Using a peer mentorship approach improved the use of neonatal continuous positive airway pressure and related outcomes in Malawi.
Acta Paediatr
; 109(4): 705-710, 2020 04.
Article
en En
| MEDLINE
| ID: mdl-31535392
ABSTRACT
AIM:
This study evaluated whether peer mentorship was an effective and sustainable way of improving and maintaining knowledge and skills on neonatal continuous positive airway pressure (CPAP) in a low-resource setting with a high turnover of healthcare providers.METHODS:
The Malawi Ministry of Health recruited five nurses with considerable CPAP experience and provided them with mentorship training from July to August 2014. The mentors then provided 1-week on-site mentorship for 113 colleagues at 10 secondary and one tertiary hospital where gaps in neonatal CPAP use had been identified. CPAP competencies and outcomes were compared 3 months before and after each mentorship.RESULTS:
In the 3 months before and after mentorship, the average CPAP competency score increased from 32 ± 4% to 97 ± 2%, while CPAP usage increased from 7% to 23% among eligible neonates. Survival following CPAP mentorship increased from 23% to 35%, but this was not significant due to the small sample size. Both mentees and mentors reported useful transfers of knowledge and skills when using CPAP.CONCLUSION:
Mentorship effectively bridged the knowledge and skills gaps among health workers and increased CPAP use, competency scores and survival rates.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Mentores
/
Presión de las Vías Aéreas Positiva Contínua
Tipo de estudio:
Prognostic_studies
Límite:
Humans
/
Newborn
País/Región como asunto:
Africa
Idioma:
En
Revista:
Acta Paediatr
Año:
2020
Tipo del documento:
Article