Oral Themed Presentation
Ethiopia, USA and Sweden: Collaborative Inter-professional Simulation Training for Better Neonatal Resuscitation
This project describes Ethiopian, Swedish and American collaboration to establish a high fidelity, inter-professional (IPE) simulation course for training health care providers in neonatal resuscitation. Currently there is no standard inter-professional healthcare training in Ethiopia. This “train the trainer” simulation course follows the successful development of a first-of-its-kind neonatal Advanced Life Support (ALS) nurse curriculum in Ethiopia, which included basic, low-resource simulation techniques. Competency testing for the ALS trainees was accomplished with Objective Simulation Competency Evaluation (OSCE) methods.
Wax and Gold, Inc. (WAG), a non-profit organization created by five neonatal care experts, conducts medical volunteer work with St. Paul’s Hospital Millennium Medical College (SPHMMC) in Addis Ababa, Ethiopia. In 2015, a major project was developed to improve neonatal resuscitation. The newborn mortality rate in the delivery rooms was high. Significant reduction in delivery room mortality was shown after institution of the ALS program.
In 2017, a freestanding Simulation Center was built at SPHMMC, a simulation director and staff were hired; then program development began. WAG and SPHMMC invited the Swedish international simulation training team using the Concept for Patient Simulation (CEPS) to collaborate with WAG and SPHMMC simulation educators in a five day train-the-trainer course, held November 5-9, 2018 in Addis Ababa. The goal is for Ethiopian ALS nurses, NICU nurses, Physicians and Midwives is to lay foundational IPE simulation training and simulation trainer skills.
CEPS is a simulation program developed at South General Hospital (Södersjukhuset) in Stockholm, Sweden and is used at the absolute majority of the delivery and neonatal units in Sweden. The CEPS educators in the units in Sweden have taken a 4-day CEPS train-the-trainer course. CEPS is a model for advanced inter-professional, high fidelity simulation. It is based on adult learning theory, building a trusting relationship in a safe learning environment in order to maximize learning in simulation. Debriefing is video-assisted and the debriefing technique is developed to look at the entire video. The CEPS video debriefing technique is time-efficient and focused on the participants reflections.
The overarching goal of the new collaboration with CEPS is to continue improving neonatal patient outcomes with Ethiopian Neonatal nurses, midwives, and physicians performing their own IPE team training and an additional goal is to enhance inter-professional day-to-day work in the clinical setting.
Project evaluation strategies are still under development with this currently occurring project.