Evaluating a novel neonatal-care assessment tool among trained delivery attendants in a resource-limited setting

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• 作者：Megan E. Kassick^a ; Margaret A. Chinbuah^b ; Magdalena Serpa^b ; Goldy Mazia^b ; Alice M. Tang^c ; Isabella Sagoe-Moses^d ; Mira Taylor^d ; Adoma Dwomo-Fokuo^d ; Nihad Salifu^d ; Daniel K. Arhinful^e ; Cyril Engmann^b ; ^g ; Thomas F. Burke^a ; ^h ; Patience Cofie^b ; Brett D. Nelson^a ; ^f ; ^h ; ^{brett.d.nelson@gmail.com}
• 关键词：Birth attendant ; Essential care for every baby ; Essential newborn care ; Ghana ; Inter-rater reliability ; Neonatal mortality ; Newborn health ; Objective structured clinical examination
• 刊名：International Journal of Gynecology & Obstetrics
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：135
• 期：3
• 页码：285-289
• 全文大小：186 K
• 卷排序：135

文摘

To validate a novel objective structured clinical examination (OSCE) tool for assessing neonatal care skills among delivery attendants trained as part of the Essential Care for Every Baby (ECEB) program and to assess ECEB training effectiveness.MethodsBetween August 1 and September 30, 2015, a cross-sectional study enrolled ECEB-trained healthcare providers who attended deliveries from the Brong Ahafo and Eastern regions of Ghana. Participants completed a previously developed 21-item OSCE tool that assessed neonatal-care competency. Participant performance was scored independently by regional trainers and national master trainers. The inter-rater scoring reliability was assessed using the Cohen kappa coefficient and performance was compared across participant characteristics.ResultsThe study enrolled 57 trained delivery attendants from 12 district hospitals. Inter-rater agreement was perfect (kappa 1.00) or almost perfect (kappa 0.81–0.99) for nine OSCE items, substantial (kappa 0.61–0.80) or moderate (kappa 0.41–0.60) for 11 items, and fair (kappa 0.21–0.40) for one item. Differences in OSCE-item performance were recorded based on participants’ regions, facility type, age, and education level (P < 0.05).ConclusionsIn a resource-limited setting, the OSCE tool demonstrated substantial reliability and ECEB-trained healthcare practitioners exhibited satisfactory performance. The OSCE tool could be useful in similar settings and could have potential for up-scaled use in assessing neonatal-management skills.