Effect of simulation on the development of cognitive skills of the first aid and emergency aid students in neonatal resuscitation

Year 2020, Volume: 45 Issue: 2, 574 - 580, 30.06.2020

Pınar Doğan , Bahar Nur Kanbur , Selmin Köse , Sonay Baltacı Göktaş

Abstract

Purpose: This study was conducted to search the effect of simulation on the development of cognitive skills of the first aid and emergency students in neonatal resuscitation.
Materials and Methods: The study, which was planned as a randomized controlled, experimental study, was performed between with 60 students studying in the second year of First Aid and Emergency Programme. The students were divided into two groups as experimental and control groups. Prior to the study, the students were provided with an information form and the Scale of Problem Solving Inventory (PSI) and the Neonatal Resuscitation Knowledge Exam were conducted on both of the groups to determine the individual characteristics of the students. The students in the experimental group were trained with the “Scenario-Based Simulation Application” while the control group was given a theoretical lecture on “Neonatal Resuscitation” by the researcher. After two weeks, the final tests were applied to both groups.
Result: The averages of the student grades from the Neonatal Resuscitation examination after the training revealed a difference between the groups and that simulation group got higher grades, and the averages of the student groups from the PSI determined that the total grade averages of trust, personal control and total score were significantly different.
Conclusion: The use of simulation in the neonatal resuscitation training of the First Aid and Emergency students is effective and it increases the knowledge score averages and problem-solving skills of the student.

Keywords

Student, neonatal resuscitation

İlk ve acil yardım öğrencilerinin neonatal resusitasyona yönelik bilişsel becerilerinin geliştirilmesinde simülasyonun etkisi

Abstract

Amaç: Bu araştırma ilk ve acil yardım öğrencilerinin neonatal resüsitasyon konusundaki bilişsel becerilerinin arttırılmasında simülasyonun etkisinin incelenmesi amacı ile yapıldı.
Gereç ve Yöntem: Randomize kontrollü deneysel olarak planlanan araştırma İlk ve Acil Yardım bölümünün ikinci sınıfında öğrenim gören 60 öğrenci ile yapıldı. Öğrenciler deney ve kontrol grubu olarak ikiye ayrıldı. Çalışmanın öncesinde her iki gruba öğrencilerin bireysel özelliklerini belirlemeye yönelik bilgi formu, Problem Çözme becerileri ölçeği (PÇÖ) ve Neonatal Ressüsitasyona İlişkin Bilgi Sınavı yapıldı. Deney grubundaki öğrencilere “Senaryo Temelli Simülasyon Uygulaması” ile eğitim verildi, kontrol grubuna ise araştırmacı tarafından "Neonatal Ressüsitasyon" konulu teorik ders verildi. İki hafta sonra her iki gruba son testler uygulandı.
Bulgular: Öğrencilerin eğitim sonrası Neonatal Resuscitation sınavından aldıkları puan ortalamaları incelendiğinde gruplar arasında fark olduğu ve simülasyon grubunda fazla olduğu, PÇÖ’den aldıkları puan ortalamaları incelendiğinde ise, yaklaşma, kişisel kontrol ve PÇÖ toplam puan ortalamalarının istatistiksel olarak anlamlı düzeyde farklılık gösterdiği saptandı.
Sonuç: Simülasyon kullanımının İlk ve Acil Yardım öğrencilerinin neonatal resüsitasyon eğitiminde etkin olduğu, öğrencilerin bilgi puan ortalamasını ve problem çözme becerilerini arttırdığı belirlendi.

Keywords

Student, neonatal resuscitation, simulation

References

• 1. WHO. Health-related Millennium Development Goals. World HealthStatistics. 2014. Available: http://www.who.int/gho/publications/world_health_statistics/2014/en/.
• 2. Unicef, Levels&Trends in Child Mortality. Report 2013. New York, USA, 2013. Available: http://www.data.unicef.org/fckimages/uploads/1410869227_Child_MortalyReport_2014.pdf.
• 3. Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, et al. (2012) Child Health Epidemiology Reference Group of WHO and UNICEF. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet.379(9832):2151–61. doi: 10.1016/S0140-6736(12)60560-1 Epub 2012 May 11.
• 4. Perlman JM, Wyllie J, Kattwinkel J, Wyckoff MH, Aziz K, Guinsburg R. (2015).Neonatal Resuscitation Chapter Collaborators. Part 7: Neonatal Resuscitation: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Circulation.132 (16 Suppl 1):s204–41. doi: 10.1161/CIR.0000000000000276
• 5. Joint Commission on Accreditation of Healthcare Organizations Sentinelevent alert. < http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_30.htm> (Versioncurrent at October 7, 2008).
• 6. World Health Organization(WHO).(2012). Guidelines on Basic Resuscitation. WHO Library Cataloguing-in-Publication Data. ISBN 978 92 4 150369 3.
• 7. American Heart Association/ American Academy of Pediatrics. (2016). Textbook ofNeonatal Resuscitation (7thed.). Elk Grove Village, IL: American Academy of Pediatrics and American Heart Association.
• 8. Wyckoff, M.H., Aziz, K., Escobedo, M.B., Kapadia, V.S., Kattwinkel, J., Perlman, J.M.,...Zaichkin, J.G. (2015). Chapter 13: Neonatal Resuscitation. In 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 132. doi:10.1161/CIR. 0000000000000267 9. Kattwinkel J. (2006). Textbook of Neonatal Resuscitation. 4th edn. Chicago: The American Academy of Pediatrics and the American Heart Association. USA.
• 10. Singhal N, Lockyer J, Fidler H, Keenan W, Little G, Bucher S, et al. (2012). Helping Babies Breathe: global neonatal resuscitation program development and formative educational evaluation. Resuscitation.83(1):90–6. doi: 10.1016/j.resuscitation. 2011.07.010 Epub 2011 Jul 19.
• 11. Opiyo N, Were F, Govedi F, Fegan G, Wasunna A, English M. (2008). Effect of newborn resuscitation training on health worker practices in Pumwani Hospital, Kenya. PLoSOne.13; 3:e1599 doi: 10.1371/journal.pone.0001599 .
• 12. Trevisanuto D.,Bertuola F., Lanzoni P., Cavallin F., Matediana E., Manzungu O.W., Gomez E., Da Dalt L. AndPutoto G. (2015). Effect of a Neonatal Resuscitation Course on Healthcare Providers’ Performances Assessedby Video Recording in a Low-Resource Setting. PloSOne. 10(12):e:0144443.
• 13. National coretraining program forpre-graduate medical education. By; Gülpınar MA., Gürpınar E., Songur A., Vitrinel A. Retrievedfrom23.12.2018. http://www.yok.gov.tr/ documents/ 10279/38058561/ tip_ fakultesi_cep.pdf
• 14. National Core Training Program for Nursing 2014. By; Erdil F., Başer M., Kaya H., Özer N., Duygulu S., Orgun F. Retrieved from 23.12.2018. http://www.hemed.org.tr/images/stories/hucep-2014-pdf.pdf
• 15. American Academy of Pediatrics. (2015). NRP Instructor Update: Summary of the Revised Neonatal Resuscitation Guidelines. NRP Instructor Update Newsletter, 24(2). Retrieved from https://www.aap.org/enus/Documents/nrp_ newsletter_2015 fallwinter. pdf
• 16. Tezel B., İlhan M., Günay İ., Özbaş S. (2015). Neonatal Resuscitation program provider courses in Turkey. İzmir Dr.Behçet Uz Çocuk Hast.Dergisi. 5(2). 101-108.
• 17. Thomas EJ, Sexton JB, Lasky RE, Helmreich RL, Crandell DS, Tyson J. (2006).Team work and quality during neonatal care in the delivery room. J Perinatol. 6:163–9
• 18. Campbell D.M.,Barozzino T., farrugia M., Sgro M. (2009). High-fidelty simulation in neonatal resuscitation. Paediatr.Child Health. 14(1); 19-23.
• 19. Halamek LP, Kaegi DM, Gaba DM, et al. (2000). Time for a new paradigm in pediatric medical education: Teaching neonatal resuscitation in a simulated delivery room environment. Pediatrics.pp. 45–53.
• 20. Murphy AA, Halamek LP. (2005). Simulation-based training in neonatal resuscitation. Neoreviews.6:489–92.
• 21. Şendir M., Doğan P. (2015). Use of Simulation in Nursing Education: Systematic Review.F.N.Hem.Derg. 23(1), 49-56.
• 22. Issenberg SB, McGaghie WC, Petrusa ER, Lee GD, Scalese RJ. (2005). Feature sanduses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review. MedTeach. 27:10–28.
• 23. Terzioğlu F. Kapucu S. Özdemir L. Boztepe H. Duygulu S. Tuna Z. Akdemir N. (2012). The opinions of nursing students about the simulation method. Hacettepe University Faculty of Health Sciences Nursing Journal,16-23.
• 24. Lendahls L. Oscarsson MG. (2017). Midwifery students' experiences of simulation- and skills training. Nurse Education Today, 50:12–16. https://doi.org/10.1016/ j.nedt.2016.12.005
• 25. Smith R. Gray J. Raymond J. Catling-Paull C. Homer CSE. (2012).Simulated learning activities: Improving midwiferys tudents’ understanding of reflective practice. Clinical Simulation in Nursing, 8(9):451-457. doi:10.1016/j.ecns.2011.04.007.
• 26. Sarmasoğlu Ş. Yücel Ç. Tunçbilek Z. (2017). Simulation Applications in Nursing Education.Turkey Clinics J Med Educ-Special Topics, 2(2):70-80.
• 27. Alinier G, Hunt B, Gordon R, Harwood C. Effectiveness of intermediate-fidelity simulation training technology in under graduate nursing education. Journal Compilation. 2006; 54(3): 359-69.
• 28. Burns HK. O’Donnell J. Artman J. (2010). High-fidelity Simulation in Teaching Problem Solvingto 1st-Year Nurgül GÜNGÖR TAVŞANLI ve ark. 27 Nursing Students A Novel Use of the Nursing Process. Clinical Simulation in Nursing,6:87-95. https://doi.org/10.1016/j.ecns.2009.07.005
• 29. Andrıghettı, T.P.,Knestrıck, J. M., Marowıtz, A., Martın, C., Engstrom, J.L., (2012). Shoulder Dystocia and Postpartum Hemorrhage Simulati- ons: Student Confidence in Managing These Complications. J Midwifery Womens Health, (57): 55-60
• 30. Brady, S.,Bogossıan, F., Gıbbons, K., (2015). The Effectiveness of Varied Levels of Simulation Fidelity on Integrated Performance of Technical Skills in Midwifery Students-A Randomized Intervention Trial. Nurse Education Today, (35): 524-529
• 31. Bull, A.,Sweet, L., (2015). Midwifery Students Receiving the Newborn at Birth: A Pilot Study of theImpact of Structured Training in Neonatal Resuscitation. Nurse Education in Practice, 15:387-392
• 32. Stıtely, M.L.,Cerbone, L., Nıxon, A., Brıngman, J.J., (2011). Assessment of a Simulation Training Exercise to Teach Intrauterine Tamponade for the Treatment of Postpartum Hemorrhage. Journal of Midwifery&Women’s Health, (5): 503-506
• 33. Mckenna, L.,Bogossıan, F., Hall, H., Brady, S., Fox-Young, S., Cooper, S., (2011). Is Simulation a Substitutefor Real Life Clinical Experience in Midwifery? A Qualitative Examination of Perceptions of Educational Leaders. Nurse Education Today, (31): 682-686