dc.contributor.author |
Alsweiler, Jane |
en |
dc.contributor.author |
Woodall, Sonja |
en |
dc.contributor.author |
Crowther, Caroline |
en |
dc.contributor.author |
Harding, Jane |
en |
dc.date.accessioned |
2019-11-25T20:24:13Z |
en |
dc.date.issued |
2019-07 |
en |
dc.identifier.issn |
1440-1754 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/49188 |
en |
dc.description.abstract |
AIMS:To determine the use of oral dextrose gel to treat neonatal hypoglycaemia in New Zealand (NZ), to identify barriers and enablers to the implementation of the guideline and to determine if there is variation in management between clinical disciplines caring for at-risk babies. METHODS:An online survey was distributed to clinicians (including doctors, midwives and nurses) caring for babies with neonatal hypoglycaemia via stakeholders and maternity hospitals. RESULTS:A total of 251 clinicians from all 20 District Health Boards (DHBs) completed the survey. Of the responding clinicians, 148 (59%) from 15 (75%) DHBs reported oral dextrose gel use in their hospital, and of these, 129 (87%) reported a local guideline. In 12 of 15 (80%) DHBs, oral dextrose gel could be prescribed by midwives. For a clinical scenario of a baby with neonatal hypoglycaemia, doctors were more likely to prescribe oral dextrose gel than midwives (odds ratio (95% confidence interval), 2.9 (2.2-3.8), P < 0.0001). Of 32 possible combinations of treatment options for this scenario, 31 were selected by one or more clinicians. A guideline was perceived to be the most useful enabler, and availability of oral dextrose gel was seen as the most important barrier. CONCLUSIONS:Oral dextrose gel is widely used to treat neonatal hypoglycaemia in NZ. Increasing availability of dextrose gel and the clinical practice guideline are likely to further increase the use of oral dextrose gel. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
Journal of paediatrics and child health |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.title |
Oral dextrose gel to treat neonatal hypoglycaemia: Clinician survey. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1111/jpc.14306 |
en |
pubs.issue |
7 |
en |
pubs.begin-page |
844 |
en |
pubs.volume |
55 |
en |
dc.rights.holder |
Copyright: The author |
en |
pubs.end-page |
850 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
758838 |
en |
dc.relation.isnodouble |
35188 |
* |
pubs.org-id |
Liggins Institute |
en |
pubs.org-id |
LiFePATH |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Paediatrics Child & Youth Hlth |
en |
pubs.org-id |
Science |
en |
pubs.org-id |
Science Admin |
en |
pubs.org-id |
Science Research Support |
en |
dc.identifier.eissn |
1440-1754 |
en |
pubs.record-created-at-source-date |
2018-12-20 |
en |
pubs.dimensions-id |
30565771 |
en |