Evidence · Systematic review or meta-analysis
Quality improvement initiatives for hospitalised small and sick newborns in low- and middle-income countries: a systematic review.
- Education and simulation
- Families and professional practice
- Infection prevention
- Late-onset sepsis
- Medical
- Nursing
- Quality improvement
This paper is from 2018, more than five years ago. Newer evidence may have been published since.
Summary
This systematic review synthesises evidence from 28 studies across 23 low- and middle-income countries on quality improvement initiatives for hospitalised small and sick newborns, published between 2000 and 2017. It categorises interventions by level (micro, meso, macro), with in-service training, service organisation and distribution of reference materials most common. Outcomes assessed included mortality, length of stay, sepsis and infection rates. Key implementation barriers were overburdened staff and insufficient equipment, and the authors call for larger-scale collaborative implementation research.
Summary written for NICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
The full text of this openly licensed paper is available to NICUlearn members, and Neeky can answer questions from it.
Guidelines are shown for education. Follow your unit's own guidance and senior advice.