Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2012 |
| Outros Autores: | , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/9063 |
Resumo: | University of Otago. Department of Paediatrics. Christchurch, New Zealand. |
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Darlow, Brian A.Zin, Andrea A.Beecroft, GinaMoreira, Maria Elisabeth LopesGilbert, Clare E2014-12-05T18:28:18Z2014-12-05T18:28:18Z2012DARLOW, Brian A. et al. Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes. BMC nurs., London, v. 11, n. 3, 2012.1472-6955https://www.arca.fiocruz.br/handle/icict/9063engBioMed CentralCapacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversity of Otago. Department of Paediatrics. Christchurch, New Zealand.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Christchurch Women’s Hospital. Canterbury District Health Board. Neonatal Service. Christchurch, New ZealandFundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.London School of Hygiene and Tropical Medicine. International Centre for Eye Health. London, UK.Background: Increased survival of preterm infants in developing countries has often been accompanied by increased morbidity. A previous study found rates of severe retinopathy of prematurity varied widely between different neonatal units in Rio de Janeiro. Nurses have a key role in the care of high-risk infants but often do not have access to ongoing education programmes. We set out to design a quality improvement project that would provide nurses with the training and tools to decrease neonatal mortality and morbidity. The purpose of this report is to describe the methods and make the teaching package (POINTS of care–six modules addressing Pain control; optimal Oxygenation; Infection control; Nutrition interventions; Temperature control; Supportive care) available to others. Methods/Design: Six neonatal units, caring for 40% of preterm infants in Rio de Janeiro were invited to participate. In Phase 1 of the study multidisciplinary workshops were held in each neonatal unit to identify the neonatal morbidities of interest and to plan for data collection. In Phase 2 the teaching package was developed and tested. Phase 3 consisted of 12 months data collection utilizing a simple tick-sheet for recording. In Phase 4 (the Intervention) all nurses were asked to complete all six modules of the POINTS of care package, which was supplemented by practical demonstrations. Phase 5 consisted of a further 12 months data collection. In Phase 1 it was agreed to include inborn infants with birthweight ≤ 1500 g or gestational age of ≤ 34 weeks. The primary outcome was death before discharge and secondary outcomes included retinopathy of prematurity and bronchopulmonary dysplasia. Assuming 400-450 infants in both pre- and post-intervention periods the study had 80% power at p = < 0.05 to detect an increase in survival from 68% to 80%; a reduction in need for supplementary oxygen at 36 weeks post menstrual age from 11% to 5.5% and a reduction in retinopathy of prematurity requiring treatment from 7% to 2.5%. Discussion: The results of the POINTS of Care intervention will be presented in a separate publication. Trial registration: Current Controlled Trials: ISRCTN83110114BrazilNeonatal CareNeonatal NursingQuality ImprovementNeonatal MortalityPremature InfantRetinopathy of PrematurityEducationContinual Professional DevelopmentBrasilEnfermagem NeonatalMelhoria de QualidadeMortalidade InfantilPrematuroRetinopatia da PrematuridadeEducaçãoCrescimento & Desenvolvimentoinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALCapacity building of nurses providing neonatal care in Rio de Janeiro, Brazil methods for the POINTS of care....pdfapplication/pdf271032https://www.arca.fiocruz.br/bitstream/icict/9063/1/Capacity%20building%20of%20nurses%20providing%20neonatal%20care%20in%20Rio%20de%20Janeiro%2c%20Brazil%20methods%20for%20the%20POINTS%20of%20care....pdfbf774049f4a96a506bca40db8059d77aMD51LICENSElicense.txttext/plain1914https://www.arca.fiocruz.br/bitstream/icict/9063/2/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD52TEXTCapacity building of nurses providing neonatal care in Rio de Janeiro, Brazil methods for the POINTS of care....pdf.txtCapacity building of nurses providing neonatal care in Rio de Janeiro, Brazil methods for the POINTS of care....pdf.txtExtracted texttext/plain30182https://www.arca.fiocruz.br/bitstream/icict/9063/3/Capacity%20building%20of%20nurses%20providing%20neonatal%20care%20in%20Rio%20de%20Janeiro%2c%20Brazil%20methods%20for%20the%20POINTS%20of%20care....pdf.txt6f0f648bb8b27956db28122687603342MD53icict/90632023-08-23 13:25:08.924oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-08-23T16:25:08Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
| dc.title.pt_BR.fl_str_mv |
Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes |
| title |
Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes |
| spellingShingle |
Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes Darlow, Brian A. Brazil Neonatal Care Neonatal Nursing Quality Improvement Neonatal Mortality Premature Infant Retinopathy of Prematurity Education Continual Professional Development Brasil Enfermagem Neonatal Melhoria de Qualidade Mortalidade Infantil Prematuro Retinopatia da Prematuridade Educação Crescimento & Desenvolvimento |
| title_short |
Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes |
| title_full |
Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes |
| title_fullStr |
Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes |
| title_full_unstemmed |
Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes |
| title_sort |
Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes |
| author |
Darlow, Brian A. |
| author_facet |
Darlow, Brian A. Zin, Andrea A. Beecroft, Gina Moreira, Maria Elisabeth Lopes Gilbert, Clare E |
| author_role |
author |
| author2 |
Zin, Andrea A. Beecroft, Gina Moreira, Maria Elisabeth Lopes Gilbert, Clare E |
| author2_role |
author author author author |
| dc.contributor.author.fl_str_mv |
Darlow, Brian A. Zin, Andrea A. Beecroft, Gina Moreira, Maria Elisabeth Lopes Gilbert, Clare E |
| dc.subject.en.pt_BR.fl_str_mv |
Brazil Neonatal Care Neonatal Nursing Quality Improvement Neonatal Mortality Premature Infant Retinopathy of Prematurity Education Continual Professional Development |
| topic |
Brazil Neonatal Care Neonatal Nursing Quality Improvement Neonatal Mortality Premature Infant Retinopathy of Prematurity Education Continual Professional Development Brasil Enfermagem Neonatal Melhoria de Qualidade Mortalidade Infantil Prematuro Retinopatia da Prematuridade Educação Crescimento & Desenvolvimento |
| dc.subject.decs.pt_BR.fl_str_mv |
Brasil Enfermagem Neonatal Melhoria de Qualidade Mortalidade Infantil Prematuro Retinopatia da Prematuridade Educação Crescimento & Desenvolvimento |
| description |
University of Otago. Department of Paediatrics. Christchurch, New Zealand. |
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2012 |
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2012 |
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2014-12-05T18:28:18Z |
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2014-12-05T18:28:18Z |
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DARLOW, Brian A. et al. Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes. BMC nurs., London, v. 11, n. 3, 2012. |
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1472-6955 |
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DARLOW, Brian A. et al. Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes. BMC nurs., London, v. 11, n. 3, 2012. 1472-6955 |
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