REFINE (Rapid Feedback for quality Improvement in Neonatal rEsuscitation): an observational study of neonatal resuscitation training and practice in a tertiary hospital in Nepal

Background Simulation-based training in neonatal resuscitation is more effective when reinforced by both practice and continuous improvement processes. We aim to evaluate the effectiveness of a quality improvement program combined with an innovative provider feedback device on neonatal resuscitation...

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Published inBMC pregnancy and childbirth Vol. 20; no. 1; pp. 1 - 756
Main Authors Gurung, Rejina, Gurung, Abhishek, Basnet, Omkar, Eilevstjønn, Joar, Myklebust, Helge, Girnary, Sakina, Shrestha, Shree Krishna, Singh, Dela, Bastola, Laxman, Paudel, Prajwal, Baral, Sandhya, KC, Ashish
Format Journal Article
LanguageEnglish
Published London BioMed Central 03.12.2020
BMC
Subjects
Asphyxia Neonatorum
Births
Clinical medicine
Confidentiality
Consent
Data collection
Data integrity
education
Epidemiology
Ethics
Feedback
Female
Global health
Heart rate
Helping babies breathe
Humans
Infant
Information retrieval
Intervention
Manikins
Mortality
Nepal
Newborn
Newborn babies
Newborn resuscitation
Observational studies
organization & administration
Pediatrics
Pediatrik
Pregnancy
Quality control
Quality Improvement
REFINE
Resuscitation
Simulation
Simulation Training
Stillbirth
Study Protocol
Tertiary Care Centers
therapy
Ventilators
Workers
Nepal
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Summary:Background Simulation-based training in neonatal resuscitation is more effective when reinforced by both practice and continuous improvement processes. We aim to evaluate the effectiveness of a quality improvement program combined with an innovative provider feedback device on neonatal resuscitation practice and outcomes in a public referral hospital of Nepal. Methods A pre- and post-intervention study will be implemented in Pokhara Academy of Health Sciences, a hospital with 8610 deliveries per year. The intervention package will include simulation-based training (Helping Babies Breathe) enhanced with a real-time feedback system (the NeoBeat newborn heart rate meter with the NeoNatalie Live manikin and upright newborn bag-mask with PEEP) accompanied by a quality improvement process. An independent research team will collect perinatal data and conduct stakeholder interviews. Discussion This study will provide further information on the efficiency of neonatal resuscitation training and implementation in the context of new technologies and quality improvement processes. Trial registration https://doi.org/10.1186/ISRCTN18148368, date of registration-31 July 2018
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ISSN:1471-2393
1471-2393
DOI:10.1186/s12884-020-03456-z