Comparison of two training strategies for essential newborn care in Brazil
OBJECTIVE: To compare the effectiveness of two training strategies for improving essential newborn care in the state of Pernambuco, Brazil. METHODS: Eight hospitals were selected, divided into two groups of four, and paired by geographical, structural, and functional characteristics. Doctors and nur...
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| Format: | Article |
| Language: | English |
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The World Health Organization
2001-01-01
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| Series: | Bulletin of the World Health Organization |
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| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001001100005 |
| _version_ | 1797288337160011776 |
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| author | Vidal Suely Arruda Ronfani Luca Silveira Suzana da Mota Mello Maria J. Santos Erlene R. dos Buzzetti Roberto Cattaneo Adriano |
| author_facet | Vidal Suely Arruda Ronfani Luca Silveira Suzana da Mota Mello Maria J. Santos Erlene R. dos Buzzetti Roberto Cattaneo Adriano |
| author_sort | Vidal Suely Arruda |
| collection | DOAJ |
| description | OBJECTIVE: To compare the effectiveness of two training strategies for improving essential newborn care in the state of Pernambuco, Brazil. METHODS: Eight hospitals were selected, divided into two groups of four, and paired by geographical, structural, and functional characteristics. Doctors and nurses working at hospitals in Group 1 were given a conventional 5-day training course. Those in Group 2 were given the same manual used by Group 1 but the training course was organized as self-directed learning, with the participants having 5 weeks to complete the course. Participants' knowledge was tested at baseline, immediately after the course, and 3-6 months later. Participants' practices were observed before training and 3-6 months after training during 20 births and by interviewing 20 mothers before discharge at each hospital. FINDINGS: Not all participants completed all of the tests. The scores on the tests of knowledge improved more among those in Group 2 than those in Group 1 when the answers were classified as right or wrong, but there was no difference between groups when a scoring method was used that classified answers as correct, partially correct, incorrect, or missing. Practices related to thermal control after birth improved among those in Group 2 after training but practices related to thermal control on the ward worsened. The promotion of breastfeeding improved in both groups. CONCLUSION: There was no difference between the two training strategies, although self-directed learning was cheaper than conventional training. Neither strategy brought about the expected improvements in the quality of care. Other interventions in addition to training may be needed to improve care. |
| first_indexed | 2024-03-07T18:47:52Z |
| format | Article |
| id | doaj.art-f9255428bca84321b90e17948491bb20 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T18:47:52Z |
| publishDate | 2001-01-01 |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-f9255428bca84321b90e17948491bb202024-03-02T02:23:56ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862001-01-01791110241031Comparison of two training strategies for essential newborn care in BrazilVidal Suely ArrudaRonfani LucaSilveira Suzana da MotaMello Maria J.Santos Erlene R. dosBuzzetti RobertoCattaneo AdrianoOBJECTIVE: To compare the effectiveness of two training strategies for improving essential newborn care in the state of Pernambuco, Brazil. METHODS: Eight hospitals were selected, divided into two groups of four, and paired by geographical, structural, and functional characteristics. Doctors and nurses working at hospitals in Group 1 were given a conventional 5-day training course. Those in Group 2 were given the same manual used by Group 1 but the training course was organized as self-directed learning, with the participants having 5 weeks to complete the course. Participants' knowledge was tested at baseline, immediately after the course, and 3-6 months later. Participants' practices were observed before training and 3-6 months after training during 20 births and by interviewing 20 mothers before discharge at each hospital. FINDINGS: Not all participants completed all of the tests. The scores on the tests of knowledge improved more among those in Group 2 than those in Group 1 when the answers were classified as right or wrong, but there was no difference between groups when a scoring method was used that classified answers as correct, partially correct, incorrect, or missing. Practices related to thermal control after birth improved among those in Group 2 after training but practices related to thermal control on the ward worsened. The promotion of breastfeeding improved in both groups. CONCLUSION: There was no difference between the two training strategies, although self-directed learning was cheaper than conventional training. Neither strategy brought about the expected improvements in the quality of care. Other interventions in addition to training may be needed to improve care.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001001100005Perinatal careEducation, Medical, Continuing/methodsEducation, Nursing, Continuing/methodsMedical staff, Hospital/educationNursing staff, Hospital/educationComparative studyBrazil |
| spellingShingle | Vidal Suely Arruda Ronfani Luca Silveira Suzana da Mota Mello Maria J. Santos Erlene R. dos Buzzetti Roberto Cattaneo Adriano Comparison of two training strategies for essential newborn care in Brazil Bulletin of the World Health Organization Perinatal care Education, Medical, Continuing/methods Education, Nursing, Continuing/methods Medical staff, Hospital/education Nursing staff, Hospital/education Comparative study Brazil |
| title | Comparison of two training strategies for essential newborn care in Brazil |
| title_full | Comparison of two training strategies for essential newborn care in Brazil |
| title_fullStr | Comparison of two training strategies for essential newborn care in Brazil |
| title_full_unstemmed | Comparison of two training strategies for essential newborn care in Brazil |
| title_short | Comparison of two training strategies for essential newborn care in Brazil |
| title_sort | comparison of two training strategies for essential newborn care in brazil |
| topic | Perinatal care Education, Medical, Continuing/methods Education, Nursing, Continuing/methods Medical staff, Hospital/education Nursing staff, Hospital/education Comparative study Brazil |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001001100005 |
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