Voices in Evidence-Based Newborn Care: A How-to-Guide on Developing a Parent-Facing Podcast (Preprint)

Voices in Evidence-Based Newborn Care: A How-to-Guide on Developing a Parent-Facing Podcast

JMIR Pediatrics and Parenting ◽

10.2196/16335 ◽

2019 ◽

Vol 2 (2) ◽

pp. e16335 ◽

Cited By ~ 1

Author(s):

Joanna Parga-Belinkie ◽

Raina M Merchant

Keyword(s):

Medical Education ◽

Public Education ◽

Patient Education ◽

Newborn Care ◽

Evidence Based

Podcasting is becoming a more popular form of media. Its use in medical education is being researched—but what about its use in public education? In this tutorial, the authors offer a how-to-guide on starting a public or patient-facing podcast. The authors hope to inspire more physicians to utilize this type of media to share evidence-based information. More research is needed looking into how podcasting can be used to help with patient education.

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Evidence-Based Alignment of Pathology Residency With Practice II: Findings and Implications

Academic Pathology ◽

10.1177/23742895211002816 ◽

2021 ◽

Vol 8 ◽

pp. 237428952110028

Author(s):

W. Stephen Black-Schaffer ◽

Stanley J. Robboy ◽

David J. Gross ◽

James M. Crawford ◽

Kristen Johnson ◽

...

Keyword(s):

Medical Education ◽

Graduate Medical Education ◽

Evidence Based ◽

Donor Center ◽

Laboratory Management ◽

Banking Services ◽

Graduate Medical ◽

Pathology Informatics ◽

Billing And Coding ◽

Future Practice

This article presents findings from a 4-year series of surveys of new-in-practice pathologists, and a survey of physician employers of new pathologists, assessing how pathology graduate medical education prepares its graduates for practice. Using the methodology described in our previous study, we develop evidence for the importance of residency training for various practice areas, comparing findings over different practice settings, sizes, and lengths of time in practice. The principal findings are (1) while new-in-practice pathologists and their employers report residency generally prepared them well for practice, some areas—billing and coding, laboratory management, molecular pathology, and pathology informatics—consistently were identified as being important in practice but inadequately prepared for in residency; (2) other areas—autopsy pathology, and subspecialized apheresis and blood donor center blood banking services—consistently were identified as relatively unimportant in practice and excessively prepared for in residency; (3) the notion of a single comprehensive model for categorical training in residency is challenged by the disparity between broad general practice in some settings and narrower subspecialty practice in others; and (4) the need for preparation in some areas evolves during practice, raising questions about the appropriate mode and circumstance for training in these areas. The implications of these findings range from rebalancing the emphasis among practice areas in residency, to reconsidering the structure of graduate medical education in pathology to meet present and evolving future practice needs.

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Explaining the causal links between illness management and symptom reduction: Development of an evidence-based patient education strategy

Patient Education and Counseling ◽

10.1016/j.pec.2017.01.009 ◽

2017 ◽

Vol 100 (6) ◽

pp. 1169-1176 ◽

Cited By ~ 5

Author(s):

Karen M. Zhang ◽

Leora C. Swartzman ◽

Robert J. Petrella ◽

Dawn P. Gill ◽

John Paul Minda

Keyword(s):

Patient Education ◽

Symptom Reduction ◽

Evidence Based ◽

Illness Management ◽

Education Strategy

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Effect of collaborative quality improvement on stillbirths, neonatal mortality and newborn care practices in hospitals of Telangana and Andhra Pradesh, India: evidence from a quasi-experimental mixed-methods study

Implementation Science ◽

10.1186/s13012-020-01058-z ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Karen Zamboni ◽

Samiksha Singh ◽

Mukta Tyagi ◽

Zelee Hill ◽

Claudia Hanson ◽

...

Keyword(s):

Quality Improvement ◽

Neonatal Mortality ◽

Process Evaluation ◽

Andhra Pradesh ◽

Newborn Care ◽

Mechanisms Of Change ◽

Evidence Based ◽

Programme Implementation ◽

Quasi Experimental ◽

Care Practices

Abstract Background Improving quality of care is a key priority to reduce neonatal mortality and stillbirths. The Safe Care, Saving Lives programme aimed to improve care in newborn care units and labour wards of 60 public and private hospitals in Telangana and Andhra Pradesh, India, using a collaborative quality improvement approach. Our external evaluation of this programme aimed to evaluate programme effects on implementation of maternal and newborn care practices, and impact on stillbirths, 7- and 28-day neonatal mortality rate in labour wards and neonatal care units. We also aimed to evaluate programme implementation and mechanisms of change. Methods We used a quasi-experimental plausibility design with a nested process evaluation. We evaluated effects on stillbirths, mortality and secondary outcomes relating to adherence to 20 evidence-based intrapartum and newborn care practices, comparing survey data from 29 hospitals receiving the intervention to 31 hospitals expected to receive the intervention later, using a difference-in-difference analysis. We analysed programme implementation data and conducted 42 semi-structured interviews in four case studies to describe implementation and address four theory-driven questions to explain the quantitative results. Results Only 7 of the 29 intervention hospitals were engaged in the intervention for its entire duration. There was no evidence of an effect of the intervention on stillbirths [DiD − 1.3 percentage points, 95% CI − 2.6–0.1], on neonatal mortality at age 7 days [DiD − 1.6, 95% CI − 9–6.2] or 28 days [DiD − 3.0, 95% CI − 12.9—6.9] or on adherence to target evidence-based intrapartum and newborn care practices. The process evaluation identified challenges in engaging leaders; challenges in developing capacity for quality improvement; and challenges in activating mechanisms of change at the unit level, rather than for a few individuals, and in sustaining these through the creation of new social norms. Conclusion Despite careful planning and substantial resources, the intervention was not feasible for implementation on a large scale. Greater focus is required on strategies to engage leadership. Quality improvement may need to be accompanied by clinical training. Further research is also needed on quality improvement using a health systems perspective.

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Time for evidence based medical education

BMJ ◽

10.1136/bmj.318.7193.1223 ◽

1999 ◽

Vol 318 (7193) ◽

pp. 1223-1224 ◽

Cited By ~ 57

Author(s):

S. Petersen

Keyword(s):

Medical Education ◽

Evidence Based

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Evidence-based interventions to reduce mortality among preterm and low-birthweight neonates in low-income and middle-income countries: a systematic review and meta-analysis

BMJ Global Health ◽

10.1136/bmjgh-2020-003618 ◽

2021 ◽

Vol 6 (2) ◽

pp. e003618

Author(s):

Mirjam Y Kleinhout ◽

Merel M Stevens ◽

Kwabena Aqyapong Osman ◽

Kwame Adu-Bonsaffoh ◽

Floris Groenendaal ◽

...

Keyword(s):

Low Income ◽

Low Birthweight ◽

Meta Analysis ◽

Neonatal Resuscitation ◽

Newborn Care ◽

Evidence Based ◽

Antenatal Corticosteroids ◽

Essential Newborn Care ◽

Middle Income ◽

Middle Income Countries

BackgroundPreterm birth is the leading cause of under-five-mortality worldwide, with the highest burden in low-income and middle-income countries (LMICs). The aim of this study was to synthesise evidence-based interventions for preterm and low birthweight (LBW) neonates in LMICs, their associated neonatal mortality rate (NMR), and barriers and facilitators to their implementation. This study updates all existing evidence on this topic and reviews evidence on interventions that have not been previously considered in current WHO recommendations.MethodsSix electronic databases were searched until 3 March 2020 for randomised controlled trials reporting NMR of preterm and/or LBW newborns following any intervention in LMICs. Risk ratios for mortality outcomes were pooled where appropriate using a random effects model (PROSPERO registration number: CRD42019139267).Results1236 studies were identified, of which 49 were narratively synthesised and 9 contributed to the meta-analysis. The studies included 39 interventions in 21 countries with 46 993 participants. High-quality evidence suggested significant reduction of NMR following antenatal corticosteroids (Pakistan risk ratio (RR) 0.89; 95% CI 0.80 to 0.99|Guatemala 0.74; 0.68 to 0.81), single cord (0.65; 0.50 to 0.86) and skin cleansing with chlorhexidine (0.72; 0.55 to 0.95), early BCG vaccine (0.64; 0.48 to 0.86; I2 0%), community kangaroo mother care (OR 0.73; 0.55 to 0.97; I2 0%) and home-based newborn care (preterm 0.25; 0.14 to 0.48|LBW 0.42; 0.27 to 0.65). No effects on perinatal (essential newborn care 1.02; 0.91 to 1.14|neonatal resuscitation 0.95; 0.84 to 1.07) or 7-day NMR (essential newborn care 1.03; 0.83 to 1.27|neonatal resuscitation 0.92; 0.77 to 1.09) were observed after training birth attendants.ConclusionThe findings of this study encourage the implementation of additional, evidence-based interventions in the current (WHO) guidelines and to be selective in usage of antenatal corticosteroids, to reduce mortality among preterm and LBW neonates in LMICs. Given the global commitment to end all preventable neonatal deaths by 2030, continuous evaluation and improvement of the current guidelines should be a priority on the agenda.

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Finding the Sweet Spot: Network Structures and Processes for Increased Knowledge Mobilization

Brock Education Journal ◽

10.26522/brocked.v25i1.432 ◽

2016 ◽

Vol 25 (1) ◽

Cited By ~ 3

Author(s):

Patricia Briscoe ◽

Katina Pollock ◽

Carol Campbell ◽

Shasta Carr-Harris

Keyword(s):

Public Education ◽

Secondary Analysis ◽

Evidence Based ◽

Network Structures ◽

Knowledge Mobilization ◽

Sweet Spot ◽

Interim Report ◽

Research To Practice ◽

Government Initiative ◽

Partnership Networks

The use of networks in public education is one of a number of knowledge mobilization (KMb) strategies utilized to promote evidence-based research into practice. However, challenges exist in the ability to effectively mobilizing knowledge through external partnership networks. The purpose of this paper is to further explore how networks work. Data was collected from virtual discussions for an interim report for a province-wide government initiative. A secondary analysis of the data was performed. The findings present network structures and processes that partners were engaged in when building a network within education. The implications of this study show that building a network for successful outcomes is complex and metaphorically similar to finding the “sweet spot.” It is challenging but networks that used strategies to align structures and processes proved to achieve more success in mobilizing research to practice.

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A Survey Based Feedback Analysis of the Current Medical Teaching Methodology and Trends in Medical Research Practice in a South Indian Medical Institute

International Journal of Medical Students ◽

10.5195/ijms.2018.3 ◽

2018 ◽

Vol 6 (1) ◽

pp. 6-17

Author(s):

Supreeth Nekkanti ◽

Sagarika Manjunath ◽

Arun Mahtani ◽

Archana Meka ◽

Tanushree Rao

Keyword(s):

Medical Education ◽

Healthcare System ◽

Education System ◽

Evidence Based Medicine ◽

Skills Training ◽

Current Medical ◽

Medical Institute ◽

Teaching Methodology ◽

Evidence Based ◽

Based Medicine

Background: The spine of a good healthcare system is the medical education received by its doctors. As medicine is evolving, the same can be inferred regarding the delivery of medical education. This study was conducted among 541 students in a prestigious medical college in India. The aim of the study was to find out lapses in our current medical education system and steps to improve it. Methods: A total of 541 medical students were included in this study. The only inclusion criteria being that they should be in their 2nd year MBBS or above. A questionnaire of 20 questions was given to each student and they were asked to mark the answers they felt was most appropriate. The questionnaire dealt with issues faced in our current education system regarding teaching methodology, clinical postings, research, evidence based medicine and steps to improve the healthcare system. Data was collected, analysed and statistically evaluated using Microsoft Excel and SPS version 21.0. Results: Majority of the students felt that classroom strength should not be more than a hundred students. They felt that more innovative teaching methods and discussions should be included. Students laid emphasis on research, clinical skills training and evidence based medicine. They felt that the healthcare system also needs tweaking in terms of funding and practicing evidence based medicine to be on par with healthcare systems across the world. Conclusion: The results in this study, resonates with the results of various other studies regarding delivery of medical education. It also takes into account the holistic approach of improving medical education and healthcare rather than focusing on one single aspect.

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