Author:
Patel Purvi,Nimbalkar Somashekhar,Shinde Mayur
Abstract
AbstractNeonatal resuscitation training can change outcomes of neonatal mortality due to perinatal asphyxia. Recently, in 2021, the advanced NRP course material was changed, and for Basic NRP, a hybrid course was introduced in India. We assessed the instructor’s feedback to improve the conduct of the IAP NNF NRP Program as well as get their perception of the effectiveness, usefulness, and pitfalls of the new hybrid Basic NRP course (offline + online). A cross-sectional survey was conducted amongst instructors across India with current status with IAP NRP FGM Office. The data were exported to a Microsoft Excel Spreadsheet. STATA 14.2 was used for descriptive [Frequency (percent) analysis. 827 basic and 221 advanced NRP instructors responded. Bag and mask ventilation was identified as the most important step in basic 468 (56.6%) and advanced 147 (66.5%) courses. In the basic NRP, almost two third (71.0%) participants believe that it is challenging to conduct a case scenario for bag and mask ventilation, whereas, in the advanced course, intubation 116 (52.5%) was considered the most difficult step to teach and medication 80(36.2%) followed by intubation 62(28.1%) are the most difficult steps to conduct case scenario. 725(87.7%) reported that it would be easy to explain them in an offline course after completion of an online course. Most of the instructors were satisfied with the course structure, material, overall quality of the workshop, and support from the IAP NRP office. Constructive suggestions were obtained from the instructors for improvement of the course.
Funder
Indian Academy of Pediatrics
Publisher
Springer Science and Business Media LLC
Reference27 articles.
1. Carlo, W. A. et al. Newborn-care training and perinatal mortality in developing countries. N. Engl. J. Med. 362, 614–623 (2010).
2. Ersdal, H. L., Mduma, E., Svensen, E. & Perlman, J. Birth asphyxia: a major cause of early neonatal mortality in a Tanzanian rural hospital. Pediatrics 129, e1238-1243 (2012).
3. Wyckoff, M. H. & Perlman, J. M. Effective ventilation and temperature control are vital to outborn resuscitation. Prehosp. Emerg. Care. 8, 191–195 (2004).
4. American Academy of Pediatrics. Neonatal Resuscitation Program. Accessed on Aug 7 2023 at https://www.aap.org/en/learning/neonatal-resuscitation-program/
5. Pastis, N. J., Doelken, P., Vanderbilt, A. A., Walker, J. & Schaefer, J. J. 3rd. Validation of simulated difficult bag-mask ventilation as a training and evaluation method for first-year internal medicine house staff. Simul. Health. 8, 20–24 (2012).