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JOURNAL OF MEDICAL AND SURGICAL RESEARCH - Vol. IX, n 3, March 2023

Pages: 1174-1178
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Effects of High-Fidelity Simulation in Neonatal Resuscitation on Self-Efficacy and Knowledge Retention in Moroccan Neonatology and Pediatrics Nursing Students : A Pilot Study

Author: Sara Alaoui, Kamal Takhdat, Dadda Sakhr, Mohamed Eddabbah, Amina Alaoui, Saloua Lamtali

Category: JMSR Medical Education

Abstract:

Introduction: The adaptation of newborns to extra-uterine life is essential to prevent neonatal morbidity and mortality. Therefore, it requires rapid and structured support. Neonatology and pediatrics nurses are often on the front line, caring for at-risk newborns in the first minutes of life. Neonatology scholarly societies recommend the use of high-fidelity simulation (HFS) into the initial neonatal resuscitation training program. However, there is a scarcity of studies gap regarding the use of HFS among Moroccan neonatology and pediatrics nursing students. Objective: Evaluate the effects of the integration of HFS, in the traditional neonatal resuscitation training program, on self-efficacy and knowledge retention. Methodology: A quasi-experimental study on a group of 19 students was conducted between May and June 2022 at the high Institute of Nursing and health techniques in Marrakech (ISPITS). All participants benefited from a didactic course and a hands-on in neonatal resuscitation. Afterwards, they took a first test evaluating self-efficacy and knowledge acquisition. Then, they participated in formative HFS in neonatal resuscitation. Finally, after one month, all participants were evaluated by a second test of self-efficacy and knowledge retention. Results: This study demonstrated a significant positive effect of HFS on self-efficacy and the l knowledge retention. Conclusion: Results support the pedagogical added value of HFS as a complementary learning method in improving self-efficacy and of knowledge retention. Neonatal nursing instructors should consider integrating HFS into the neonatal resuscitation training programs.

Keywords: neonatal resuscitation, high-fidelity simulation, self-efficacy, knowledge retention, Morocco

DOI: 10.46327/msrjg.1.000000000000235

DOI URL: https://doi.org/10.46327/msrjg.1.000000000000235

References:

  1. Faits saillants des lignes directrices 2020 de l’american heart association en matière de RCR et de SUC. Edition de la fondation des maladies du cœur et de l’AVC du canada 2020. https://sofia.medicalistes.fr/spip/IMG/pdf/faits_saillants_des_lignes_directrices_2020_en_matiere_de_rcr_et_de_suc-2.pdf
  2. https://donnees.banquemondiale.org/indicateur/SH.DYN.NMRT?locations=MA.
  3. Laura Fischer. Simulation médicale : ses apports dans l'enseignement de la réanimation néonatale aux étudiants sages-femmes. : Etude menée auprès des étudiants en dernière année à l'école de Sages-femmes de Nancy. Médecine humaine et pathologie. 2013. https://hal.inria.fr/hal-01868911/
  4. Coyer C, Gascoin G, Sentilhes L, Savagner C, Berton J, Beringue F. Évaluation de la simulation haute-fidélité dans la formation initiale à la réanimation en salle de naissance chez les étudiants sages-femmes. Arch Pédiatrie 2014. doi: 10.1016/j.arcped.2014.06.010
  5. Directives 2021 de l’European Resuscitation Council (Conseil Européen de Réanimation) : https://cprguidelines.eu/assets/guidelines-translations/2021-ERC-Guidelines-Executive-Summary-FR_V2.pdf
  6. Descriptif de demande d’accréditation licence d’études fondamentales licence professionnelle Infirmier en Néonatologie et pédiatrie. https://docplayer.fr/156510801-Descriptif-de-demande-d-accreditation-licence-d-etudes-fondamentales-licence-professionnelle.html
  7. Van Horn E, Christman J. 65Assessment of Nursing Student Confidence Using the Clinical Skills Self-Efficacy Scale. Nurs Educ Perspect 2017;38(6):344-346. doi: 10.1097/01.NEP.0000000000000169.
  8. Nouwen A, Urquhart Law G, Hussain S, McGovern S, Napier H. Comparison of the role of self-efficacy and illness representations in relation to dietary self-care and diabetes distress in adolescents with type 1 diabetes. Psychol Health 2009; 24 (9): 1071-84. doi: 10.1080/08870440802254597.
  9. Durand C, Abraham L, Secheresse T, Dumas J, Leconte M, Dibisceglie A, Dinaale P, Théry G, Deiber M, Bouchon N, Dessioux E, Ughetto A, Berger C & Vandenbergh A. High-fidelity simulation and self-efficacy. Application to assessment of a training program for newborn resuscitation in the delivery room. Rev. Med. Perinat. 2014; 6:134–143. https://doi.org/10.1007/s12611-014-0286-4
  10. Layouni I, Danan C, Durrmeyer X, Dassieu G, Azcona B, Decobert F. Video recording of newborn resuscitation in the delivery room: technique and advantages. Arch Pediatr. 2011; 18 Suppl 2:S72-78.
  11. Carolan-Olah M, Kruger G, Brown V, Lawton F, Mazzarino M. Development and evaluation of a simulation exercise to prepare midwifery students for neonatal resuscitation. Nurse Educ Today 2016; 36:375-80. doi: 10.1016/j.nedt.2015.09.009.
  12. La Cerra C, Dante A, Caponnetto V, Franconi I, Gaxhja E, Petrucci C, et al. Effects of high-fidelity simulation based on life-threatening clinical condition scenarios on learning outcomes of undergraduate and postgraduate nursing students: a systematic review and meta-analysis. BMJ Open 2019; 9 (2): e025306. doi: 10.1136/bmjopen-2018-025306.
  13. Bultas MW, Hassler M, Ercole PM, Rea G. Effectiveness of high-fidelity simulation for pediatric staff nurse education. Pediatr Nurs. févr 2014;40(1):27-32, 42.
  14. Mundell WC, Kennedy CC, Szostek JH, Cook DA. Simulation technology for resuscitation training: A systematic review and meta-analysis. Resuscitation 2013; 84(9): 1174-83. doi: 10.1016/j.resuscitation.2013.04.016.
  15. Rakshasbhuvankar AA, Patole SK. Benefits of simulation based training for neonatal resuscitation education: A systematic review. Resuscitation 2014; 85(10): 1320-3. doi: 10.1016/j.resuscitation.2014.07.005.
  16. Nimbalkar, A., Patel, D., Kungwani, A, Phatak A, Vasa R, and Somashekhar Nimbalkar. Randomized control trial of high fidelity vs low fidelity simulation for training undergraduate students in neonatal resuscitation. BMC Res Notes 2015 ; 8 : 636. https://doi.org/10.1186/s13104-015-1623-9

Boet S, Granry JC, Savoldelli G. La simulation en santé: de la théorie à la pratique. Paris Berlin Heidelberg [etc.]: Springer; 2013. https://complements.lavoisier.net/9782257207227_la-simulation-en-sante-de-la-theorie-a-la-pratique-retirage-2017_Sommaire.pdf