Title: Knowledge and skill based training on neonatal resuscitation protocol to MBBS interns posted in neonatal ward – A before and after study
Authors: Dr Himanshu Sekhar Sahoo, Dr Sasmita Devi Agrawal, Dr Lisa Sarangi, Dr Gautam Tripathy, Dr Sidhant Swarup, Dr Smruti Dash Mohapatra
DOI: https://dx.doi.org/10.18535/jmscr/v7i10.141
Abstract
Background: Effective resuscitation at birth can prevent a large proportion of neonatal deaths. Competency in cardio-pulmonary resuscitation is a critical factor in determining successful outcomes in neonate. Use of simulation-based learning methodologies enhances performance in both simulated resuscitations and real-life clinical situations. Retention of skill is more important for the MBBS doctors who hardly get any exposure to such learning before entering post-graduation course.
Method: After obtaining consent, MBBS interns were oriented to the study and a pre-post questionnaire was administered to themto assess their knowledge and skill regarding NRP and was followed by NRP training. At the end of the posting and after completion of 6 months, the same questionnaire was administered for knowledge and skill assessment.
Results: 63.3% pre intervention could elicit correct response. 90.7% immediate post intervention could elicit correct response (p-value <0.00001). 61.8% after 6 month post intervention could elicit correct response (p-value <0.00001).
Conclusion: Decline in knowledge and skills is a significant barrier to the success of NRP training programs and possibly a hurdle in reducing new-born morbidity and mortality. Refresher training and structured practice has shown significant promise in success of Neonatal resuscitation programme.
Keywords: Neonatal Resuscitation Protocol, Birth asphyxia, Bag and Mask Ventilation, Chest compression.
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