Examining the Knowledge Level of the Nurses and Midwives Had Neonatal Resuscitation Program (NRP) Practitioner Training Course

Figures & data

Table 1 Distribution of the Knowledge of Nurses and Midwives of Situations Regarding the Neonatal Resuscitation Program (NRP)

Questions Related to NRP	True		False		I Do Not Know
	n	%	n	%	n	%
Careful determination of risk factors during pregnancy and puerperium allows the identification of all babies who will need resuscitation.	83	79	15	14.3	7	6.7
The alveoli in the lungs of the baby before conception is narrowed and filled with air.	31	29.5	69	65.7	5	4.8
If a baby does not start breathing in response to a tactile stimulus, it should be assumed that it is in secondary apnoea and positive pressure ventilation should be provided.	96	91.4	6	5.7	3	2.9
Ensuring adequate ventilation usually results in an increase of rapid heart rate.	86	81.9	16	15.2	3	2.9
Animation must be delayed until the 1st minute Apgar Score is received.	37	35.2	62	59.2	6	5.7
At least one health care provider should attend each birth and be responsible for the care of the newborn.	82	78.1	20	19	3	2.9
If a depressed baby is not expected at birth, animation devices should not be kept ready for use.	15	14.3	86	81.4	4	3.8
Preventing heat loss of babies is very important. For this purpose a radiant heater should be used, wet towels should be removed and the baby should not be wrapped with a blanket or towels when the baby is under a radiant heater.	95	90.5	8	7.6	2	1.9
If a very low birth weight preterm infant is expected, a radiant heater should be turned on, the baby should be wrapped with a polyethylene plastic cover to prevent heat loss after birth and a preheated transport incubator should be used.	103	98.1	0	0	2	1.9
An additional tactile stimulus to stimulate the breathing of the newborn is to pat the soles of the feet or pat the newborn on the back.	95	90.5	10	9.5	0	0
It is not always necessary to have different sizes of masks on our way to delivery.	19	18.1	85	81	1	1
A baby who is depressed or has meconium in amniotic fluid does not need aspiration of trachea with an endotracheal tube.	12	11.4	92	87.6	1	1
If a newborn is covered with meconium, taking good breathing, with a good muscle tone and a heart rate of 120 beats/min, and the mouth and nose are aspirated by a pus or aspiration catheter.	97	92.4	5	4.8	3	2.8
As the baby’s nose and mouth are aspirated, as a rule, firstly the mouth and then the nose is aspirated.	93	88.6	8	7.6	4	3.8
An automatically swollen balloon connected to a source of oxygen provides ventilation with 90–100% oxygen.	76	72.4	17	16.2	12	11.4
Oxygen should be considered as a drug, using more or less than necessary may have negative consequences.	103	98.1	1	1	1	1
The most important and effective step in neonatal resuscitation is to ventilate the lungs.	97	92.4	6	5.7	2	1.9
When ventilating the baby, the rate of positive pressure ventilation should be maintained between 40 and 60 breaths/minute.	97	92.4	5	4.8	3	2.9
Although positive pressure ventilation is performed for 30 seconds, if the baby’s heart rate is below 60 beats per minute, a chest compression is started and intubation can be considered.	97	92.4	7	6.4	1	1
In chest compression, the thumb technique is generally preferred.	97	92.4	5	4.8	3	2.9
The ventilation rate should be 1 compression to 3 ventilations within 2 seconds for a chest compression.	66	62.9	39	37.1	0	0
It is convenient and safe to stop compression and ventilation as soon as a newborn with chest compression achieves a sufficient spontaneous heart rate.	71	67.6	30	28.6	4	3.8
For infants weighing less than 1000 grams, the endotracheal tube should be 2.5 mm in internal diameter.	64	61	34	32.4	7	6.7
The laryngoscope knife number, which is preferred in newborns, is 00 in term, in preterm infants is 0, and in preterm infants it is 1.	18	17.1	71	67.6	16	15.2
No more than 30 seconds should be spent to complete endotracheal intubation.	75	71.4	17	16.2	13	12.4
Less than 1% of babies who need animation need adrenaline as medication.	83	79	15	14.3	7	6.7
Adrenaline reduces blood pressure and heart contractions.	31	29.5	69	65.7	5	4.8
There is a risk that the adrenaline from the endotracheal tube will be inadequately absorbed from the lungs.	66	62.9	20	19	19	18.1
Intravenous fluids should be given to preterm infants very quickly.	8	7.6	95	90.5	2	1.9
An oximeter should be used and/or arterial blood gas should be measured to ensure that an infant with adequate resuscitation is well oxygenated.	99	94.3	5	4.8	1	1

Note: Dark/bold written questions are the correct answers to the questions.

Table 2 Examining the Time of Attendance at an NRP Practitioner Training Course and Mean Knowledge Points of Nurses/Midwives

Time of Attendance at NRP Course	Number of People	Knowledge Points	p
0–6 months	14	23.9±2.8	0.33
6 months-1 year	22	23.4±4.5	0.33
1–3 year	32	23.3±3.4	0.33
4–5 year	37	22.2±3.4	0.33
Total	105	23.0±3.4	0.33

Note: Bold values is written to draw attention to the highest and lowest scores.

Table 3 Examining the Time of Attendance at an NRP Practitioner Training Course and Distribution of Working Time of Nurses/Midwives

Time of Attendance at NRP Course		Working Time of Nurses/Midwives					Total
		Less Than 1 Year	1–5 Years	6–15 Years	16–20 Years	More Than 20 Years
0–6 months		2	7	3	2	0	14
6 months-1 year		0	12	6	1	3	22
1–3 years		0	10	10	5	7	32
4–5 years		0	4	14	12	7	37
Total		2	33	33	20	17	105

Note: χ²=33.769, df=12, p=0.001, p<0.05.

Table 4 Examining the Time of Attendance at an NRP Practitioner Training Course and Distribution of the Ages of Nurses/Midwives

Time of Attendance at NRP Course		Age Groups of Nurses/Midwives								Total
		18–25 Years		26–35 Years		36–45 Years		Older Than 45
		n	%	n	%	n	%	n	%	n	%
0–6 months		5	35.7	8	57.1	1	7.1	0	0	14	100
6 months-1 year		7	31.8	10	45.5	4	18.2	1	4.5	22	100
1–3 years		3	9.4	16	50.0	10	31.2	3	9.4	32	100
4–5 years		0	0	16	43.2	20	54.1	1	2.7	37	100
Total		15	14.3	50	47.6	35	33.3	5	4.8	105	100

Note: χ² =27.167, df=9, p=0.001, p<0.05.

Table 5 Examining the Ages and Knowledge Points of Nurses/Midwives Who Participated at an NRP Practitioner Training Course

Age Groups of Nurses/Midwives	n	NRP Knowledge Points	p
18–25 years	15	23.9±3.9	0.089
26–35 years	50	22.6±3	0.089
36–45 years	35	22.8±3.6	0.089
Older than 45 years	5	26.4±2.7	0.089
Total	105	23.0±3.4	0.089