Article type
Abstract
"Background: Hyperbilirubinemia is the most common disorder during neonatal period. However, it’s not clear whether healthcare personnel manage neonatal jaundice based on evidence.
Objectives: To investigate how evidence is used for the management of neonatal jaundice.
Methods: An online questionnaire survey was conducted during January 2024 in multiple centers of Taiwan, including 9 postpartum centers, 3 hospitals of obstetrics, 1 teaching hospital, and 4 medical centers. Personnel involving in the clinical care of neonates were eligible for enrollment. A structured questionnaire was designed by experts with specialty in evidence-base medicine (EBM) and neonatology. The study protocol was approved by the Institution Review Board.
Results: A content validity index of 0.98 and test–retest reliability coefficient of 0.74 indicated sufficient validity and reliability of parameters in this questionnaire. We enrolled 160 participants, including 92 in teaching hospital /medical centers and 68 in postpartum centers/hospitals of obstetrics. Overall, 60.1% of participants were familiar with EBM and 66.9% managed neonatal jaundice based on evidence. In addition, 82.5% of participants reported they used clinical practice guidelines from Taiwan Society of Pediatrics or Neonatology, which were written in Chinese and experience-base. In contrast, evidence-based guidelines from American Pediatric Society and NICE Evidence were relatively less used. Furthermore, 55.6% of participants reported their guidelines for the management of neonatal jaundice were updated in recent 3 years. More 80% of participants were willing to learn the implementation of EBM in the management of neonatal jaundice. The multivariate logistic regression analysis showed health personnel in teaching hospital and medical centers more often used evidence to manage neonatal jaundice than those in postpartum centers and hospitals of obstetrics. Furthermore, they had more sufficient ability in the implementation of EBM.
Conclusions: Our findings depict most primary healthcare personnel in the postpartum centers and hospitals of obstetrics lack the ability in the implementation of EBM for the management of neonatal jaundice. Development of evidence-based guideline in Chinese language should be helpful for healthcare personnel to learn how to implement EBM in the clinical care of infants with neonatal jaundice, especially for postpartum centers and hospitals of obstetrics."
Objectives: To investigate how evidence is used for the management of neonatal jaundice.
Methods: An online questionnaire survey was conducted during January 2024 in multiple centers of Taiwan, including 9 postpartum centers, 3 hospitals of obstetrics, 1 teaching hospital, and 4 medical centers. Personnel involving in the clinical care of neonates were eligible for enrollment. A structured questionnaire was designed by experts with specialty in evidence-base medicine (EBM) and neonatology. The study protocol was approved by the Institution Review Board.
Results: A content validity index of 0.98 and test–retest reliability coefficient of 0.74 indicated sufficient validity and reliability of parameters in this questionnaire. We enrolled 160 participants, including 92 in teaching hospital /medical centers and 68 in postpartum centers/hospitals of obstetrics. Overall, 60.1% of participants were familiar with EBM and 66.9% managed neonatal jaundice based on evidence. In addition, 82.5% of participants reported they used clinical practice guidelines from Taiwan Society of Pediatrics or Neonatology, which were written in Chinese and experience-base. In contrast, evidence-based guidelines from American Pediatric Society and NICE Evidence were relatively less used. Furthermore, 55.6% of participants reported their guidelines for the management of neonatal jaundice were updated in recent 3 years. More 80% of participants were willing to learn the implementation of EBM in the management of neonatal jaundice. The multivariate logistic regression analysis showed health personnel in teaching hospital and medical centers more often used evidence to manage neonatal jaundice than those in postpartum centers and hospitals of obstetrics. Furthermore, they had more sufficient ability in the implementation of EBM.
Conclusions: Our findings depict most primary healthcare personnel in the postpartum centers and hospitals of obstetrics lack the ability in the implementation of EBM for the management of neonatal jaundice. Development of evidence-based guideline in Chinese language should be helpful for healthcare personnel to learn how to implement EBM in the clinical care of infants with neonatal jaundice, especially for postpartum centers and hospitals of obstetrics."