Monday, February 8, 2016

newborn resuscitation

NEONATAL RESUSCITATION
Introduction
Birth of a child is a special moment of joy for the parents and along with it comes a lot of expectations. However, the first few moments after birth are full of anxiety and rapid physiological adjustments. Most babies go through the transition successfully as a matter of routine; however 10 per cent of babies who do not start breathing immediately and spontaneously result in birth asphyxia and need assistance to initiate breathing.  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. Neonatal resuscitation is effective only when health professionals have sufficient knowledge and skills. But malpractices by health professionals are frequent in the resuscitation of neonates. For  the timely and successful resuscitation measures , it requires accurate understanding by the nursing students working in the delivery room, postnatal and neonatal units to have adequate skills for prompt neonatal resuscitation technique.  For the timely and successful resuscitation measures , it requires accurate understanding by the nursing students working in the delivery room, postnatal and neonatal units to have adequate skills for prompt neonatal resuscitation technique.
Title: A pre experimental study to assess the effectiveness of lecture cum demonstration on neonatal resuscitation among 3rd year B.Sc nursing students, AIIMS, Rishikesh.
Objectives of the study: To assess the effectiveness of lecture cum demonstration on neonatal resuscitation among 3rd year B.Sc nursing students,AIIMS, Rishikesh.
Methodology: A pre experimental one group post test only design was adopted to evaluate the effectiveness of lecture cum demonstration on neonatal resuscitation. The population was 3rd year nursing students. The accessible population was nursing students studying in AIIMS Rishikesh. A total of 46 students were selected from 3rd b.sc nursing by using non random convenient sampling technique. A tool was prepared after extensive review of various books, journals and articles. It includes 20 structured questions regarding neonatal resuscitation. A survey method was adopted to collect the date. Data was organized and tabulated for analysis. Descriptive and inferential statistics were adopted to analyze the data.
Findings of the study:
Score
Interpretation
Mean
Median
Standard deviation
0-6
Inadequate
8.1
8
2.53
7-13
Moderately adequate
14-20
Adequate


Figure-1
Average 
Figure-2
Result:
From the above findings it was found that 3rd years B,sc (nursing) students are having moderately adequate knowledge regarding neonatal resuscitation  after having lecture cum demonstration. The finding shows that mean score was 8.1 and median was 8 with standard deviation of 2.53. there is found that the post test was effective in improving their knowledge level among the 3rd year B.Sc Nursing students.
Conclusion:
 Newborn resuscitation is very important topic and important procedure to be demonstrated to all nursing students but 3rd B.SC nursing students are particularly need to be focused more because the are working in the delivery room, postnatal and neonatal units with ward incharges during their clinical posting. So it requires accurate understanding about this procedure.  Lecture cum demonstration is moderately affective in improving their knowledge on neonatal resuscitation. But students need more practice as the result showed only moderately adequate knowledge. So it is concluded that lecture cum discussion alone is not enough in improving their knowledge, they additional teaching method like vedio teaching, repeated  demonstration, practice in the real setting on the topic.
Reference:
1.      Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, Jha P, Campbell H, Walker CF, Cibulskis R, Eisele T, Liu L, Mathers C, Child Health Epidemiology Reference Group of, W. H. O. Unicef: Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet 2010, 375(9730):1969–1987.
2.      Wyllie J, Perlman JM, Kattwinkel J, Atkins DL, Chameides L, Goldsmith JP, Guinsburg R, Hazinski MF, Morley C, Richmond S, Simon WM, Singhal N, Szyld E, Tamura M, Velaphi S. Neonatal Resuscitation Chapter Collaborators: Part 11: neonatal resuscitation: 2010 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation 2010, 81 Suppl 1:e260–e287
3.      Thio M, van Kempen L, Rafferty AR, Bhatia R, Dawson JA, Davis PG: Neonatal resuscitation in resource-limited settings: titrating oxygen delivery without an oxygen blender. J Pediatr 2014, 165(2):256–260. e251.
4.      Ersdal HL, Singhal N: Resuscitation in resource-limited settings. Semin Fetal Neonatal Med 2013, 18(6):373–378.
5.      Kattwinkel J: Textbook of Neonatal Resuscitation. 6th edition. Elk Grove Village IL: American Academy of Pediatrics; 2011.
6.      Perlman J, Kattwinkel J, Wyllie J, Guinsburg R, Velaphi S, Group NSftNITF: Neonatal resuscitation: in pursuit of evidence gaps in knowledge. Resuscitation 2012, 83(5):545–550

7.      Fraser WD, Hofmeyr J, Lede R, Faron G, Alexander S, Goffinet F, Ohlsson A, Goulet C, Turcot-Lemay L, Prendiville W, Marcoux S, Laperriere L, Roy C, Petrou S, Xu HR, Wei B: Amnioinfusion for the prevention of the meconium aspiration syndrome. N Engl J Med2005, 353(9):909–917.

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