Skip navigation
Skip navigation

Evaluation of an international educational programme for health care professionals on best practice in the management of a perinatal death: IMproving Perinatal mortality Review and Outcomes Via Education (IMPROVE)

Gardiner, Paul A; Kent, Alison L; Rodriguez, Viviana; Wojcieszek, Aleena M; Ellwood, David; Gordon, Adrienne; Wilson, Patricia A; Bond, Diana M; Charles, Adrian; Arbuckle, Susan; Gardener, Glenn J; Oats, Jeremy J; Erwich, Jan Jaap; Korteweg, Fleurisca J; Duc, T H Nguyen; Leisher, Susannah Hopkins; Kishore, Kamal; Silver, Robert M; Heazell, Alexander E; Storey, Claire; Flenady, Vicki

Description

BACKGROUND Stillbirths and neonatal deaths are devastating events for both parents and clinicians and are global public health concerns. Careful clinical management after these deaths is required, including appropriate investigation and assessment to determine cause (s) to prevent future losses, and to improve bereavement care for families. An educational programme for health care professionals working in maternal and child health has been designed to address these needs according to the...[Show more]

dc.contributor.authorGardiner, Paul A
dc.contributor.authorKent, Alison L
dc.contributor.authorRodriguez, Viviana
dc.contributor.authorWojcieszek, Aleena M
dc.contributor.authorEllwood, David
dc.contributor.authorGordon, Adrienne
dc.contributor.authorWilson, Patricia A
dc.contributor.authorBond, Diana M
dc.contributor.authorCharles, Adrian
dc.contributor.authorArbuckle, Susan
dc.contributor.authorGardener, Glenn J
dc.contributor.authorOats, Jeremy J
dc.contributor.authorErwich, Jan Jaap
dc.contributor.authorKorteweg, Fleurisca J
dc.contributor.authorDuc, T H Nguyen
dc.contributor.authorLeisher, Susannah Hopkins
dc.contributor.authorKishore, Kamal
dc.contributor.authorSilver, Robert M
dc.contributor.authorHeazell, Alexander E
dc.contributor.authorStorey, Claire
dc.contributor.authorFlenady, Vicki
dc.date.accessioned2018-07-24T02:28:35Z
dc.date.available2018-07-24T02:28:35Z
dc.identifier.urihttp://hdl.handle.net/1885/145238
dc.description.abstractBACKGROUND Stillbirths and neonatal deaths are devastating events for both parents and clinicians and are global public health concerns. Careful clinical management after these deaths is required, including appropriate investigation and assessment to determine cause (s) to prevent future losses, and to improve bereavement care for families. An educational programme for health care professionals working in maternal and child health has been designed to address these needs according to the Perinatal Society of Australia and New Zealand Guideline for Perinatal Mortality: IMproving Perinatal mortality Review and Outcomes Via Education (IMPROVE). The programme has a major focus on stillbirth and is delivered as six interactive skills-based stations. We aimed to determine participants' pre- and post-programme knowledge of and confidence in the management of perinatal deaths, along with satisfaction with the programme. We also aimed to determine suitability for international use. METHODS The IMPROVE programme was delivered to health professionals in maternity hospitals in all seven Australian states and territories and modified for use internationally with piloting in Vietnam, Fiji, and the Netherlands (with the assistance of the International Stillbirth Alliance, ISA). Modifications were made to programme materials in consultation with local teams and included translation for the Vietnam programme. Participants completed pre- and post-programme evaluation questionnaires on knowledge and confidence on six key components of perinatal death management as well as a satisfaction questionnaire. RESULTS Over the period May 2012 to May 2015, 30 IMPROVE workshops were conducted, including 26 with 758 participants in Australia and four with 136 participants internationally. Evaluations showed a significant improvement between pre- and post-programme knowledge and confidence in all six stations and overall, and a high degree of satisfaction in all settings. CONCLUSIONS The IMPROVE programme has been well received in Australia and in three different international settings and is now being made available through ISA. Future research is required to determine whether the immediate improvements in knowledge are sustained with less causes of death being classified as unknown, changes in clinical practice and improvement in parents' experiences with care. The suitability for this programme in low-income countries also needs to be established.
dc.description.sponsorshipWe would like to acknowledge the Mater Foundation and Stillbirth Foundation Australia for funding the development and pilot testing of the IMPROVE programme. We would like to acknowledge SIDS and Kids who provided funding for the evaluation of the IMPROVE programme between June 2010 and December 2012.
dc.format11 pages
dc.format.mimetypeapplication/pdf
dc.publisherBioMed Central
dc.rights© The Author(s) 2016. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.sourceBMC pregnancy and childbirth
dc.subjectclinical practice
dc.subjecteducation
dc.subjectneonatal death
dc.subjectperinatal death
dc.subjectstillbirth
dc.subjecttraining
dc.subjectAustralia
dc.subjectfemale
dc.subjectFiji
dc.subjecthealth personnel
dc.subjecthumans
dc.subjectinfant, newborn
dc.subjectNetherlands
dc.subjectperinatal care
dc.subjectpregnancy
dc.subjectstillbirth
dc.subjectsurveys and questionnaires
dc.subjectVietnam
dc.subjectperinatal death
dc.subjectpractice guidelines as topic
dc.subjectprogram evaluation
dc.titleEvaluation of an international educational programme for health care professionals on best practice in the management of a perinatal death: IMproving Perinatal mortality Review and Outcomes Via Education (IMPROVE)
dc.typeJournal article
local.identifier.citationvolume16
dcterms.dateAccepted2016-11-18
dc.date.issued2016-11-25
local.publisher.urlhttps://www.biomedcentral.com/
local.type.statusPublished Version
local.contributor.affiliationKent, Alison L., ANU Medical School, CHM ANU Medical School, The Australian National University
local.identifier.essn1471-2393
local.bibliographicCitation.issue1
local.bibliographicCitation.startpage376
local.identifier.doi10.1186/s12884-016-1173-8
dcterms.accessRightsOpen Access
CollectionsANU Research Publications

Download

File Description SizeFormat Image
01 Gardiner Paul A et al Evaluation of an 2016.pdf1.72 MBAdobe PDFThumbnail


Items in Open Research are protected by copyright, with all rights reserved, unless otherwise indicated.

Updated:  19 May 2020/ Responsible Officer:  University Librarian/ Page Contact:  Library Systems & Web Coordinator