Individualized Skill-Based Manikin Training Coupled with a Team Approach May Enhance Delivery Room Neonatal...

Area of Science:

• Neonatal Medicine
• Medical Education
• Simulation Training

Background:

• Neonatal resuscitation requires precise skills, especially effective bag mask ventilation (BMV).
• Low-resource settings face challenges in providing adequate neonatal resuscitation training.
• Existing training may not adequately address both individual skills and team communication.

Purpose of the Study:

• To implement and evaluate a multi-modal resuscitation curriculum.
• To assess the curriculum's impact on adherence to neonatal resuscitation steps.
• To improve effective bag mask ventilation (BMV) during high-risk deliveries in a low-resource hospital.

Main Methods:

• A single-center prospective observational manikin study was conducted.
• The study involved three phases: pre-assessment, individual skill assessment/testing, and team simulation training.
• Clinical observations of high-risk deliveries were performed post-training.

Main Results:

• Healthcare providers knew when to initiate BMV but lacked knowledge of effective parameters.
• Initial individual skill assessments showed higher proficiency in midwives, but team testing revealed performance gaps.
• Clinical observations indicated improved adherence to preparation, stabilization, and resuscitation, with effective BMV in most cases.

Conclusions:

• A multi-modal approach combining individual and team training enhances neonatal resuscitation.
• Focusing on preparation, communication, and immediate feedback is crucial for skill improvement.
• This training model shows promise for improving neonatal resuscitation in resource-limited environments.