ANALYSIS OF COMPETENCES IN NEONATAL RESUSCITATION OF PEDIATRICIANS AND STUDENTS OF MEDICINE, HOW TO IMPROVE?

M de la Asunción Pino Vázquez, M. Brezmes Raposo, M. Miñambres Rodríguez, E. Urbaneja Rodríguez, R. Garrote Molpeceres, C. Fernández García-Abril, H. González García

Abstract


Introduction: In 2001, the Spanish group for "Cardiopulmonary Resuscitation" (CPR) was created. Since that time, multiple courses have been made. The objectives of these courses were obtaining new skills in: neonatal resuscitation, stabilization and transport of critically ill children and training courses for CPR training courses. In our hospital, an annual training course in advanced neonatal CPR is made. Up to 5 to 10% of the newborns will require some assistance to begin breathing at birth. Therefore, every practitioner who attends newborns must have the skills that can be required. Objectives: our goal was to analyse the knowledge in CPR from the pediatricians (medical doctors and the pediatric residents) in the two hospitals of our city. Moreover, we also analysed the knowledge from the students in Medical School after the passed course in Pediatrics. We proposed to establish a periodic training so as to keep an optimal ability in resuscitation skills. Material and methods: we obtained a representative sample made from Medical doctors (MD) and pediatric residents belonging to the hospitals in our city, as well as the students in the last year. Multiple-choice questions (MCQ) (20 questions) and a Modified Evaluation Questionnaire (MEQ) (20 questions) were applied. Collected variables were: mark obtained in the test, study group (medical doctors, paediatric resident, year of residence and medical student), previous CPR courseand time after the last real neonatal resuscitation. Results: We obtained 81 completed questionnaires: MD, 29 (78%), pediatrics resident, 23 (72%) and students, 31 (20%). The median scores (interquartile range) were: Pediatricians: 8 (7-8.75), Residents: 7 (6.5-7.75) and Students: 4.19 (3.72-5.12), with significant differences when comparing each of the groups. In the group of residents, we found statistically significant differences obtaining the best scores among those who had completed the neonatal resuscitation course in the last year. We found the best test results in the medical doctors and pediatrics residents who underwent a real neonatal resuscitation in the last year. Conclusions: Neonatal CPR knowledge of medical doctors and pediatric residents of the third and fourth year are optimal, first and second year residents are good and medical students are deficient. It is found that adequate training and periodic updating is necessary to maintain adequate competencies in neonatal CPR.

Keywords


Neonatal resuscitation, Skills, CPR training course,

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References


• Birnbaum, M. L., N. E. Robinson, B. M. Kuska, H. L. Stone, D. G. Fryback and J. H. Rose (1994). "Effect of advanced cardiac life-support training in rural, community hospitals." Crit Care Med22(5): 741-749.

• Boonmak, P., S. Boonmak, S. Srichaipanha and S. Poomsawat (2004). "Knowledge and skill after brief ACLS training." J Med Assoc Thai87(11): 1311-1314.

• Charalampopoulos, D., G. Karlis, D. Barouxis, A. Syggelou, C. Mikalli, D. Kountouris, N. Modestou, P. Van de Voorde, F. Danou, N. Iacovidou and T. Xanthos (2014). "Theoretical knowledge and skill retention 4 months after a European Paediatric Life Support course." Eur J Emerg Med.

• Fischer, H., G. Strunk, S. Neuhold, D. Kiblbock, H. Trimmel, M. Baubin, H. Domanovits, C. Maurer and R. Greif (2012). "The effectiveness of ERC advanced life support (ALS) provider courses for the retention of ALS knowledge." Resuscitation83(2): 227-231.

• Hammond, F., M. Saba, T. Simes and R. Cross (2000). "Advanced life support: retention of registered nurses' knowledge 18 months after initial training." Aust Crit Care13(3): 99-104.

• Iriondo, M., E. Szyld, M. Vento, E. Buron, E. Salguero, J. Aguayo, C. Ruiz, D. Elorza, M. Thio and N. Grupo de reanimacion neonatal de la Sociedad Espanola de (2011). "[Changes in the international recommendations on neonatal resuscitation, 2010: comments]." An Pediatr (Barc)75(3): 203 e201-214.

• Iriondo Sanz, M. and Grupo de Reanimación Neonatal de la Sociedad Española de Neonatología (2012). Manual de Reanimación Neonatal.

• Mosley, C. M. and B. N. Shaw (2013). "A longitudinal cohort study to investigate the retention of knowledge and skills following attendance on the Newborn Life support course." Arch Dis Child98(8):582-586.

• Sandroni, C., G. L. Gonnella, C. de Waure, F. Cavallaro, G. La Torre and M. Antonelli (2010). "Which factors predict candidate outcome in advanced life support courses? A preliminary observational study." Intensive Care Med36(9): 1521-1525.

• Yang, C. W., Z. S. Yen, J. E. McGowan, H. C. Chen, W. C. Chiang, M. E. Mancini, J. Soar, M. S. Lai and M. H. Ma (2012). "A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers."Resuscitation83(9):1055-1060.


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