Routine neonatal examination: effectiveness of trainee paediatrician compared with advanced neonatal nurse practitioner
OBJECTIVE To compare the effectiveness of routine neonatal examination performed by senior house officers (SHOs) and advanced neonatal nurse practitioners (ANNPs). DESIGN A prospective study of all infants referred to specialist orthopaedic, ophthalmology, and cardiology clinics. A standardised prof...
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Published in | Archives of disease in childhood. Fetal and neonatal edition Vol. 85; no. 2; pp. F100 - F104 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
London
BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
01.09.2001
BMJ BMJ Publishing Group LTD National Library of Medicine - MEDLINE Abstracts BMJ Group |
Subjects | |
Online Access | Get full text |
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Summary: | OBJECTIVE To compare the effectiveness of routine neonatal examination performed by senior house officers (SHOs) and advanced neonatal nurse practitioners (ANNPs). DESIGN A prospective study of all infants referred to specialist orthopaedic, ophthalmology, and cardiology clinics. A standardised proforma was used to record details of the professional performing the neonatal check, any abnormalities discovered, source of ultimate referral to the specialist clinic, and specialist findings. RESULTS 527 eligible infants were recruited. For hip abnormalities, ANNPs displayed greater sensitivity than SHOs (96% v 74%; p < 0.05). Similarly for eye abnormalities, ANNPs were more sensitive (100% v 33%; p < 0.05). There were no significant differences between ANNPs and SHOs in terms of positive predictive values or effectiveness of detecting cardiac abnormalities. There was no difference in underlying incidence of abnormalities between the two hospitals. CONCLUSION ANNPs are significantly more effective in detecting abnormalities during the neonatal check. This has implications both for future workforce planning and current methods of medical training. |
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Bibliography: | PMID:11517202 ark:/67375/NVC-L8RPKCWH-M istex:5BB61116A8A36BC47D977C3451337F8BEF901C8D href:fetalneonatal-85-F100.pdf local:fetalneonatal;85/2/F100 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1 |
ISSN: | 1359-2998 1468-2052 |
DOI: | 10.1136/fn.85.2.F100 |