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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/9473

Title: Aftermath of a Clinical Trial: Evaluating the Sustainability of a Medical Device Intervention in Ghana
Authors: Morris, Marilyn C.
Moresky, Rachel T.
Otupiri, E.
Brooks, Joshua C.
Wilson, Patrick T.
Keywords: nasal continuous positive airway pressure
training
pediatrics
ethics
developing countries
Issue Date: 25-Aug-2013
Publisher: Journal of Tropical Pediatrics Advance Access
Citation: Journal of Tropical Pediatrics Advance Access published August 25, 2013
Abstract: A randomized controlled trial recently demonstrated that continuous positive airway pressure (CPAP) effectively decreases respiratory rate in children presenting to Ghanaian district hospitals with respiratory distress. A follow-up study 16 months later evaluated the extent to which the skills and equipment necessary for CPAP use have been maintained. Seven of eight CPAP machines were functional, but five of eight oxygen concentrators and three of four electric generators were non-functional. Nurses trained by US study personnel (first-generation) and nurses trained by Ghanaian nurses after the study (second-generation) were evaluated on CPAP knowledge and skills. Twenty-eight nurses participated in the study, 9 first-generation and 19 second-generation. First-generation trainees scored significantly higher than second-generation trainees on both skills and knowledge assessments (p = 0.003). Appropriate technical support and training must be ensured to address equipment maintenance. Protocolization of the training program, in conjunction with skills and knowledge assessment, may improve acquisition and retention among second- and future-generation trainees.
Description: This Article was published by Journal of Tropical Pediatrics Advance Access published August 25, 2013
URI: http://hdl.handle.net/123456789/9473
Appears in Collections:College of Health Sciences

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