Traditional Poster Round
Context: : It is now universally accepted that simulation based learning is the most effective way of training in medical education. Over the past few decades, medical simulation has taken a gigantic leap from simple life size mannequins to high fidelity computerised simulators. Nevertheless there is still a gap in the availability of trained instructors and quality equipment. The huge expenditure involved in buying the high fidelity simulators is worth a mention too.
The importance of nursing education cannot be overemphasized. For any pediatric or neonatal nurse, breast feeding is an extremely important subject and it is practically impossible to teach breast feeding techniques to a nurse on a live patient. The current breast models available in the market are expensive and not within easy reach of all. Hence we have designed a low cost breast model with a smiley ball and trained our lactation nurse to simulate on the model. This was well received by the trainee nurses in the basic neonatal nursing training program.
Description: : In order to overcome the above limitations we designed a low cost breast model using smiley balls and surgical gloves which were fixed to an empty shoe box. This was then dressed in a lactation- friendly T shirt to simulate the bust of a new mother. We also designed breasts with flat and inverted nipples. The lactation nurse trained the junior nurses about the various breast feeding positions, management of retracted nipples, use of manual/ electric breast pumps, manual expression of milk etc using the breast models. These models have been used successfully in our basic neonatal nursing training workshops. The whole model cost less than 200 rupees ($3)
Observation/Evaluation: : The visual effects of retracted nipples being corrected with nipple puller, milk extraction using the breast pumps etc have had a great impact and have received an excellent feedback from the attendees. The trainers were not worried about damage to the model as it could be easily made again and hence allowed multiple attempts of simulation by the trainees. These models have also been used to train the breast feeding mothers.
Discussion: : We have tried to utilise low cost and easily available things to create ‘Do It Yourself’ simulation equipment. We found that this breast model was extremely useful in demonstrating breast feeding in training workshops. This study highlights the fact that simulation can be done with easily available objects and with brief training, the benefits of simulation based training can be made more widely available even in resource poor settings.