Acute Care of At-Risk Newborns (ACoRN): quantitative and qualitative educational evaluation of the program in a region of China

BMC Medical Education

Shoo K Lee¹  Lizhong Du⁵  Xiaolu Ma⁵  Xiangming Qiu¹  Douglas McMillan³  Khalid Aziz²  Herta Fidler⁴  Jocelyn Lockyer⁴  Nalini Singhal⁴ 

[1] Faculty of Medicine, University of Toronto, Toronto, ON, Canada;Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada;Faculty of Medicine, Dalhousie University, Halifax, NS, Canada;Faculty of Medicine, University of Calgary, Calgary, AB, Canada;Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, People’s Republic of China

关键词: Continuing education;    Continuing professional development;    Acute care of at risk newborn;    Life support course;    Newborn stabilization;    Newborn care;   

Others  :  1153649
DOI  :  10.1186/1472-6920-12-44

 received in 2012-02-03, accepted in 2012-06-20,  发布年份 2012

【 摘 要 】

Background

The Acute Care of at-Risk Newborns (ACoRN) program was developed in Canada for trained health care providers for the identification and management of newborns who are at-risk and/or become unwell in the first few hours or days after birth. The ACoRN process follows an 8-step framework that enables the evaluation and management of babies irrespective of the experience or expertise of the caregiving individual or team. This study assesses the applicability of the program to Chinese pediatric practitioners.

Methods

Course content and educational materials were translated from English into Chinese by bilingual neonatal practitioners. Confidence and knowledge questionnaires were developed and reviewed for face and content validity by a team of ACoRN instructors. Bilingual Chinese instructors were trained at the tertiary perinatal centre in Hangzhou Zhejiang to deliver the course at 15 level II county hospitals. Participants completed pre- and post-course confidence and knowledge questionnaires and provided feedback through post-course focus groups.

Results

216 physicians and nurses were trained. Confidence and knowledge relating to neonatal stabilization improved significantly following the courses. Participants rated course utility and function between 4.2 and 4.6/5 on all items. Pre/post measures of confidence were significantly correlated with post course knowledge. Focus group data supported the perceived value of the program and recommended course adjustments to include pre-course reading, and increased content related to simulation, communication skills, and management of respiratory illness and jaundice.

Conclusions

ACoRN, a Canadian educational program, appears to be well received by Chinese health care providers and results in improved knowledge and confidence. International program adaptation for use by health care professionals requires structured and systematic evaluation to ensure that the program meets the needs of learners, reflects their learning styles, and can be applied in their setting.

【 授权许可】

   
2012 Singhal et al.; licensee BioMed Central Ltd.

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