原因,特别是在低收入和中等收入国家.
- 医院分娩和新生儿复苏培训计划,如帮助婴儿呼吸 (HBB),是减少婴儿死亡率的关键策略.
- 人们对医疗保健提供者在实践中实施新生儿复苏技能的观点的理解有限.
研究的目的:
- 探索助产士和医院管理人员对新生儿复苏实践的理解和经验.
- 确定影响新生儿复苏和生存的因素,在HBB培训之前和之后.
- 评估HBB培训在改善新生儿复苏结果方面的有效性.
主要方法:
- 一项采用个人访谈和焦点小组讨论的定性研究.
- 从45名助产士收集数据,这些助产士最近在乌干达国家推医院完成了HBB培训.
- 诱导性内容分析用于分析采访和讨论的转录音频录音.
主要成果:
- 过度的工作负担,无法获得干净设备以及道德困境,严重阻碍了新生儿复苏的表现和生存.
- 助产士报告说,尽管他们努力确保患者安全,但他们面临不充分的支持系统.
- 虽然HBB培训解决了一些不当行为,但参与者表示需要额外的持续培训和改善工作条件.
结论:
- 助产士有有限的机会来修改他们的工作负载或提高他们的教育,影响他们的能力,以提供最佳的新生儿护理.
- 医疗保健机构面临的挑战,包括资源限制和组织问题,需要仔细检查,以改善新生儿复苏和生存.
- 建议包括建立更好的工作组织程序,确保设备的清洁和维护,并实施医疗保健提供者的持续改进的培训计划.
更多相关视频
04:56Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA
Published on: July 14, 2023
2.0K
09:51Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
Published on: March 21, 2018
19.5K
相关概念视频
01:17Endotracheal Intubation II: Nursing Management
430
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
430
01:19Respiratory Assessment: Purpose and Indications
1.0K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.0K
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
955
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
955
01:20Ultrasound I: Abdominal Ultrasonography
156
Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
156
01:28International Nursing Organizations II
951
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
951
01:26Endoscopic Studies II: Thoracocentesis
195
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
195