Madge Buus-Frank, DNP
“Pilot Testing the Effectiveness and Stability of a Structured Curriculum for Newborn Resuscitation – Helping Babies Breath – using Videotaped Simulations.”
RESEARCH QUESTION: This study measures the potential effect size of a structured resuscitation educational curriculum, Helping Babies BreatheSM, on the resuscitation knowledge, psychomotor skills, as well as the ability to integrate knowledge and psychomotor skills in healthcare providers attending deliveries in the developing world. The study will provide preliminary data about the stability, durability and retention of and/or the potential degradation of resuscitation knowledge and skills over time. Further, feasibility of the use of web-based technology tools including SurveyMonkey and Skype to collect repeated measures over time in participants from the the developing world.
SAMPLE: Healthcare providers who practice in low-resource settings in Zambia and Nigeria. Inclusion criteria include: 1) Healthcare providers currently practicing as a physician, nurse, midwife, traditional birth attendant, or village healthcare worker; 2) Self-report of routine attendance at births; 3) Primary practice site in the developing world; and 4) Geographic proximity and willingness to travel to the data collection site for repeat measures: or alternatively, access to a personal computer with high-speed Internet and SKYPE connection to facilitate repeated post-test measures. Exclusion criteria include: 1) Non-English speaking caregivers; or 2) Participation in HBBSM or other neonatal resuscitation training in the prior 6 months.
METHODS: Study design is a quasi-experimental study with control group (hold-back design). Participants in the intervention group will undergo a multiple choice test of knowledge, an objective structured educational evaluation (OSCE) of bag-mask ventilation skills, and 2 additional OSCE tests measuring integration of knowledge and skills in a simple resuscitation simulation both before and after completing a resuscitation education training course. The same measures will be repeated at 1, 3, and 5 months to test the durabilty versus degradation of knowledge and skill over time. Control group participants will undergo the same testing measures, at identifical intervals; however, they will not receive the educational intervention until the end of the 5 month study period (after the initial comparison data points have been measured). RESULTS: Data from this study will guide the ongoing development and dissemination of structured resuscitation educational curricula such as HBBSM.