Evaluation of the role of the neonatal nurse practitioner in resuscitation of preterm infants at birth
W R Aubrey, C W Yoxall
Liverpool Women's
Hospital, Crown Street, Liverpool L8 7SS, UK
Correspondence to: Dr Yoxall Bill.Yoxall{at}lwh-tr.nwest.nhs.uk
Accepted 12 June
2001
BACKGROUND
Changes in
the work patterns and numbers of medical staff in training grades pose
a significant challenge to those responsible for the provision of an
effective clinical neonatal service. Advanced neonatal nurse
practitioners (ANNPs) may have a role in this changing neonatal
service. The effectiveness of the ANNP has been established in North
America but has not been properly evaluated in the United Kingdom.
AIMTo evaluate the
effectiveness of ANNPs in resuscitation of preterm babies at birth
against the standard set by junior medical staff.
SETTINGRegional
neonatal intensive care unit.
METHODRetrospective
analysis of resuscitation details, other basic data, and clinical
outcomes of 245 preterm (< 33 weeks gestation) babies born in
Liverpool Women's Hospital between January 1998 and April 1999.
RESULTSResuscitation
teams led by ANNPs provided the same resuscitation interventions as
those provided by medically led teams. Although babies resuscitated by
ANNP led teams were no more likely to be intubated, they were intubated
more quickly and received surfactant sooner (p = 0.0001) than babies
resuscitated by medically led teams. Babies attended by ANNP led teams
were less likely to be hypothermic on admission to the neonatal unit
(p = 0.013).
CONCLUSIONANNPs are
effective in the resuscitation of preterm babies at birth.
Keywords: resuscitation; nurse practitioner; management; preterm
© 2001 by Archives of Disease in Childhood
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- Fetal Neonatal Ed. Online, 25 Oct 2001 [Full text]
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