Training pediatric residents in the NBO system: a follow-up study

McQuiston, S., Kloczko, N., O’Brien, S. Training pediatric residents in the Newborn Behavioral Observations (NBO) system: a follow-up study.  Ab Initio International, Summer, 2006: http://www.brazelton-institute.com/abinitio2006summer/index.html.

Abstract

Forty-three residents were surveyed, twenty-one of whom (treatment group) had participated in a Newborn Behavioral Observations (NBO) system (formerly CLNBAS) training course. Pre- and post-training data were collected to examine the impact of the training program on residents' attitudes and practices in the context of their interactions with newborns and their parents.  Comparing pre- and post-training data, significant improvement in residents' practices and attitudes followed NBO training (p <.001). Positive change occurred in both content and interactional components of practice (p<.001).  Teaching pediatric residents to use the NBO resulted in positive changes in their assessments of newborn behavior and their interactions with parents of newborns. Residents applied the NBO tool in both nursery and outpatient settings. Time constraints were sighted as the factor which most interfered with residents' use of the tool as a regular component of newborn primary care.