title: Neonatal resuscitation training for midwives in Uganda: Strengthening skill and knowledge retention.
abstract: The objective of this project was to improve birth outcomes for babies in a regional referral hospital in Uganda by strengthening factors that influence the retention and application of neonatal resuscitation skills. Initial training in neonatal resuscitation is not enough on its own. In order to better understand the gap between training and effective practice, an evaluation of a neonatal resuscitation program was carried out. This included practical skill testing of local midwives using a neonatal resuscitation doll pre- and post-training, as well as follow up testing at 1 month and 12 months, followed by focus groups and interviews. Test scores revealed that participants' knowledge grew significantly immediately following the workshop, and remained high after 1 month, but fell by 12 months post-training. Interviews with hospital staff revealed a number of facilitators and barriers to practice, namely knowledge retention and skill application. The most important barrier identified is the lack of refresher training post-workshop. Importantly, the findings demonstrated a need not for refresher training alone, but for improved organizational and administrative support for the newly assigned trainers.
authors.affiliation: Simon Fraser University, Blusson Hall, Room 11300, 8888 University Drive, Burnaby, BC, Canada V5A 1S6. Electronic address: clmildenberger@gmail.com.
authors.forename: Clare
authors.initials: C
authors.lastname: Mildenberger
authors.affiliation: Midwifery Program, Department of Family Practice, Faculty of Medicine, Suite 320 - 5950 University Boulevard, Vancouver, BC, Canada V6T 1Z3. Electronic address: cathy.ellis@ubc.ca.
authors.forename: Cathryn
authors.initials: C
authors.lastname: Ellis
authors.affiliation: Simon Fraser University, Blusson Hall, Room 11300, 8888 University Drive, Burnaby, BC, Canada V5A 1S6. Electronic address: kelley_lee@sfu.ca.
authors.forename: Kelley
authors.initials: K
authors.lastname: Lee
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D015331:Cohort Studies; D004521:Educational Measurement / Q000379:methods; D005260:Female; D017144:Focus Groups; D006801:Humans; D000068104:Infant Health / Q000592:standards*; D051188:Knowledge Bases; D008880:Midwifery / Q000458:organization & administration / Q000592:standards*; D010561:Personnel Staffing and Scheduling; D011247:Pregnancy; D012151:Resuscitation / Q000379:methods* / Q000592:standards; D012153:Retention, Psychology; D014454:Uganda
keywords: Education; Midwifery; Neonatal resuscitation; Simulation