Enhancing residents’ neonatal resuscitation competency through team-based simulation training: an intervention educational study

BMC Medical Education

Research

Atefeh Zabihi Zazoly¹  Fattane Amuei²  Ali Asghar Ghorbani³  Roya Farhadi⁴  Mozhgan Ahmadi⁵  Bita Khalili Azandehi⁶ 

[1] Assistant Professor, Operating Room Department, School of Allied Medical Sciences, Mazandaran University of Medical Sciences, Sari, Iran;Assistant Proffessor, Center for Studies and Development of Medical Sciences Education, Mazandaran University of Medical Sciences, Sari, Iran;Assistant professor, School of Aliied Medical Sciences, Mazandaran University of Medical Sciences, Sari, Iran;Associate Professor, Pediatric Infectious Diseases Research Center, Mazandaran University of Medical Sciences, Sari, Iran;Head Nurse of Neonatology ward, Boo-Ali Sina educational and therapeutic center, Mazandaran University of Medical Sciences, Sari, Iran;Ph.D. of Medical Education, Social Security Organization, Education & Research Unit, Valiasr Regional Hospital, Sari Azad university, Ghaemshahr, Iran;

关键词: Newborn;    Resuscitation;    Simulation;    Education;    Teamwork;    Debriefing;   

DOI  :  10.1186/s12909-023-04704-4

 received in 2022-11-14, accepted in 2023-09-20,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundNeonatal resuscitation training in a simulated delivery room environment is a new paradigm in pediatric medical education. The purpose of this research is to highlight team-based simulation as an effective method of teaching neonatal resuscitation to senior pediatric residents.MethodsIn an intervention educational study, we evaluated the impact of team-based simulation training in the development of neonatal resuscitation. A team consisting of a three-person group of senior pediatric residents performed neonatal resuscitation on a low-fidelity newborn simulator based on the stated scenario. Video-based structured debriefing was performed and followed by the second cycle of scenario and debriefing to evaluate the feasibility of conducting team-based simulation training in a lesser-resourced environment. Evaluation criteria included megacode scores which is a simulation performance checklist, pre-and post-test scores to evaluate residents’ knowledge and confidence, the survey checklist as a previously developed questionnaire assessing residents’ satisfaction, and debriefing from live and videotaped performances. Four months after the end of the training course, we measured the behavioral changes of the residents by conducting an OSCE test to evaluate post-training knowledge retention. Mean ± SD was calculated for megacode, satisfaction (survey checklist), and OSCE scores. Pre- and post-program gains were statistically compared. The first three levels of Kirkpatrick’s training effectiveness model were used to evaluate the progress of the program.ResultsTwenty-one senior residents participated in the team-based simulation. The mean ± SD of the megacode score was 35.6 ± 2.2. The mean ± SD of the overall satisfaction score for the evaluation of the first level of the Kirkpatrick model was 96.3 ± 3.7. For the evaluation of the second level of the Kirkpatrick model, the pre-posttest gain in overall confidence score had a statistically significant difference (P = 0.001). All residents obtained a passing grade in OSCE as an evaluation of the third level.ConclusionsTeam-based simulation training in neonatal resuscitation improves the knowledge, skills, and performance of pediatric residents and has a positive effect on their self-confidence and leadership skills. There is still a need to investigate the transfer of learning and abilities to real-life practice, and further research on cost-effectiveness and impact on patient outcomes is warranted.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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