The Utility of Simulation-Based Training in Teaching Frontline Providers Modified Sarnat Encephalopathy Examination: A Randomized Controlled Pilot Trial - 12/01/23
Abstract |
Background |
Limited training in targeted neurological examination makes it challenging for frontline providers to identify newborns with perinatal asphyxia eligible for therapeutic hypothermia. This training is important in the era of telemedicine, where the experts can remotely guide further care of these newborns.
Methods |
This randomized controlled pilot study was conducted in a South Indian tertiary hospital. Neonatal nurses, who had no previous hands-on experience in MSEE, were trained in modified Sarnat staging by a didactic teaching session using online teaching module. The nurses were then randomized into two groups for hands-on demonstration by the same trainer (low-fidelity mannequin versus a healthy term newly born infant). After the training period, MSEEs of a normal newborn were performed independently by nurses and were video recorded and assessed by three blinded neonatologists with expertise in neonatal neurology. A follow-up examination was performed by the same nurses after three months to assess skill retention.
Results |
The 10 global ratings of the components of the MSEE were comparable among both groups in both initial and follow-up assessments. The overall diagnostic value was comparable between the simulation and traditional groups (93.75%, 94.11%, respectively). Follow-up examination after three months showed better skill retention in the simulation group (84%) compared with the traditional group (66.7%).
Conclusions |
Online-based and low-fidelity mannequin training was equally effective as the traditional method of teaching MSEE in term neonates.
Le texte complet de cet article est disponible en PDF.Keywords : Targeted neonatal neurological examination, Sarnat score for neonatal encephalopathy, neonatal nurses, Low-fidelity mannequin, Simulation-based education, Neonate, Newborn, Hypoxic-ischemic encephalopathy
Plan
| Funding: None. |
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| Competing interest: None stated. |
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| Contributors: S.P.: contributed to conception and design, acquisition, analysis, interpretation, and manuscript writing. R.A.B.: contributed to conception and design, acquisition, analysis, and interpretation. H.Z.: contributed to creating the teaching materials and scoring the videos; P.M.: contributed to creating the teaching materials and scoring the videos; H.B.S.: created Sarnat score. K.M.: conceptualized and led the study design, created the teaching materials, scored the videos, and performed the analysis. All authors drafted the manuscript, critically revised the manuscript, gave final approval, and agreed to be accountable for all aspects of work ensuring integrity and accuracy. |
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| Ethics approval: Institutional Ethical Committee, Renai Medicity, Kochi, Kerala; No-HR-RIMS/RMIEC/203-3(a)/2020 dated 19-01-2020 and The Conjoint Health Research Ethics Board (CHREB), University of Calgary (REB19-1368). |
Vol 139
P. 70-75 - février 2023 Retour au numéro
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