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Prehospital emergency care of newborns from the perspective of medical personnel and parents
POLLAKOVÁ, Tereza
This Bachelor work is concerned with prehospital emergency care of newborns. This issue is viewed differently by the public, in particular by the enfant's parents, and the medical personnel. Nowadays a strong initiative arises of implementing public education campaigns in this field through all possible means to ensure at least a basic grasp with most of the population. Every 5 years, resuscitation reccomendations are updated on the basis of the European directives, which are adpoted, amended and communicated to the public in the Czech Republic. Concerning the medical personnel, procedures exist to inform them about the latest findings and sustain a high standard of knowledge in this field of their profession. This initiative was triggered by a suggestion from Pediatric Departments which stated that the compliance of these recommendations varies and generally appears low both with medical personnel and the public. The theoretical part presents the latest recommendations and materials regarding prehospital emergency care as well as the specific properties concerning newborn enfancy. The aim of this work is to assess the level of newborn prehospital emergency care knowledge of the parents and the medical personnel from non-pediatric departments. With the viewpoint of Midwife Programme I decided to choose as the target group the midwifes working at maternity ward in order to find out their knowledge in case of the necessity to povide prehospital emergency care outside the hospital. Equally, midwife is the most typical job on the border between pediatric and non-pediatric field. I also presumed this type of medical staff has experience with prehospital emergency care of newborn. The presumption of low knowledge of the parents also brings about a potential possibility of using the conclusions of this thesis for work of this medical personnel. The survey part of this work was carried out by qualitative investigation employing the data collection method of detailed interview with two groups of respondents mothers of newborn infants and midwives from the maternity wards of two hospitals. The concept of the interviews was intended to gain answers to three investigative questions: Do mothers have sufficient knowledge of prehospital care for newborn enfants? Do medical personnel have sufficient expertise of prehospital care for newborns? What form of education in this area do the medical personnel and parents consider as most efficient? The interviews gave answers not only to these questions but also pointed at the necessity to take into account the emotional side of the personality, especially in case of the parents, as it plays a significant role along with the actual knowledge in the ability of correct and immediate emergency response in stressful situations. This finding also corresponds with the fact that I deliberately chose mothers who had had experience with an newborn emergency.
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