| Author | Darlow, Brian A. | |
| Author | Zin, Andrea A. | |
| Author | Beecroft, Gina | |
| Author | Moreira, Maria Elisabeth Lopes | |
| Author | Gilbert, Clare E | |
| Access date | 2014-12-05T18:28:18Z | |
| Available date | 2014-12-05T18:28:18Z | |
| Document date | 2012 | pt_BR |
| Citation | 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. | pt_BR |
| ISSN | 1472-6955 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/9063 | |
| Language | eng | pt_BR |
| Publisher | BioMed Central | pt_BR |
| Rights | open access | pt_BR |
| 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 | pt_BR |
| Type | Article | pt_BR |
| Abstract | 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: ISRCTN83110114 | pt_BR |
| Affilliation | University of Otago. Department of Paediatrics. Christchurch, New Zealand. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Christchurch Women’s Hospital. Canterbury District Health Board. Neonatal Service. Christchurch, New Zealand | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | London School of Hygiene and Tropical Medicine. International Centre for Eye Health. London, UK. | pt_BR |
| Subject | Brazil | pt_BR |
| Subject | Neonatal Care | pt_BR |
| Subject | Neonatal Nursing | pt_BR |
| Subject | Quality Improvement | pt_BR |
| Subject | Neonatal Mortality | pt_BR |
| Subject | Premature Infant | pt_BR |
| Subject | Retinopathy of Prematurity | pt_BR |
| Subject | Education | pt_BR |
| Subject | Continual Professional Development | pt_BR |
| DeCS | Brasil | pt_BR |
| DeCS | Enfermagem Neonatal | pt_BR |
| DeCS | Melhoria de Qualidade | pt_BR |
| DeCS | Mortalidade Infantil | pt_BR |
| DeCS | Prematuro | pt_BR |
| DeCS | Retinopatia da Prematuridade | pt_BR |
| DeCS | Educação | pt_BR |
| DeCS | Crescimento & Desenvolvimento | pt_BR |
