Abstract
BackgroundKnowledge and skills decline within months post simulation-based training in neonatal resuscitation. To empower ‘Millennial’ learners to take control of their own learning, a single-player, unguided web-based Neonatal Resuscitation Game was designed. The present study investigates the effectiveness of the game on retention of resuscitation knowledge and skills.MethodsThe study evaluated 162 healthcare professionals who attended simulation-based training in neonatal resuscitation. Following standard simulation-based training, participants were assigned to either a gaming group (Gamers) with access to the web-based Neonatal Resuscitation Game or a control group (Controls) with no access to the game. Although Gamers were given access, game utilization was completely voluntary and at will. Some Gamers chose to utilize the web-based game (Players) and others did not (Non-players). Knowledge and skills in neonatal resuscitation were assessed upon completion of training and 6 months post-training using a multiple-choice question test and a manikin-based skills test. Changes in scores were compared statistically between Gamers vs Controls, Players vs Controls, and Players vs Controls + Non-players using two-sample t-tests.ResultsAt the final assessment, declines in knowledge scores were seen in all groups. Mean change from baseline in knowledge and skill performance scores at 6 months, adjusted for baseline skill performance and MCQ test scores, did not differ significantly between Players vs Controls and Players vs Controls + Non-players.ConclusionThe web-based game in its current format may not be effective in facilitating retention of knowledge and technical skills in neonatal resuscitation.
Highlights
Knowledge and skills decline within months post simulation-based training in neonatal resuscitation
The introduction of standardised formal neonatal resuscitation training programs has resulted in reduced early neonatal mortality in low- and middle-income countries [9]
Our study demonstrated significant declines in both knowledge and technical skills at 6 months following a structured neonatal resuscitation course attended by participants assigned to control and web-based game intervention
Summary
Knowledge and skills decline within months post simulation-based training in neonatal resuscitation. The present study investigates the effectiveness of the game on retention of resuscitation knowledge and skills. The first minute after the birth of a newborn, termed the golden minute is a period of anxiety for parents and healthcare providers. Inexpensive and cost effective, studies indicate that the need for neonatal resuscitation may not be recognised or anticipated and not initiated, or the methods used are inadequate or wrong [6]. Knowledge and skills acquired deteriorate with time, especially when learning attained is not used or exercised for extended periods of time [10]. Mosley and Shaw [11] report deterioration of skills within 3 to 5 months post attendance at a newborn life support course
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