{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T16:26:18Z","timestamp":1759422378171,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"accepted":{"date-parts":[[2001,6,25]]},"published-print":{"date-parts":[[2001,9,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE<\/jats:title>\n                  <jats:p>To compare the effectiveness of routine neonatal examination performed by senior house officers (SHOs) and advanced neonatal nurse practitioners (ANNPs).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>DESIGN<\/jats:title>\n                  <jats:p>A prospective study of all infants referred to specialist orthopaedic, ophthalmology, and cardiology clinics. A standardised proforma was used to record details of the professional performing the neonatal check, any abnormalities discovered, source of ultimate referral to the specialist clinic, and specialist findings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>527 eligible infants were recruited. For hip abnormalities, ANNPs displayed greater sensitivity than SHOs (96% <jats:italic>v<\/jats:italic> 74%; p\u2009&lt;\u20090.05). Similarly for eye abnormalities, ANNPs were more sensitive (100% <jats:italic>v<\/jats:italic> 33%; p\u2009&lt;\u20090.05). There were no significant differences between ANNPs and SHOs in terms of positive predictive values or effectiveness of detecting cardiac abnormalities. There was no difference in underlying incidence of abnormalities between the two hospitals.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSION<\/jats:title>\n                  <jats:p>ANNPs are significantly more effective in detecting abnormalities during the neonatal check. This has implications both for future workforce planning and current methods of medical training.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/fn.85.2.f100","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T06:37:59Z","timestamp":1027751879000},"page":"F100-F104","source":"Crossref","is-referenced-by-count":56,"title":["Routine neonatal examination: effectiveness of trainee paediatrician compared with advanced neonatal nurse practitioner"],"prefix":"10.1136","volume":"85","author":[{"given":"T W R","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Hull and East Yorkshire Hospitals NHS Trust, Anlaby Road, Hull HU3 2JZ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R E","family":"Skelton","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Hull and East Yorkshire Hospitals NHS Trust, Anlaby Road, Hull HU3 2JZ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Skene","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Hull and East Yorkshire Hospitals NHS Trust, Anlaby Road, Hull HU3 2JZ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2001,9,1]]},"reference":[{"key":"2025090503192445000_85.2.F100.1","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1136\/bmj.318.7184.619","article-title":"The role of the routine neonatal examination [editorial].","volume":"318","author":"Hall","year":"1999","journal-title":"BMJ"},{"key":"2025090503192445000_85.2.F100.2","doi-asserted-by":"publisher","DOI":"10.1136\/fn.80.1.F49"},{"key":"2025090503192445000_85.2.F100.3","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1017\/S1047951100008398","article-title":"Early clinical screening of neonates for congenital heart defects: the cases we miss.","volume":"9","author":"Meberg","year":"1999","journal-title":"Cardiology in the Young"},{"key":"2025090503192445000_85.2.F100.4","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1136\/bmj.318.7180.362","article-title":"National cross sectional study of detection of congenital and infantile cataract in the United Kingdom: role of childhood screening and surveillance. The British Congenital Cataract Interest Group.","volume":"318","author":"Rahi","year":"1999","journal-title":"BMJ"},{"key":"2025090503192445000_85.2.F100.5","first-page":"1532","article-title":"The critical period for surgical treatment of dense congenital unilateral cataract.","volume":"37","author":"Birch","year":"1996","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"2025090503192445000_85.2.F100.6","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1136\/bmj.318.7184.627","article-title":"Neonatal examination and screening trial (NEST): a randomised, controlled, switchback trial of alternative policies for low risk infants.","volume":"318","author":"Glazener","year":"1999","journal-title":"BMJ"},{"key":"2025090503192445000_85.2.F100.7","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1302\/0301-620X.80B6.0800943","article-title":"Neonatal detection of developmental dysplasia of the hip (DDH) [editorial].","volume":"80","author":"Jones","year":"1998","journal-title":"J Bone Joint Surg [Br]"},{"key":"2025090503192445000_85.2.F100.8","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7200.1766"},{"issue":"4","key":"2025090503192445000_85.2.F100.9","first-page":"23","article-title":"The advanced neonatal nurse practitioner\u2014room for one more?","volume":"2","author":"Doherty","year":"1996","journal-title":"Journal of Neonatal Nursing"},{"key":"2025090503192445000_85.2.F100.10","first-page":"6","article-title":"Advanced neonatal practice: The northern experience so far.","volume":"3","author":"Allen","year":"1997","journal-title":"Journal of Neonatal Nursing"},{"key":"2025090503192445000_85.2.F100.11","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1997.1997025257.x"},{"key":"2025090503192445000_85.2.F100.12","doi-asserted-by":"publisher","DOI":"10.1136\/adc.74.5.445"},{"key":"2025090503192445000_85.2.F100.13","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/BF00450934","article-title":"The diagnosis of congenital hip-joint dislocation by the ultrasonic compound treatment.","volume":"97","author":"Graf","year":"1980","journal-title":"Arch Orthop Trauma Surg"},{"key":"2025090503192445000_85.2.F100.14","unstructured":"Colton T (1974) Statistics in medicine. (Little, Brown, and Company, Boston)."},{"key":"2025090503192445000_85.2.F100.15","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-5245(97)90002-X"},{"key":"2025090503192445000_85.2.F100.16","first-page":"92","article-title":"A cost-effectiveness analysis of neonatal nurse practitioners.","volume":"15","author":"Bissinger","year":"1997","journal-title":"Nursing Economics"},{"key":"2025090503192445000_85.2.F100.17","first-page":"112","article-title":"Sonographic hip screening and early management of developmental dysplasia of the hip.","volume":"8","author":"Falliner","year":"1999","journal-title":"J Paediatr Orthop B"},{"key":"2025090503192445000_85.2.F100.18","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1111\/j.1651-2227.1996.tb13998.x","article-title":"Ultrasonographic evaluation of breech presentation as a risk factor for hip dysplasia.","volume":"85","author":"Holen","year":"1996","journal-title":"Acta Paediatr"},{"key":"2025090503192445000_85.2.F100.19","doi-asserted-by":"publisher","DOI":"10.1136\/fn.80.1.F43"},{"key":"2025090503192445000_85.2.F100.20","unstructured":"Department of Health. A health service for all the talents. http:\/\/www.doh.gov.uk\/pdfs\/workforce.pdf."},{"key":"2025090503192445000_85.2.F100.21","unstructured":"Department of Health. The NHS plan. http:\/\/www.doh.gov.uk\/nhsplan\/nhsplan.htm."}],"container-title":["Archives of Disease in Childhood - Fetal and Neonatal Edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/fn.85.2.F100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T10:19:36Z","timestamp":1757067576000},"score":1,"resource":{"primary":{"URL":"https:\/\/fn.bmj.com\/lookup\/doi\/10.1136\/fn.85.2.F100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,9,1]]},"references-count":21,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2001,9,1]]},"published-print":{"date-parts":[[2001,9,1]]}},"alternative-id":["10.1136\/fn.85.2.F100"],"URL":"https:\/\/doi.org\/10.1136\/fn.85.2.f100","relation":{},"ISSN":["1359-2998","1468-2052"],"issn-type":[{"type":"print","value":"1359-2998"},{"type":"electronic","value":"1468-2052"}],"subject":[],"published":{"date-parts":[[2001,9,1]]}}}