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Launching a Neonatal Resuscitation Escape Room to Combat High Infant Mortality Rates: A Quality Improvement Project.

Ellen Marie Campos¹, Kathryn L Dambrino, Jennifer Sternberg

¹Author Affiliations: Belmont University Gordon E. Inman College of Nursing, Nashville, Tennessee (Drs Campos, Dambrino, Sternberg, McCoy, Garner, Hallmark, and Honey); Baylor University Louise Herrington School of Nursing, Dallas, Texas (Dr Ke); Bangalore Baptist Hospital College of Nursing, Bengaluru, Karnataka, India (Drs Lourduswamy and Victor, Ms Kirubha); and Flinders Medical Centre, Bedford Park, SA, Australia (Ms Natt).

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses

|April 21, 2026

Summary

This summary is machine-generated.

Neonatal resuscitation (NNR) escape rooms improved nursing students' knowledge retention and competency in managing infant distress. This innovative approach enhanced teamwork and provided a safe, engaging learning environment in South India.

Keywords:

India escape room game-based learning gamification neonatal resuscitation nursing education

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Area of Science:

Medical Education
Nursing Simulation
Quality Improvement in Healthcare

Background:

High infant mortality rates in South India necessitate advanced nurse training for neonatal resuscitation (NNR).
Improved nurse competency in NNR and recognizing infant distress is linked to reduced infant mortality.

Purpose of the Study:

To design and implement a simulated NNR escape room for undergraduate nursing students in South India.
To enhance NNR outcomes through an innovative, experiential learning activity.

Main Methods:

A quantitative descriptive design was employed for this quality improvement project.
Undergraduate nursing students completed an NNR escape room simulation after an asynchronous maternal-fetal nursing course.
Facilitator and student surveys assessed NNR skill completion and learning experience perceptions.

Main Results:

Participation in the NNR escape room led to increased knowledge retention regarding infant distress.
Students demonstrated improved NNR competency, successfully completing resuscitation sequences with minimal assistance.
Students reported enhanced teamwork and collaboration skills, with both groups finding the experience engaging and psychologically safe.

Conclusions:

The NNR escape room served as an effective, innovative learning activity for nursing students in South India.
This project highlights the potential of simulation-based escape rooms to improve NNR education and outcomes.