Analysis of training of neonatal resuscitation skills pediatricians received in Ganzi Tibetan Autonomous Prefecture

Abstract

Objective To investigate the demands and skills of continuing medical education about neonatal resuscitation of pediatricians working in Ganzi Tibetan Autonomous Prefecture, Sichuan Province, in order to improve the partner assistance training plans and build the permanent mechanisms of training. Methods From August 24 to 26, 2015, a total of 112 pediatricians who attended the continuing medical education in Ganzi Tibetan Autonomous Prefecture People's Hospital, Sichuan Province were included into this study. They were divided into two groups according to the degrees of hospitals they worked in, municipal level hospital group (n=68) and county level hospital group (n=44). Questionnaire on Neonatal Resuscitation Skill of Pediatricians Working in Ganzi Tibetan Autonomous Prefecture was self-designed and was used to collect their basic information (age, educational background, professional title and situation of continuing medical education about neonatal resuscitation during 2011-2015) and skills about neonatal resuscitation (neonatal birth condition judgment, resuscitation skills, evaluation of resuscitation effect, indication of tracheal intubation and drug application). And these results of the survey were compared statistically between two groups. Results ①The effective response rate of questionnaire was 100.0% (112/112). ②There were no significant differences between two groups among the aspects of age, ratio of educational background and professional title (P>0.05). ③The rate of pediatricians in municipal level hospital group who received continuing medical education about neonatal resuscitation during 2011-2015 was 60.3% (41/68), which was apparently higher than that of 34.1% (15/44) in county level hospital group, and the difference was statistically significant (χ2=7.337, P=0.007). There were no significant differences between two groups in levels of continuing medical education about neonatal resuscitation pediatricians received, and the rates of receiving simulation operations during the past 5 years (P>0.05). ④The rates of resuscitation skills and evaluation of resuscitation effect pediatricians in municipal level hospital group grasped were 41.2% (28/68) and 39.7% (27/68), respectively, which both were apparently higher than those of 22.7% (10/44) and 20.5% (9/44), respectively in county level hospital group, and both the differences were statistically different (χ2=4.056, P=0.044; χ2=4.539, P=0.033). There were no significant differences between two groups in the rates of neonatal birth condition judgment, indication of tracheal intubation and drug application pediatricians grasped (P>0.05). Conclusions The neonatal resuscitation skills of pediatricians working in Ganzi Tibetan Autonomous Prefecture, Sichuan Province was poor. It is necessary to improve the training frequency and degree of continuing medical education about neonatal resuscitation, and take a variety of training methods adjusted to this area to improve the degree of neonatal resuscitation skills of pediatricians. Key words: Infant, Newborn; Resuscitation; Education, continuing, medical; Pediatrician