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Effect of skill drills on neonatal ventilation performance in a simulated setting—observation study in Nepal
| Content Provider | Semantic Scholar |
|---|---|
| Author | Gurung, Rejina Gurung, Abhishek Sunny, Avinash K. Basnet, Omkar Shrestha, Shree Krishna Gomo, Øystein Herwig Myklebust, Helge Girnary, Sakina Kc, Ashish |
| Copyright Year | 2019 |
| Abstract | AimMaintaining neonatal resuscitation skills among health workers in low-resource settings will require continuous quality improvement efforts. We aimed to evaluate the effect of skill drills and feedback on neonatal resuscitation and the optimal number of skill drills required to maintain the ventilation skill in a simulated setting.MethodsAn observational study was conducted for a period of 3 months in a referral hospital of Nepal. Sixty nursing staffs were trained on Helping Babies Breathe (HBB) 2.0 and daily skill drills using a high-fidelity manikin. The high-fidelity manikin had different clinical case scenarios and provided feedback as “well done” or “improvement required” based on the ventilation performance. Adequate ventilation was defined as bag-and-mask ventilation at the rate of 40–60 breaths per minute. The effective ventilation was defined as adequate ventilation with a “well done” feedback. We assessed the correlation of the number of skill drills and clinical case scenario with adequate ventilation rate using Pearson’s correlation. We assessed the correlation of the number of skill drills performed by each participant with effective ventilation using the Mann-Whitney test.ResultsAmong the total of 60 nursing staffs, all of them were competent with an average score of 12.73 ± 1.09 out of 14 (p < 0.001) on bag-and-mask ventilation skill checklist. Among the trained staffs, 47 staffs participated in daily skill drills who performed a total of 331 skill drills and 68.9% of the ventilations were done adequately. Among the 47 nursing staffs who performed the skill drills, 228 (68.9%) drills were conducted at a ventilation rate of 40–60 breaths per minute. There was no correlation in the adequate ventilation with the skill drill category (p = 0.88) and the level of skill performed (p = 0.28). Out of 47 participants performing the skill drills, 74.5% of them had done effective ventilation with a mean average of 8 skill drills (SD ± 4.78) (p value 0.032).ConclusionIn a simulated setting, participants who had an average skill drill of 8 in 3 months had effective ventilation. We demonstrated optimal skill drill sessions to maintain the neonatal resuscitation competency. Further evaluation will be required to validate the findings in a scale-up setting. |
| File Format | PDF HTM / HTML |
| DOI | 10.1186/s13287-019-1421-8 |
| PubMed reference number | 31665088 |
| Journal | Medline |
| Volume Number | 10 |
| Alternate Webpage(s) | https://stemcellres.biomedcentral.com/track/pdf/10.1186/s13287-019-1421-8 |
| Alternate Webpage(s) | https://doi.org/10.1186/s13287-019-1421-8 |
| Journal | Stem Cell Research & Therapy |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
