Skip to main content
Search
Search
Quick Search anywhere
Advanced Search
Original Article

Sustained Effect of Simulation-Based Resuscitation Education on Knowledge, Self-Confidence, and Performance Ability of Neonatal Intensive Care Unit Nurses

    The Journal of Continuing Education in Nursing, 2024;55(2):79–86
    Cite this articlePublished Online:November 14, 2023https://doi.org/10.3928/00220124-20231109-05

    Abstract

    Background:

    Simulation education is essential for the development of nurses' practical skills. This study evaluated the impact and duration of simulation-based neonatal resuscitation education on the knowledge, self-confidence, and performance ability of neonatal intensive care unit (NICU) nurses.

    Method:

    This quasi-experimental study was conducted in South Korea and included 35 NICU nurses working in tertiary hospitals between August and October 2021. Simulation-based neonatal resuscitation education (NRE) was provided for 80 minutes, and its effectiveness was measured in terms of nurses' knowledge, self-confidence, and performance ability. Data collection was conducted before, 1 week after, 3 weeks after, and 5 weeks after the training, and the collected data were calculated and analyzed using a t test and repeated measures analysis of variance.

    Results:

    Simulation-based NRE improved knowledge, self-confidence, and performance in neonatal resuscitation. Performance ability showed greater improvement than knowledge or self-confidence, and all three areas showed significant differences in score changes over time.

    Conclusion:

    The duration of the training effect should be considered an important factor. [J Contin Educ Nurs. 2024;55(2):79–86.]

    • Ades A., & Lee H. C. (2016). Update on simulation for the neonatal resuscitation program. Seminars in Perinatology, 40(7), 447–454. 10.1053/j.semperi.2016.08.005

      > Crossref MedlineGoogle Scholar
    • Ahn M. S., Jo H. S., Uhm D. C., & Ji H. H. (2017). Retention effect of basic life support education program on attitude, knowledge, skillfulness for nursing students. Journal of Korean Academic Society of Nursing Education, 23(4), 441–451. 10.5977/jkasne.2017.23.4.441

      > CrossrefGoogle Scholar
    • American Academy of Pediatrics. (2021a). NRP 8th edition updates. https://www.aap.org/en/learning/neonatal-resuscitation-program/8th-edition-updates

      > Google Scholar
    • American Academy of Pediatrics. (2021b). Textbook of neonatal resuscitation (8th ed.). American Academy of Pediatrics. 10.1542/9781610025256

      > CrossrefGoogle Scholar
    • An M., Cho H. N., Dordunoo D., & Hwang Y. Y. (2019). Development and effects of a simulation-based convergence practicum education program for nursing seniors. Journal of Convergence for Information Technology, 9(10), 16–27. 10.22156/CS4SMB.2019.9.10.016

      > CrossrefGoogle Scholar
    • Arnold J., & Diaz M. C. G. (2016). Simulation training for primary caregivers in the neonatal intensive care unit. Seminars in Perinatology, 40(7), 466–472. 10.1053/j.semperi.2016.08.007 PMID:27810116

      > Crossref MedlineGoogle Scholar
    • Borg Sapiano A., Sammut R., & Trapani J. (2018). The effectiveness of virtual simulation in improving student nurses' knowledge and performance during patient deterioration: A pre and post test design. Nurse Education Today, 62(62), 128–133. 10.1016/j.nedt.2017.12.025 PMID:29335162

      > Crossref MedlineGoogle Scholar
    • Briggs D. C., Eneh A. U., & Alikor E. A. D. (2021). Basic neonatal resuscitation: Retention of knowledge and skills of primary health care workers in Port Harcourt, Rivers State, Southern Nigeria. The Pan African Medical Journal, 38(75), 75. 10.11604/pamj.2021.38.75.25812 PMID:33889241

      > Crossref MedlineGoogle Scholar
    • Cant R. P., & Cooper S. J. (2010). Simulation-based learning in nurse education: Systematic review. Journal of Advanced Nursing, 66(1), 3–15. 10.1111/j.1365-2648.2009.05240.x PMID:20423432

      > Crossref MedlineGoogle Scholar
    • Cepeda Brito J. R., Hughes P. G., Firestone K. S., Ortiz Figueroa F., Johnson K., Ruthenburg T., McKinney R., Gothard M. D., Ahmed R., & Ahmed R. (2017). Neonatal resuscitation program rolling refresher: Maintaining chest compression proficiency through the use of simulation-based education. Advances in Neonatal Care, 17(5), 354–361. 10.1097/ANC.0000000000000384 PMID:28195835

      > Crossref MedlineGoogle Scholar
    • Charafeddine L., Badran M., Nakad P., Ammar W., & Yunis K. (2016). Strategic assessment of implementation of neonatal resuscitation training at a national level. Pediatrics International, 58(7), 595–600. 10.1111/ped.12868 PMID:26662795

      > Crossref MedlineGoogle Scholar
    • Copple S. (2020). Enhanced neonatal resuscitation provider course for novice learner. Nursing for Women's Health, 24(4), 256–266. 10.1016/j.nwh.2020.05.009 PMID:32679068

      > Crossref MedlineGoogle Scholar
    • Crowe S., Ewart L., & Derman S. (2018). The impact of simulation based education on nursing confidence, knowledge and patient outcomes on general medicine units. Nurse Education in Practice, 29, 70–75. 10.1016/j.nepr.2017.11.017 PMID:29190590

      > Crossref MedlineGoogle Scholar
    • Dettinger J. C., Kamau S., Calkins K., Cohen S. R., Cranmer J., Kibore M., Gachuno O., & Walker D. (2018). Measuring movement towards improved emergency obstetric care in rural Kenya with implementation of the PRONTO simulation and team training program. Maternal and Child Nutrition, 14(Suppl. 1), e12465. 10.1111/mcn.12465 PMID:29493898

      > Crossref MedlineGoogle Scholar
    • Ding X., Wang L., Msellem M. I., Hu Y., Qiu J., Liu S., Zhang M., Zhu L., & Latour J. M. (2021). Evaluation of a neonatal resuscitation training programme for healthcare professionals in Zanzibar, Tanzania: A pre-post intervention study. Frontiers in Pediatrics, 9, 693583. 10.3389/fped.2021.693583 PMID:34262890

      > Crossref MedlineGoogle Scholar
    • Foronda C., Gattamorta K., Snowden K., & Bauman E. B. (2014). Use of virtual clinical simulation to improve communication skills of baccalaureate nursing students: A pilot study. Nurse Education Today, 34(6), e53–e57. 10.1016/j.nedt.2013.10.007 PMID:24231637

      > Crossref MedlineGoogle Scholar
    • Halamek L. P. (2008). Educational perspectives: The genesis, adaptation, and evolution of the Neonatal Resuscitation Program. NeoReviews, 9(4), e142–e149. 10.1542/neo.9-4-e142

      > CrossrefGoogle Scholar
    • Hur H. K., & Park S. M. (2012). Effects of simulation-based education, for emergency care of patients with dyspnea, on knowledge and performance confidence of nursing students. Journal of Korean Academic Society of Nursing Education, 18(1), 111–119. 10.5977/jkasne.2012.18.1.111

      > CrossrefGoogle Scholar
    • Ji E. A. (2019). Development and evaluation of extremely low birth weight infant nursing simulation education program for nurses in neonatal intensive care unit. Journal of Korea Academia-Industrial Cooperation Society, 23(5), 321–333. 10.5762/KAIS.2022.23.5.321

      > CrossrefGoogle Scholar
    • Karageorge N., Muckler V. C., Toper M., & Hueckel R. (2020). Using simulation with deliberate practice to improve pediatric ICU nurses' knowledge, clinical teamwork, and confidence. Journal of Pediatric Nursing, 54(54), 58–62. 10.1016/j.pedn.2020.05.020 PMID:32544800

      > Crossref MedlineGoogle Scholar
    • Kassab M., & Kenner C. (2011). Simulation and neonatal nursing education. Newborn and Infant Nursing Reviews, 11(1), 8–9. 10.1053/j.nainr.2010.12.006

      > CrossrefGoogle Scholar
    • Kim E. J. (2021). The influencing factors on clinical competence in simulation-based education among nursing students. The Journal of Learner-Centered Curriculum and Instruction, 21(14), 711–720.

      > Google Scholar
    • Lasater K. (2007). High-fidelity simulation and the development of clinical judgment: Students' experiences. Journal of Nursing Education, 46(6), 269–276. 10.3928/01484834-20070601-06 PMID:17580739

      > LinkGoogle Scholar
    • Lee C., So H., Kim Y., Kim A., & An M. J. (2014). The effects of high fidelity simulation-based education on clinical competence and confidence in nursing students: A systematic review. The Journal of the Korea Contents Association, 14(10), 850–861. 10.5392/JKCA.2014.14.10.850

      > CrossrefGoogle Scholar
    • Letcher D. C., Roth S. J., & Varenhorst L. J. (2017). Simulation-based learning: Improving knowledge and clinical judgment within the NICU. Clinical Simulation in Nursing, 13(6), 284–290. 10.1016/j.ecns.2017.03.001

      > CrossrefGoogle Scholar
    • Lindhard M. S., Thim S., Laursen H. S., Schram A. W., Paltved C., & Henriksen T. B. (2021). Simulation-based neonatal resuscitation team training: A systematic review. Pediatrics, 147(4), e2020042010 Advance online publication. 10.1542/peds.2020-042010 PMID:33762309

      > Crossref MedlineGoogle Scholar
    • Murphy J. P., Kurland L., Rådestad M., Magnusson S., Ringqvist T., & Rüter A. (2021). Emergency department registered nurses overestimate their disaster competency: A cross-sectional study. International Emergency Nursing, 58, 101019. 10.1016/j.ienj.2021.101019

      > Crossref MedlineGoogle Scholar
    • Patterson J., North K., Dempsey E., Ishoso D., Trevisanuto D., Lee A. C., Kamath-Rayne B. D., & Newborn Brain Society Guidelines and Publications Committee. (2021). Optimizing initial neonatal resuscitation to reduce neonatal encephalopathy around the world. Seminars in Fetal & Neonatal Medicine, 26(4), 101262. 10.1016/j.siny.2021.101262

      > Crossref MedlineGoogle Scholar
    • Phrampus P. E., & O'Donnell J. M. (2013). Debriefing using a structured and supported approach. In Levine A. I., DeMaria S., Schwartz A. D., & Sim A. J. (Eds.), The comprehensive textbook of healthcare simulation (pp. 73–84).Springer.

      > CrossrefGoogle Scholar
    • Robinson T., Santorino D., Dube M., Twine M., Najjuma J. N., Cherop M., Kyakwera C., Brenner J., Singhal N., Bajunirwe F., Wishart I., Lin Y., Lorentzen H., Lutnæs D. E., & Cheng A. (2020). Sim for life: Foundations—A simulation educator training course to improve debriefing quality in a low resource setting. A pilot study. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 15(5), 326–334. 10.1097/SIH.0000000000000445

      > CrossrefGoogle Scholar
    • Sintayehu Y., Desalew A., Geda B., Shiferaw K., Tiruye G., Mulatu T., & Mezmur H. (2020). Knowledge of basic neonatal resuscitation and associated factors among midwives and nurses in public health institutions in eastern Ethiopia. International Journal of General Medicine, 13, 225–233. 10.2147/IJGM.S255892 PMID:32547164

      > Crossref MedlineGoogle Scholar
    • Smith T. S., Dudding K., Knight C., Sanders A., Currie E., & Shorten A. (2020). Highlighting simulation practices in the neonatal environment. Neonatal Network, 39(5), 257–262. 10.1891/0730-0832.39.5.257 PMID:32879041

      > Crossref MedlineGoogle Scholar
    • Taylor N., Nair V., & Grimbley J. (2022). Better general paediatric and neonatal palliative care skills: Simulation teaching. BMJ Supportive & Palliative Care. Advance online publication. 10.1136/bmjspcare-2021-003389

      > CrossrefGoogle Scholar
    • Umoren R., Bucher S., Hippe D. S., Ezenwa B. N., Fajolu I. B., Okwako F. M., Feltner J., Nafula M., Musale A., Olawuyi O. A., Adeboboye C. O., Asangansi I., Paton C., Purkayastha S., Ezeaka C. V., & Esamai F. (2021). eHBB: A randomised controlled trial of virtual reality or video for neonatal resuscitation refresher training in healthcare workers in resource-scarce settings. BMJ Open, 11(8), e048506. 10.1136/bmjopen-2020-048506 PMID:34433598

      > Crossref MedlineGoogle Scholar
    • Yoo S. Y. (2013). Development and effects of a simulation-based education program for newborn emergency care. Journal of the Korean Academy of Nursing, 43(4), 468–477. 10.4040/jkan.2013.43.4.468

      > Crossref MedlineGoogle Scholar
    Previous article
    Next article

    We use cookies on this site to enhance your user experience. For a complete overview of all the cookies used, please see our privacy policy.

    ×