Outcome of Clinical Simulation on Neonatal Resuscitation in Development of Knowledge and Skill among Baccalaureate Nursing Students at a selected Nursing Institution

Abstract

Context: Simulation facilitates learning with practice opportunities with feedback for the students in preparatory programme in health care profession. Objectives: This study examined the effectiveness of Clinical simulation in acquiring knowledge and skill in performing Neonatal Resuscitation among B.Sc. Nursing students. Methods and Materials: With Quasi experimental approach Eighty five students of B.Sc Nursing III year were enrolled by Non Randomized purposive sampling technique. Study was conducted in Simulation Lab, PSG IMSR, Coimbatore. The student’s knowledge was assessed by using questionnaire on Neonatal Resuscitation Programme (NRP). The students were educated on NRP in case scenarios through clinical simulation approach in four groups. After the period of one week the student’s knowledge and Psychomotor skill in performing Neonatal Resuscitation was assessed through questionnaire and Objective Structured Clinical Examination (OSCE) on Neonatal Resuscitation Programme. Results/Findings: The results revealed that half of the nursing students 44 (52%) had inadequate knowledge, forty one nursing students (48%) had moderately adequate knowledge and none of them had adequate knowledge on neonatal resuscitation in pre test. Mean knowledge score at Pre test was 8.83±2.80 and the post test knowledge score was 21.7±2.68. Comparison of pre test and post test Knowledge score on NRP was 12.89±3.92 (t=30.31, p-value=0.0001, p<0.05) and statistically significant difference was found in post test knowledge score. There was a significant increase in post test skill of nursing students on various areas like Basic Life support, newborn not breathing, Positive pressure ventilation and chest compression with calculation and administration of medications. The overall mean post test skill was 21.52±4.21. Moreover, it was found that the nursing students after post test skill reported that they were confident in performing Neonatal resuscitation. Conclusion: This finding demonstrates that the clinical simulation transforms the pedagogy of nursing education from theory and clinical learning to theory, simulation and clinical application.