Routine neonatal examination: effectiveness of trainee paediatrician compared with advanced neonatal nurse practitioner
T W R Lee, R E Skelton, C Skene
Department of
Paediatrics, Hull and East Yorkshire Hospitals NHS Trust, Anlaby Road,
Hull HU3 2JZ, UK
Correspondence to: Dr Lee, Department of Paediatrics, Level 5, Clinical Sciences Building, St James's University Hospital, Leeds LS9 7TF, UK timlee{at}doctors.org.uk
Accepted 25 June 2001
OBJECTIVE
To compare
the effectiveness of routine neonatal examination performed by senior
house officers (SHOs) and advanced neonatal nurse practitioners (ANNPs).
DESIGNA prospective
study of all infants referred to specialist orthopaedic, ophthalmology,
and cardiology clinics. A standardised proforma was used to record
details of the professional performing the neonatal check, any
abnormalities discovered, source of ultimate referral to the specialist
clinic, and specialist findings.
RESULTS527 eligible
infants were recruited. For hip abnormalities, ANNPs displayed greater
sensitivity than SHOs (96% v 74%;
p < 0.05). Similarly for eye abnormalities, ANNPs were more
sensitive (100% v 33%; p < 0.05). There
were no significant differences between ANNPs and SHOs in terms of
positive predictive values or effectiveness of detecting cardiac
abnormalities. There was no difference in underlying incidence of
abnormalities between the two hospitals.
CONCLUSIONANNPs are
significantly more effective in detecting abnormalities during the
neonatal check. This has implications both for future workforce
planning and current methods of medical training.
Keywords: examination; advanced neonatal nurse practitioner; training
© 2001 by Archives of Disease in Childhood
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
-
Green, K, Oddie, S
(2008). The value of the postnatal examination in improving child health. Arch. Dis. Child. Fetal Neonatal Ed.
93: F389-F393
[Abstract] [Full Text] -
Onuzo, O C
(2006). How effectively can clinical examination pick up congenital heart disease at birth?. Arch. Dis. Child. Fetal Neonatal Ed.
91: F236-F237
[Full Text] -
Patton, C, Hey, E
(2006). How effectively can clinical examination pick up congenital heart disease at birth?. Arch. Dis. Child. Fetal Neonatal Ed.
91: F263-F267
[Abstract] [Full Text] -
Shipman, S. A., Helfand, M., Moyer, V. A., Yawn, B. P.
(2006). Screening for Developmental Dysplasia of the Hip: A Systematic Literature Review for the US Preventive Services Task Force. Pediatrics
117: e557-e576
[Abstract] [Full Text] -
Hall, D, Wilkinson, A R
(2005). Quality of care by neonatal nurse practitioners: a review of the Ashington experiment. Arch. Dis. Child. Fetal Neonatal Ed.
90: F195-F200
[Abstract] [Full Text] -
Leslie, A, Stephenson, T
(2003). Neonatal transfers by advanced neonatal nurse practitioners and paediatric registrars. Arch. Dis. Child. Fetal Neonatal Ed.
88: F509-512
[Abstract] [Full Text] -
Dezateux, C, Brown, J, Arthur, R, Karnon, J, Parnaby, A
(2003). Performance, treatment pathways, and effects of alternative policy options for screening for developmental dysplasia of the hip in the United Kingdom. Arch. Dis. Child.
88: 753-759
[Abstract] [Full Text] -
Brown, J, Dezateux, C, Karnon, J, Parnaby, A, Arthur, R
(2003). Efficiency of alternative policy options for screening for developmental dysplasia of the hip in the United Kingdom. Arch. Dis. Child.
88: 760-766
[Abstract] [Full Text] -
Smith, S L, Hall, M A
(2003). Developing a neonatal workforce: role evolution and retention of advanced neonatal nurse practitioners. Arch. Dis. Child. Fetal Neonatal Ed.
88: F426-F429
[Abstract] [Full Text]
eLetters:
Read all eLetters
- Case for ANNPs not yet proven
- Cliona Ni Bhrolchain
- Fetal Neonatal Ed. Online, 4 Sep 2001 [Full text]
- Re: Case for ANNPs not yet proven
- Tim Lee
- Fetal Neonatal Ed. Online, 10 Sep 2001 [Full text]
- Case for ANNPs is now proven!
- Cliona Ni Bhrolchain
- Fetal Neonatal Ed. Online, 18 Sep 2001 [Full text]
- Presentation of sensitivity alone may mislead
- Gabrielle Laing
- Fetal Neonatal Ed. Online, 3 Oct 2001 [Full text]
- Re: Presentation of sensitivity alone may mislead
- Tim Lee
- Fetal Neonatal Ed. Online, 23 Oct 2001 [Full text]
- Full Text
- Full Text (PDF)
- Submit a response
- Read responses to this article
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in ADC Online
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
