Abstract
The neonatal resuscitation program (NRP) has been developed to educate physicians and other health care providers about newborn resuscitation and has been shown to improve neonatal resuscitation skills. Simulation-based training is recommended as an effective modality for instructing neonatal resuscitation and both low and high-fidelity manikin simulators are used. There is limited research that has compared the effect of low and high-fidelity manikin simulators for NRP learning outcomes, and more specifically on teamwork performance and confidence. The purpose of this study was to examine the effect of using low versus high-fidelity manikin simulators in NRP instruction. A randomized posttest-only control group study design was conducted. Third year undergraduate medical students participated in NRP instruction and were assigned to an experimental group (high-fidelity manikin simulator) or control group (low-fidelity manikin simulator). Integrated skills station (megacode) performance, participant satisfaction, confidence and teamwork behaviour scores were compared between the study groups. Participants in the high-fidelity manikin simulator instructional group reported significantly higher total scores in overall satisfaction (p = 0.001) and confidence (p = 0.001). There were no significant differences in teamwork behaviour scores, as observed by two independent raters, nor differences on mandatory integrated skills station performance items at the p < 0.05 level. Medical students’ reported greater satisfaction and confidence with high-fidelity manikin simulators, but did not demonstrate overall significantly improved teamwork or integrated skills station performance. Low and high-fidelity manikin simulators facilitate similar levels of objectively measured NRP outcomes for integrated skills station and teamwork performance.
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Acknowledgments
NRP training offered in conjunction with the study was only possible due to the collaborative efforts of: the Perinatal Program NL; Ms. Darlene Toope (neonatal educator); Ms. Diana Parsons (NRP instructor); Undergraduate Medical Education (UGME), Faculty of Medicine, Memorial University (Ms. Paula Mullins-Richards and Ms. Wandalee Cole); Medical Simulation Unit, Faculty of Medicine/Eastern Health (Ms. Joanne Hapgood and Ms. Sherry Pritchett-Kelly); Laerdal Canada (Mr. Scott Spearn, Vice-President and General Manager); and College of the North Atlantic, St. John’s, NL for providing an extra manikin and equipment.
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Curran, V., Fleet, L., White, S. et al. A randomized controlled study of manikin simulator fidelity on neonatal resuscitation program learning outcomes. Adv in Health Sci Educ 20, 205–218 (2015). https://doi.org/10.1007/s10459-014-9522-8
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DOI: https://doi.org/10.1007/s10459-014-9522-8