Effect of in-service training courses in neonatal cardiopulmonary resuscitation on the rate of successful resuscitation in nurses working in the neonatal department: A quasi-experimental study

Abstract

The present study aims to determine the effect of in-service training courses in neonatal cardiopulmonary resuscitation on the rate of successful resuscitation in nurses working in the neonatal department. This quasi-experimental study was conducted among nurses employed in the neonatal department at the Sayad Shirazi Hospital in Gorgan, Golestan province, Iran. The in-service training course for neonatal cardiopulmonary resuscitation was conducted in two separate groups across consecutive days, following the latest Heart Association guidelines. Subsequently, an evaluation was conducted across four levels: knowledge, learning, behavior, and performance. After calculating the coefficients for each level, the resulting figures were compared with the successful rehabilitation index. A total of 30 nurses were participants in the research. In the initial level, nurses' satisfaction with the course conditions significantly increased from 56.26 to 93.76 out of 100 points post-intervention (P<0.01) as per the paired t-test. Moving to the second level, there was a substantial improvement in learning scores, rising from 13.12 (SD=2.82) before the intervention to 16.32 (SD=2.21) after (P<0.01). At the third level, behavior scores increased from 32.19 to 47.80 after accounting for a factor of 3, showing significant improvement (P<0.01). For the fourth level, the successful resuscitation rate increased from 50% to a calculated score of 200.2 after applying a coefficient of 4 (P<0.01). Combining these levels and considering coefficients, the overall effectiveness of the course was calculated at 69.86%. In sum, the study revealed suboptimal effectiveness in the newborn cardiopulmonary resuscitation training course. Consequently, nursing education system managers and practitioners should delve into the impediments and factors influencing this course.