Effect of skill-based educational training for ambulance personnel on neonatal transport for newborn care in coastal South India - a single arm intervention study [version 1; peer review: awaiting peer review]

Background Education of '108' ambulance personnel involved in transporting neonates may improve outcomes. We assessed i) perceptions/practices of '108' ambulance personnel for transporting neonates, ii) clinical parameters of transported neonates at arrival, and iii) outcomes suc...

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Bibliographic Details
Published in:F1000 research 2024, Vol.13, p.767
Main Authors: Kalyan, Santosh, Kamath, Sowmini Padmanabh, Shetty S, Subhodh, Holla, Ramesh, Lewis, Leslie, Lashkari P, Harsha, Shenoy M, Suchitra, Baliga B, Shantharam
Format: Article
Language:English
Subjects:
Adult
Ambulances
Check lists
Checklist
Clinical Competence
Clinical outcomes
Data collection
Emergency medical care
Emergency services
eng
Female
Glucose
Health Personnel - education
Heart rate
Hospitals
Humans
Hypoglycemia
Hypothermia
India
Infant
Infant, Newborn
Intensive care
Intensive care units
Male
Medical referrals
Mortality
Neonates
Perceptions
Personnel
Questionnaires
Transportation of Patients - methods
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Summary:Background Education of '108' ambulance personnel involved in transporting neonates may improve outcomes. We assessed i) perceptions/practices of '108' ambulance personnel for transporting neonates, ii) clinical parameters of transported neonates at arrival, and iii) outcomes such as survival/mortality and NICU stay (before and after skill-based educational intervention). Methods We conducted a single-arm intervention study (pre-and post) over 18 months. We assessed the perceptions and practices of 77 ambulance personnel on neonatal transport pre- versus post-intervention. Checklists assessed ambulance equipment availability/usage in both phases. We compared clinical parameters and outcomes of transported neonates between the pre-intervention (n=62) and post-intervention (n=53) phases. We analyzed data using SPSS version 25. Results Post-intervention, there was a significant reduction in the levels of hypothermia (p < 0.001), hypoglycemia (p=0.010), and prolonged capillary refill time (p=0.042), along with improvement in the use of intravenous fluids (p
ISSN:2046-1402
2046-1402
DOI:10.12688/f1000research.150058.1