Traditional Poster Round
Background: : In countries with high birth rates as Turkey is, it is not always possible to have a physician accompanying the delivery even in high risk pregnancies. Neonatal nurses working in delivery rooms have to be prepared for ‘perinatal asphyxia ‘ and to be aware of the importance of the first 60 seconds in which the right steps have to be performed efficiently.
Research Question: : This study aimed to investigate knowledge and skills decline in neonatal nurses in terms of newborn safety and to emphasize the importance of performing booster trainings according to nurses’ needs in simulated environment.
Methodology: : 84 nurses participated in this study. The study consisted of two steps. First knowledge and practical skills of the participants were assessed. Thereafter one day lasting simulation based training with theoretical lecture, video clip, scenario and debriefing was performed. They received this training in groups of 10-12 participants. In preparation of the scenario a real life delivery room environment was created using real equipment, all participants were introduced to maternal manikin and a high fidelity neonate simulator.
Two nurses participated in each scenario. The scenario was recorded. The recorded performance was assessed by two independent simulation educators using a checklist with 31 items to assess participants’ performance.
Results: : :Mean pre-test score was 57.98 , while the practical performance was evaluated as 67.29 in mean. Best pre-test results with a higher number of right answers were achieved in question 5 ( n:82 ) , 8 ( n: 76 ) and 19 ( n: 76 ) , while worst test results were in questions 2 ( n: 13 ); 14 ( n: 14 ) ; 6 n: 18 ). Practical performance according to the predesigned checklist showed that most observed errors were related to the following items: Thermal protection of the neonate:% 72.3 ( n:34 ), asking 3 major questions while taking over the neonate in the delivery room ( breathing-muscle tone-gestational age ) %66 (n:31), giving adequate tactile stimulation to stimulate spontaneous breathing %36 (n:17), checking breathing at the right time %31.9 (n:17).
Our study results imply that neonatal nurses’ theoretical knowledge decrease in time while practical skills mostly remain, but overall performance was lower than expected.
Discussion/Conclusions: : The ability and efficiency of neonatal nurses to react on asphyxia in neonates is linked to their resuscitation and cardiopulmonary emergency knowledge and skills. This study implies that detailed evaluation of decline in knowledge and skills is important to prepare tailored trainings in terms of continuous medical education according to nurses’ needs to boost knowledge and skill retention.