Abstract
Background: The current resuscitation guidelines recommend frequent simulation based medical education (SBME). However, the current SBME approach is expensive, time-intensive, and requires a specialized lab and trained instructors. Hence, it is not offered routinely at all hospitals. We designed the board game “RETAIN” to train healthcare providers (HCPs) in neonatal resuscitation in a cost-friendly and accessible way.Objectives: To examine if a board game-based training simulator improves knowledge retention in HCPs.Methods: “RETAIN” consists of a board using an image of a baby, visual objects, adjustable timer, monitors, and action cards. Neonatal HCPs at the Royal Alexandra Hospital were invited to participate. Participants completed a written pre-test (resuscitation of a 24-week infant), then played the board game (starting with a tutorial followed by free playing of three evidence-based neonatal resuscitation scenarios). Afterwards, a post-test with the same resuscitation scenario and an opinion survey was completed. The answers from the pre- and post-test were compared to assess HCPs' knowledge retention.Results: Thirty HCPs (four doctors, 12 nurses, and 14 respiratory therapist) participated in the study. Overall, we observed a 10% increase in knowledge retention between the pre- and post-test (49–59%, respectively). Temperature management showed the most knowledge gain between the pre- and post-test (14–46%, respectively). Placement of a hat (10–43%), plastic wrap (27–67%), and temperature probe (7–30%) improved between the pre- and post-test.Conclusion: Knowledge retention increased by 12% between pre- and post-test (49–61%, respectively). The improvement in performance and knowledge supports the use of board game simulations for clinical training.
Highlights
The majority of newborns make the transition from fetal to neonatal life without help
The improvement in performance and knowledge supports the use of board game simulations for clinical training
We recently reported that growth mindset moderated the relation between Healthcare provider (HCP)’ performance in the RETAIN video game simulator and the time since their last refresher Neonatal Resuscitation Program (NRP) course [14]
Summary
The majority of newborns make the transition from fetal to neonatal life without help. The delivery room is a stressful environment where decisions are made quickly and resuscitators must possess outstanding cognitive, psychomotor, and communication skills to identify problems, analyze complex scenarios, generate solutions, and integrate a large amount of data into useful information under elevated time pressure [5] This situation leads often to human errors and deviations from proper protocol [2,3,4]. Analyses of the main reasons for the occurrence of human error in neonatal resuscitation point to a lack of practical learning experiences [6, 7] This is highlighted by the neonatal training paradox of high-acuity, low-occurrence (HALO) situations [8]. We designed the board game “RETAIN” to train healthcare providers (HCPs) in neonatal resuscitation in a cost-friendly and accessible way
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