Comparison of the Effects of Video-assisted Debriefing and Educational Workshops on the Quality of Neonatal Resuscitation

Abstract

Background: Poor neonatal resuscitation can lead to death or irreversible consequences in newborns. Therefore, proper training using suitable techniques and continuous practice are of pivotal importance. Aim: to compare the effects of video-assisted debriefing and educational workshops on the quality of neonatal resuscitation. Methods: In this semi-experimental three-group study, 90 cases of resuscitation were recorded at Omolbanin Hospital of Mashhad, Iran during February 2014-January 2015. The cases were divided into debriefing, educational workshop and control groups. In the first stage, 30 cases of resuscitation were recorded in the control group. In the second stage, the resuscitation team participated in educational workshops, and finally, debriefing classes were held. Thirty cases of resuscitation were recorded and evaluated, using a resuscitation quality assessment checklist, based on Neonatal Resuscitation Program (NRP)-2011. For data analysis, Chi-square, ANOVA and Kruskal-Wallis tests were performed, using SPSS version 11.5. Results: In total, 55 (61.1%) newborns were males and the mean gestational age was 37.2±4.2 weeks. The resuscitation quality score was higher in the debriefing group (40.9±12.1), compared to the workshop (19.6±11.7) and control (14.3±9.9) groups. The difference was significant between debriefing and workshop groups, as well as debriefing and control groups (P<0.001). However, no significant difference was observed between the control and educational workshop groups (P=0.17) Conclusion: Video-assisted debriefing was more effective in improving neonatal resuscitation, compared to educational workshops. Therefore, this method is recommended for neonatal resuscitation training at hospitals.