The Impact of Neonatal Resuscitation Training on Infant Outcomes in Low Resource Countries

Monday, 22 July 2013: 1:30 PM

Jill A. Bauer, MNA, RN
Outreach Department, Children's Hospitals and Clinics of Minnesota, Minneapolis, MN

Learning Objective 1: Describe nursing educational interventions that improve the impact of resuscitation training on infant outcomes in low resource environments.

Learning Objective 2: Develop a comprehensive curriculum to advance neonatal resuscitation skills and expertise in a low resource environment.


Background/Purpose:  Reducing infant morbidity and mortality globally relies on improving the quality of care delivered in low resource countries where 99% of deaths occur.  This critical review will identify and analyze the impact of neonatal resuscitation training methods and content, to determine strategies for education and practice that result in improved global morbidity and mortality.

Conceptual Framework: Nola Pender’s Health Promotion Model (Pender, Murdaugh & Parsons, 2002) was used as the framework for analyzing the literature.

Method:Twenty four current research articles with data retrieved from low resource countries were reviewed. Primary factors examined included implementation of resuscitation training, impact on infant outcomes, and elements that affected the final outcomes.

Results: Neonatal morbidity and mortality can be reduced in low resource countries with strategic education that uses low cost, low technology techniques, and considers personal, cultural, and environmental factors.

Conclusion: Neonatal resuscitation training of birth attendants in low resource countries using evidence based practices results in improved morbidity and mortality rates. Considering influencial factors of the culture and environment while also incorporating training that addresses prevention of hypothermia and sepsis, early feeding, kangaroo care, and promotion of mother care, additionally decreases these morbidity and mortality rates.

Implications for Nursing Education and Research: Nurse leaders have an opportunity to impact global infant outcomes by sharing their knowledge, skills, and expertise. In doing so, they can create, implement, and support educational programs and best practice, as well as participate in research; promoting best outcomes through global practice of evidence based nursing care.

Key Words: NRP, developing world, newborn resuscitation training, newborn resuscitation program, low resource, newborn training, low income, neonatal training, developing country, newborn resuscitation effectiveness, developing NRP, developing countries, and neonatal outcomes.