The Utility of Simulation-Based Training in Teaching Frontline Providers Modified Sarnat Encephalopathy Examination:...

Area of Science:

• Neonatal neurology
• Medical education
• Telemedicine

Background:

• Frontline providers face challenges in identifying newborns with perinatal asphyxia due to limited training in neurological examinations.
• Accurate identification is crucial for timely therapeutic hypothermia, especially in telemedicine settings.

Purpose of the Study:

• To evaluate the effectiveness of online and low-fidelity mannequin training for neonatal neurological examination (MSEE) among nurses.
• To compare skill acquisition and retention between simulation-based and traditional training methods.

Main Methods:

• A randomized controlled pilot study involved neonatal nurses trained via an online module and hands-on sessions using either a low-fidelity mannequin or a healthy infant.
• Trained nurses performed MSEEs on normal newborns, with video recordings assessed by blinded neonatologists.
• Skill retention was assessed after three months.

Main Results:

• Both training groups demonstrated comparable diagnostic value in MSEE (93.75% simulation vs. 94.11% traditional).
• The simulation group exhibited significantly better skill retention at three months (84%) compared to the traditional group (66.7%).

Conclusions:

• Online and low-fidelity mannequin training are effective alternatives to traditional methods for teaching MSEE in term neonates.
• Simulation-based training enhances long-term skill retention in neonatal neurological assessment.