Traditional Poster Round
Context: : Nursing education in India has traditionally followed a didactic model. But with increasing awareness and compelling evidence about the benefits of simulation based education, a paradigm shift is natural. However, finding cost effective tools to teach basic neonatal nursing using simulation may prove challenging especially in resource poor settings.
The Neonatal Consultants at Rainbow Childrens Hospital, India have designed a course called Basic NeoN (Basic Neonatal Nursing training workshop) in order to teach skills required for the care of a well newborn in the postnatal ward. Each work-station involved hands - on experience and practice of newborn care procedures. Expensive high cost manikins were deemed unnecessary for this workshop and two low cost dolls used for play were purchased and used effectively.
Description: : Doll 1: This doll had plastic lower arms and legs and fibre upper arms. It was used for the breast feeding, infection control and procedures stations like cannulation, lumbar puncture, venepuncture etc. A cannula could be fixed to its hand and used to demonstrate aseptic–non–touch–technique. It could be held in the arms to demonstrate and practice various breast feeding positions. The cost was 900 rupees ($13).
Doll 2: . This doll could be undressed and used to demonstrate bathing, diaper changing, swaddling, temperature control and phototherapy including placing eye and genital shields. It was also used to demonstrate the placement of ECG leads, saturation probe, temperature probe and BP cuff. The cost was 700 rupees ($10)
Both dolls could be used for role play during the communication stations.
Observation/Evaluation: : The dolls were easy to transport, handle and use. Even though they had no technology, the fidelity was actually quite high. The nurses gave excellent feedback and expressed satisfaction with their use. The trainers were less worried about any potential damage due to the easy availability of similar models in the shops and the low cost. All learning objectives of the course were met and resulted in a good learning experience for both the trainees and trainers.
Discussion: : Our experience proves that simulation based education does not always mean expensive manikins and high technology. Improvisation with everyday objects (in our case play dolls) can provide an easy low cost alternative and meet a whole gamut of learning objectives .We intend to discover and develop other such common place objects into manikins or models for an enriching learning experience .