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A New Remote Digital Training System to Improve Neonatal Resuscitation Continuing Education Program in Low-Resource

Rosa T Scaramuzzo¹, Serena Bardelli, Giulia Nuzzi

¹From the Centro di Formazione e Simulazione Neonatale NINA, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy (R.T.S., S.B., G.N., G.S., A.C., M.C.); U.O. Neonatologia, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy (R.T.S., G.N., A.C., M.C.); and Saint Joseph's Hospital, Ikelu, Njombe, Tanzania (A.B.).

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare

|January 20, 2026

Summary

A new telesimulation device improved neonatal resuscitation skills significantly. This distance learning program enhances professional development for healthcare workers, reducing neonatal mortality through better care quality.

Keywords:

Low-resource countries cooperation neonatal resuscitation telesimulation

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Area of Science:

Medical Education
Neonatal Care Technology
Simulation-Based Training

Background:

Neonatal mortality is high, with 87.5% of deaths occurring in the first week of life.
Improving the quality of neonatal care presents a critical opportunity to reduce mortality.
Healthcare personnel require continuous professional development in neonatal care.

Purpose of the Study:

To describe a distance learning program for neonatal care.
To introduce a novel telesimulation device for training.
To facilitate continuous professional development for neonatal healthcare providers.

Main Methods:

A cooperative program involving medical instrumentation providers and neonatologists was established.
A telesimulation tool was developed for local and remote management.
The tool was implemented to enhance training accessibility and sustainability.

Main Results:

Neonatal resuscitation simulations showed statistically significant performance improvements.
Technical skills improved by an average of 38.78%.
Nontechnical skills improved by an average of 71.42%.

Conclusions:

The telesimulation tool effectively reinforces neonatal resuscitation knowledge.
The system's dual-mode operation (autonomous and remote) is innovative.
This technology supports a sustainable and continuous training model for neonatal care.