Evidence map›Paper›PMID 32033598›Full record

ArticleBMC pregnancy and childbirth2020

Healthcare worker knowledge and skills following coaching in WHO early essential newborn care program in the Solomon Islands: a prospective multi-site cohort study.

Shidan Tosif, Anna Jatobatu, Anita Maepioh, Amy Gray, Howard Sobel, Priya Mannava, Trevor Duke

Open access · goldAbstract readEvaluation StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Shidan TosifCentre for International Child Health, University of Melbourne, Murdoch Children's Research Institute, Royal Children's Hospital Melbourne, 50 Flemington Rd, Parkville, VIC, 3052, Australia. shidan.tosif@gmail.com.ORCID http://orcid.org/0000-0003-0022-1009
Anna JatobatuNational Newborn Health Coordinator, Reproductive and Child Health Department, Ministry of Health and Medical Services, Honiara, Solomon Islands.
Anita MaepiohDepartment of Obstetrics and Gynaecology, National Referral Hospital, Honiara, Solomon Islands.
Amy GrayCentre for International Child Health, University of Melbourne, Murdoch Children's Research Institute, Royal Children's Hospital Melbourne, 50 Flemington Rd, Parkville, VIC, 3052, Australia.
Howard SobelCoordinator Maternal, Child Health and Quality and Safety, World Health Organization Regional Office for the Western Pacific, Manila, Philippines.
Priya MannavaTechnical Officer, Surveillance, Information and Accountability, Reproductive, Maternal, Newborn, Child and Adolescent Health, World Health Organisation Regional Office for the Western Pacific, Manila, Philippines.
Trevor DukeCentre for International Child Health, University of Melbourne, Murdoch Children's Research Institute, Royal Children's Hospital Melbourne, 50 Flemington Rd, Parkville, VIC, 3052, Australia.
Royal Children's Hospital · AUWorld Health Organization Regional Office for the Western Pacific · PH

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundNewborn mortality in Oceania declined slower than other regions in the past 25 years. The World Health Organization (WHO) introduced the Early Essential Newborn Care program (EENC) in 2015 in Solomon Islands, a Small Island Developing State, to address high newborn mortality. We explored knowledge and skills retention among healthcare workers following EENC coaching.

methodsBetween March 2015 and December 2017, healthcare workers in five hospitals were assessed: pre- and post-clinical coaching and at a later evaluation. Standardised written and clinical skills assessments for breathing and non-breathing baby scenarios were used. Additionally, written surveys were completed during evaluation for feedback on the EENC experience.

resultsFifty-three healthcare workers were included in the evaluation. Median time between initial coaching and evaluation was 21 months (IQR 18-26). Median written score increased from 44% at baseline to 89% post-coaching (p < 0.001), and was 61% at evaluation (p < 0.001). Skills assessment score was 20% at baseline and 95% post-coaching in the Breathing Baby scenario (p < 0.001). In the Non-Breathing Baby scenario, score was 63% at baseline and 86% post-coaching (p < 0.001). At evaluation, median score in the Breathing Baby scenario was 82% a reduction of 13% from post-coaching (p < 0.001) and 72% for the Non-Breathing Baby, a reduction of 14% post-coaching (p < 0.001). Nurse aides had least reduction in evaluation scores of - 2% for the Breathing Baby and midwives - 10% for the Non-Breathing Baby respectively from post-coaching to evaluation.

conclusionsEENC coaching resulted in immediate improvements in knowledge and skills but declined over time. Healthcare workers who used the skills in regular practice had higher scores. Complementary quality improvement strategies are needed to sustain resuscitation skills following training over time.

trial registrationAustralia New Zealand Trial Registry, Retrospective Registration (12/2/2019), registration number ACTRN12619000201178.

Indexed as

Clinical CompetenceHealth Knowledge, Attitudes, PracticeFemaleHealth PersonnelHumansInfant CareInfant, NewbornMelanesiaMentoringMidwiferyPregnancyProgram EvaluationProspective StudiesResuscitationWorld Health OrganizationLow- and middle-income countriesNeonatal resuscitationNeonatal training programsSmall Island developing states

Identifiers

PMID32033598
PMCPMC7007662
OpenAlexW3006272647

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.