Impact of an Online Program of Bubble Continuous Positive Airway Pressure Education in a Resource-Constrained Setting.

Content Provider	Europe PMC
Author	Annankra, Wentiirim B. Mavis, Stephanie C. Shany, Eilon Jacob, Binil M. Bakari, Ashura Yeboah, Rita Karplus, Miki Carey, William A. Golan, Agneta
Copyright Year	2023
Abstract	BackgroundRespiratory distress is a leading cause of preterm infant mortality in sub-Saharan Africa. Bubble continuous positive airway pressure (CPAP) is emerging as a potentially safe, cost-effective way of delivering noninvasive respiratory support in low-income and middle-income countries. However, without healthcare providers who are knowledgeable and skilled in the use of this technology, suboptimal neonatal care and related health disparities are likely to persist.ObjectiveWe hypothesized that an Internet-based, blended curriculum on bubble CPAP for bedside providers in low-resource mother-baby units (MBUs) could be developed and implemented and lead to improvements in clinical knowledge, reasoning, and learner confidence in bubble CPAP.MethodsClinical educators from Israel, Ghana, and the United States used the analysis, design, development, implementation, and evaluation (ADDIE) design framework to create an online curriculum for two MBUs in Kumasi, in the Ashanti Region of Ghana. Participants completed pre and post curriculum knowledge tests and completed surveys on their perspectives.ResultsFifty-four interdisciplinary health professionals from the MBUs participated in the curriculum. Median knowledge test scores improved from 64% (interquartile range [IQR] = 50–72%) to 81% (IQR = 71–89%) after participation in the curriculum (P < 0.001). Learners reported high levels of confidence with bubble CPAP after participating in the curriculum and evaluated the curricular components highly.ConclusionAn online curriculum was successfully implemented and led to changes in healthcare worker knowledge in bubble CPAP. This may be an effective way to deliver education to healthcare professionals in resource-constrained countries and warrants further study.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10117415&blobtype=pdf
Page Count	9
Journal	ATS Scholar [ATS Sch]
Volume Number	4
PubMed Central reference number	PMC10117415
Issue Number	1
PubMed reference number	37089689
e-ISSN	26907097
DOI	10.34197/ats-scholar.2022-0069in
Language	English
Publisher	American Thoracic Society
Publisher Date	2023-01-30
Access Restriction	Open
Rights License	This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0. For commercial usage and reprints, please e-mail Diane Gern. Copyright © 2023 by the American Thoracic Society
Subject Keyword	global education neonatal intensive care mother-baby unit bubble CPAP flipped classroom
Content Type	Text
Resource Type	Article
Subject	Education Pulmonary and Respiratory Medicine Critical Care and Intensive Care Medicine Neurology (clinical)