Relationship between site of training and residents' attitudes about neonatal resuscitation.

نویسندگان

  • Annie Janvier
  • Keith Barrington
  • Marianne Deschênes
  • Elise Couture
  • Sophie Nadeau
  • John Lantos
چکیده

OBJECTIVE To determine whether the attitudes of pediatric and obstetric residents concerning the resuscitation of extremely preterm infants, and their knowledge of outcomes, varies according to their center of training and its resuscitation practices. DESIGN Anonymous questionnaire. SETTING Four province of Quebec, Canada, university centers. PARTICIPANTS A total of 165 pediatric and obstetric residents. INTERVENTIONS Survey of attitudes about resuscitation of neonates born between 23 and 27 weeks of gestation, and knowledge of the prevalence of cerebral palsy in survivors. MAIN OUTCOME MEASURES Proportion of residents who would resuscitate a depressed, very preterm infant, and the proportion who overestimated the prevalence of cerebral palsy. RESULTS The percentage of residents who would resuscitate a depressed infant born at 24 weeks varied from 11% to 39% between centers, at 25 weeks between 26% and 69%, and at 26 weeks between 51% and 86%. At the center most likely to intervene for very immature infants, the greatest proportion of residents favored resuscitation at each gestational age. At the least interventionist center, the smallest proportion would resuscitate. The center of training was the only factor related to willingness to resuscitate at 24, 25, 26, and 27 weeks of gestation; not age, years of training, religion, sex, or parental status (whether the person surveyed has children). A total of 53% of residents thought the prevalence of cerebral palsy was 25% or 40% in this population. Residents with a more accurate knowledge of outcome were more likely to want to resuscitate very immature infants. CONCLUSION Different treatment centers may develop their own ethos regarding resuscitation, which then shapes both the way the residents understand epidemiological data and how they make decisions.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

[Teaching neonatal resuscitation at public hospitals in Brazilian state capitals].

OBJECTIVE To analyze the teaching of neonatal resuscitation offered by Brazilian public hospitals to undergraduate doctors and nurses, pediatric residents and neonatal fellows. METHODS This cross-sectional multicenter study included 36 hospitals in 20 Brazilian State capitals during June/2003. Local coordinators collected data regarding what the institutions offer to undergraduate doctors and...

متن کامل

Knowledge and skills of neonatal resuscitation of health professionals at a university teaching hospital of Northwest Ethiopia.

BACKGROUND Competency in neonatal resuscitation is critical in the delivery rooms, neonatology units and pediatrics intensive care units to ensure the safety and health of neonates. Each year, millions of babies do not breathe immediately at birth, and among them the majority require basic neonatal resuscitation. Perinatal asphyxia is a major contributor to neonatal deaths worldwide in resource...

متن کامل

بررسی میزان آگاهی، نگرش و عملکرد آموزش گیرندگان احیا نوزاد در مراکز بهداشتی - درمانی تحت پوشش دانشگاه علوم پزشکی مازندران

Background and purpose: There are more than five million neonatal death around the world of which %19 was because of Asphyxia at birth time. In our country, there has been educational program in order to decrease the mortality caused by Asphyxia and to practice a scientific method for resuscitation. This study was conducted to determine the rate of knowledge, attitude and practice for every l...

متن کامل

Attitudes of Healthcare Providers towards Non-initiation and Withdrawal of Neonatal Resuscitation for Preterm Infants in Mongolia

Antenatal parental counselling by healthcare providers is recommended to inform parents and assist with decision-making before the birth of a child with anticipated poor prognosis. In the setting of a low-income country, like Mongolia, attitudes of healthcare providers towards resuscitation of high-risk newborns are unknown. The purpose of this study was to examine the attitudes of healthcare p...

متن کامل

Evaluating Neonatal Resuscitation Skills of Nursing and Midwifery Students Using Objective Structured Clinical Examination (OSCE)

Background & aim: Neonatal resuscitation training is mandatory for the staff providing maternity and neonatal services in order to ensure competence during the academic period. This study was conducted to assess the neonatal resuscitation skills of nursing and midwifery students. Methods:In this study, the skills of 48 nursing and midwifery students  were assessed, using Objective Structured C...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Archives of pediatrics & adolescent medicine

دوره 162 6  شماره 

صفحات  -

تاریخ انتشار 2008