Abstract
BackgroundSimulation-based training in neonatal resuscitation is more effective when reinforced by both practice and continuous improvement processes. We aim to evaluate the effectiveness of a quality improvement program combined with an innovative provider feedback device on neonatal resuscitation practice and outcomes in a public referral hospital of Nepal.MethodsA pre- and post-intervention study will be implemented in Pokhara Academy of Health Sciences, a hospital with 8610 deliveries per year. The intervention package will include simulation-based training (Helping Babies Breathe) enhanced with a real-time feedback system (the NeoBeat newborn heart rate meter with the NeoNatalie Live manikin and upright newborn bag-mask with PEEP) accompanied by a quality improvement process. An independent research team will collect perinatal data and conduct stakeholder interviews.DiscussionThis study will provide further information on the efficiency of neonatal resuscitation training and implementation in the context of new technologies and quality improvement processes.Trial registrationhttps://doi.org/10.1186/ISRCTN18148368, date of registration-31 July 2018
Highlights
Simulation-based training in neonatal resuscitation is more effective when reinforced by both practice and continuous improvement processes
Worldwide, approximately 10 million newborns every year require assistance to breathe after birth
Gurung et al BMC Pregnancy and Childbirth (2020) 20:756 in resource-constrained settings identified that additional training, education and guidance are necessary for improve retention and assimilation of resuscitation skills in clinical practice [6]
Summary
Simulation-based training in neonatal resuscitation is more effective when reinforced by both practice and continuous improvement processes. We aim to evaluate the effectiveness of a quality improvement program combined with an innovative provider feedback device on neonatal resuscitation practice and outcomes in a public referral hospital of Nepal. Gurung et al BMC Pregnancy and Childbirth (2020) 20:756 in resource-constrained settings identified that additional training, education and guidance are necessary for improve retention and assimilation of resuscitation skills in clinical practice [6]. Simulation-based training has been used increasingly to help health workers convert knowledge and skills into practice [7, 8]. We believe that regular simulation-based practice in the form of drills will help them to translate their knowledge and skills into practice
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