Evidence map›Paper›PMID 40829831›Full record

Observational studyBMJ open2025

Adherence to guidelines on quality neonatal resuscitation practices among healthcare professionals in Ghana: an observational study.

Solomon Mohammed Salia, Robert Alhassan Kaba, Billie de Haas, Jelle Stekelenburg

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

4 authors.

Solomon Mohammed SaliaDepartment of Nursing, University of Health and Allied Sciences, Ho, Ghana ssmohammed@uhas.edu.gh.ORCID http://orcid.org/0000-0001-5271-3975
Robert Alhassan KabaCentre for Health Policy and Implementation Research, Institute of Health Research, University of Health and Allied Sciences, Ho, Ghana.
Billie de HaasPopulation Research Centre, Faculty of Spatial Sciences, University of Groningen, Groningen, The Netherlands.
Jelle StekelenburgDepartment of Health Sciences, Global Health Unit, University Medical Centre Groningen/University of Groningen, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS AND

objectivesThe study evaluated healthcare professionals' adherence to guidelines on quality neonatal resuscitation practices in Ghana.

designThis study employed an observational design. A validated observational checklist for neonatal resuscitation was used to assess the adherence to quality neonatal resuscitation guidelines among healthcare professionals.

settingThe study was conducted among healthcare professionals in six healthcare facilities, consisting of five government-owned healthcare facilities and a private non-profit health facility across the northern, middle and coastal belts of Ghana.

participantsThe study participants were 75 healthcare professionals across the six sampled healthcare facilities. OUTCOME MEASURES: Outcome measures of interest are: initial preparation prior to resuscitation; stimulation and airway maintenance; positive pressure ventilation; coordinated positive pressure ventilation with chest compression and postresuscitation infection prevention and control measures.

resultsThe results revealed that 53% of the healthcare professionals demonstrated good (scored 80%-100%) adherence to guidelines on quality neonatal resuscitation practices; the remaining scored moderate 36% (scored 50%-79%) and 11% (scored 0%-49%) poor adherence. Binary logistic regression analysis revealed that increased staffing levels and a bachelor's degree or higher were positively associated with the performance of positive pressure ventilation (adjusted OR (aOR) 19.3 (95% CI 2.430799, 152.8657), p=0.005) and (aOR 9.9 (95% CI 1.070278, 92.38303), p=0.043), respectively. Furthermore, professional nurses and medical practitioners were more likely to adhere to coordinated positive pressure ventilation with chest compressions than auxiliary nursing staff (aOR 13.2 (95% CI 1.917858, 92.61999), p=0.009) and (aOR 15.7 (95% CI 1.227859, 200.1105), p=0.034).

conclusionThe results showed that 53% of healthcare professionals demonstrated good adherence for neonatal resuscitation practices. Addressing the identified gaps and inequalities in neonatal resuscitation practice will improve healthcare professionals' knowledge and skills in neonatal resuscitation, which ultimately helps to reduce neonatal deaths among babies in Ghana.

Indexed as

Guideline AdherenceHealth PersonnelResuscitationAdultFemaleGhanaHumansInfant, NewbornLogistic ModelsMalePractice Guidelines as Topicchildcross-sectional studieshospitalsneonatal intensive & critical careneonatologyobservational study

Identifiers

PMID40829831
PMCPMC12366623

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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.