title: Educational impact of the neonatal resuscitation program in low-risk delivery centers in a developing country.
abstract: OBJECTIVE
  To evaluate the effectiveness of the American Academy of Pediatrics Neonatal Resuscitation Program (NRP) in improving knowledge, skills, and self-efficacy of nurse midwives in low-risk delivery clinics in a developing country.
  
  
  METHODS
  We used the content specifications of the NRP material applicable to college-educated nurse midwives working in low-risk clinics in Zambia to develop performance and self-efficacy evaluations focused on principles of resuscitation, initial steps, ventilation, and chest compressions. These evaluations were administered to 127 nurse midwives before and after NRP training and 6-months later.
  
  
  RESULTS
  After training, written scores (knowledge evaluation) improved from 57%+/-14% to 80%+/-12% (mean+/-SD; P< .0001); performance scores (skills evaluation) improved the most from 43%+/-21% to 88%+/-9% (P< .0001); self-efficacy scores improved from 74%+/-14% to 90%+/-10% (P< .0001). Written and performance scores decreased significantly 6 months after training, but self-efficacy scores remained high.
  
  
  CONCLUSIONS
  As conducted, the NRP training improved educational outcomes in college-educated practicing nurse midwives. Pre-training knowledge and skills scores were relatively low despite the advanced formal education and experience of the participants, whereas the self-efficacy scores were high. NRP training has the potential to substantially improve knowledge and skills of neonatal resuscitation.
authors.affiliation: University of Alabama at Birmingham, Birmingham, AL 35233-7335, USA. wcarlo@peds.uab.edu
authors.forename: Waldemar A
authors.initials: WA
authors.lastname: Carlo
authors.forename: Linda L
authors.initials: LL
authors.lastname: Wright
authors.forename: Elwyn
authors.initials: E
authors.lastname: Chomba
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: McClure
authors.forename: Maria E
authors.initials: ME
authors.lastname: Carlo
authors.forename: Carla M
authors.initials: CM
authors.lastname: Bann
authors.forename: Monica
authors.initials: M
authors.lastname: Collins
authors.forename: Hillary
authors.initials: H
authors.lastname: Harris
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000193:education*; D003906:Developing Countries; D004521:Educational Measurement / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007231:Infant, Newborn; D009721:Nurse Midwives / Q000193:education*; D020377:Self Efficacy; D015024:Zambia