Study protocol for the development and pilot-testing of a Self-assessment tool for the implementation of the European Standards of Care for Newborn Health (ESCNH)

Introduction In Europe, disparities exist in having access to optimal neonatal care. With the European Standards of Care for Newborn Health (ESCNH), evidence-based reference standards are available which provide guidance to improve the care for preterm and ill newborns. To support healthcare profess...

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Main Authors: James Webbe, Helmut Hummler, Luc J I Zimmermann, Ylva Thernström Blomqvist, Nicholas Lack, Dietmar Schlembach, Julia Hoffmann, Silke Mader, Eleni Vavouraki, Sarah Lehmann, Gina Ancora, Esther Schouten, Ilaria Simonelli, Isabel Geiger
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Paediatrics Open
Online Access:https://bmjpaedsopen.bmj.com/content/9/1/e003008.full
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author James Webbe
Helmut Hummler
Luc J I Zimmermann
Ylva Thernström Blomqvist
Nicholas Lack
Dietmar Schlembach
Julia Hoffmann
Silke Mader
Eleni Vavouraki
Sarah Lehmann
Gina Ancora
Esther Schouten
Ilaria Simonelli
Isabel Geiger
author_facet James Webbe
Helmut Hummler
Luc J I Zimmermann
Ylva Thernström Blomqvist
Nicholas Lack
Dietmar Schlembach
Julia Hoffmann
Silke Mader
Eleni Vavouraki
Sarah Lehmann
Gina Ancora
Esther Schouten
Ilaria Simonelli
Isabel Geiger
author_sort James Webbe
collection DOAJ
description Introduction In Europe, disparities exist in having access to optimal neonatal care. With the European Standards of Care for Newborn Health (ESCNH), evidence-based reference standards are available which provide guidance to improve the care for preterm and ill newborns. To support healthcare professionals (HCPs) and hospital/clinic management in identifying the extent of ESCNH implementation, a feasible assessment tool is required. Such a tool should help identify areas in need of improvement and provide clear recommendations for action. We aim to develop a digital self-assessment tool for HCPs to detect the local level of ESCNH fulfilment and identify areas in need of improvement, and thus provide recommendations for action.Methods and analysis The self-assessment tool will have the form of a digital questionnaire with condensed ESCNH content. A Project Expert Group provides scientific input. With pretesting among HCPs, a template of a questionnaire section is evaluated and adapted accordingly. The subsequently developed full questionnaire will be appraised within a two-round eDelphi survey by at least 50 invited HCPs. Statements and formulations need to be accepted by at least 80% of participants. The remaining discrepancies will be solved in a final workshop. The resulting digital self-assessment tool (SAT) will be translated into several languages and evaluated in a pilot-testing among at least 20 hospitals/clinics across Europe.Conclusion With the self-reflection through the SAT, HCPs, hospital/clinic managers, policymakers and other stakeholders will receive feedback on the conformity with the ESCNH and guidance for improvement.Trial registration number NCT06379828.
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spelling doaj-art-820a985ef3cb4028a702820d556d5a0d2025-01-21T09:50:09ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722025-01-019110.1136/bmjpo-2024-003008Study protocol for the development and pilot-testing of a Self-assessment tool for the implementation of the European Standards of Care for Newborn Health (ESCNH)James Webbe0Helmut Hummler1Luc J I Zimmermann2Ylva Thernström Blomqvist3Nicholas Lack4Dietmar Schlembach5Julia Hoffmann6Silke Mader7Eleni Vavouraki8Sarah Lehmann9Gina Ancora10Esther Schouten11Ilaria Simonelli12Isabel Geiger131 West Middlesex University Hospital, Isleworth, London, UK1 Divison of Neonatology and Pediatric Intensive Care, Department of Pediatrics, University of Ulm, Ulm, GermanyDepartment of Paediatrics, Maastricht University Medical Centre (MUMC+), Maastricht, NetherlandsWomen and Childrens Healthh, Uppsala Universitet, Uppsala, SwedenSheffield Hallam University, Sheffield, UK42 Vivantes Network for Health, Clinicum Neukoelln, Clinic for Obstetric Medicine, Berlin, GermanyScientific Affairs, European Foundation for the Care of Newborn Infants, Munich, GermanyEuropean Foundation for the Care of Newborn Infants (EFCNI), Munich, GermanyParent Organisation Ilitominon, Athens, GreeceEuropean Foundation for the Care of Newborn Infants (EFCNI), Munich, GermanyDepartment of Mother Infant Health, NICU Rimini, AUSL Romagna, Rimini, ItalyDivison of Neonatology, LMU University Children’s Hospital, Dr. v. Hauner, Munich, GermanyUniversità degli Studi di Trento, Trento, ItalyEuropean Foundation for the Care of Newborn Infants (EFCNI), Munich, GermanyIntroduction In Europe, disparities exist in having access to optimal neonatal care. With the European Standards of Care for Newborn Health (ESCNH), evidence-based reference standards are available which provide guidance to improve the care for preterm and ill newborns. To support healthcare professionals (HCPs) and hospital/clinic management in identifying the extent of ESCNH implementation, a feasible assessment tool is required. Such a tool should help identify areas in need of improvement and provide clear recommendations for action. We aim to develop a digital self-assessment tool for HCPs to detect the local level of ESCNH fulfilment and identify areas in need of improvement, and thus provide recommendations for action.Methods and analysis The self-assessment tool will have the form of a digital questionnaire with condensed ESCNH content. A Project Expert Group provides scientific input. With pretesting among HCPs, a template of a questionnaire section is evaluated and adapted accordingly. The subsequently developed full questionnaire will be appraised within a two-round eDelphi survey by at least 50 invited HCPs. Statements and formulations need to be accepted by at least 80% of participants. The remaining discrepancies will be solved in a final workshop. The resulting digital self-assessment tool (SAT) will be translated into several languages and evaluated in a pilot-testing among at least 20 hospitals/clinics across Europe.Conclusion With the self-reflection through the SAT, HCPs, hospital/clinic managers, policymakers and other stakeholders will receive feedback on the conformity with the ESCNH and guidance for improvement.Trial registration number NCT06379828.https://bmjpaedsopen.bmj.com/content/9/1/e003008.full
spellingShingle James Webbe
Helmut Hummler
Luc J I Zimmermann
Ylva Thernström Blomqvist
Nicholas Lack
Dietmar Schlembach
Julia Hoffmann
Silke Mader
Eleni Vavouraki
Sarah Lehmann
Gina Ancora
Esther Schouten
Ilaria Simonelli
Isabel Geiger
Study protocol for the development and pilot-testing of a Self-assessment tool for the implementation of the European Standards of Care for Newborn Health (ESCNH)
BMJ Paediatrics Open
title Study protocol for the development and pilot-testing of a Self-assessment tool for the implementation of the European Standards of Care for Newborn Health (ESCNH)
title_full Study protocol for the development and pilot-testing of a Self-assessment tool for the implementation of the European Standards of Care for Newborn Health (ESCNH)
title_fullStr Study protocol for the development and pilot-testing of a Self-assessment tool for the implementation of the European Standards of Care for Newborn Health (ESCNH)
title_full_unstemmed Study protocol for the development and pilot-testing of a Self-assessment tool for the implementation of the European Standards of Care for Newborn Health (ESCNH)
title_short Study protocol for the development and pilot-testing of a Self-assessment tool for the implementation of the European Standards of Care for Newborn Health (ESCNH)
title_sort study protocol for the development and pilot testing of a self assessment tool for the implementation of the european standards of care for newborn health escnh
url https://bmjpaedsopen.bmj.com/content/9/1/e003008.full
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