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The quality of routine examinations of the newborn performed by midwives and SHOs ; an evaluation using video recordings
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Bloomfield, L., Rogers, C., Townsend, J., Wolke, Dieter and Quist-Therson, E. (2003) The quality of routine examinations of the newborn performed by midwives and SHOs ; an evaluation using video recordings. Journal of Medical Screening, Volume 10 (Number 4). pp. 176-180. doi:10.1258/096914103771773267 ISSN 0969-1413.
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Official URL: http://dx.doi.org/10.1258/096914103771773267
Abstract
Objective: To evaluate the quality of the routine examination of the newborn as carried out by senior
house of�cers (SHOs) and midwives.
Design: Randomised controlled trial set in a district general hospital in Southeast England. Eligible
babies were randomised to a midwife (11) or an SHO (8) who were then video recorded undertaking
the routine newborn examination.
Main outcome measures: Quality of 62 observed technical and communication components of the
newborn examination, as agreed between independent consultant paediatrician and senior midwife
raters.
Results: Major differences were found in the rated quality of examinations between midwives and
SHOs for the examinations of the heart and lungs, for the overall quality of the examination, and in areas of communication skills. Quality of examination of the hips was assessed as poor for both
professional groups. Where there were signi�cant differences between examiners, the quality of the
midwives’ examinations was higher. Inter-rater agreement between the consultant paediatricians and
senior midwives ranged from excellent to poor for different items of the examination with a mean
kappa value of 0.42 across all items indicating moderate agreement.
Conclusions: The quality of midwife examinations exceeded that of SHOs. All midwives who examine
receive formalised training in the examination of the newborn; SHOs may bene�t from similar speci�c
training. Training for both professional groups may need to be reviewed, particularly in relation to
agreement on ‘gold standards’ for the screening of developmental dysplasia of the hip.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Science > Psychology | ||||
Journal or Publication Title: | Journal of Medical Screening | ||||
Publisher: | Sage Publications Ltd. | ||||
ISSN: | 0969-1413 | ||||
Official Date: | 2003 | ||||
Dates: |
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Volume: | Volume 10 | ||||
Number: | Number 4 | ||||
Page Range: | pp. 176-180 | ||||
DOI: | 10.1258/096914103771773267 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published |
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