Background: A traditional medical curriculum has limited emphasis on communication skills, teamworking, and human factors. Simulation-based training emphasizes these skills and positively impacts patient safety. A group of Indian neonatologists in collaboration with their UK colleagues conducted adapted Neonatal Emergencies Simulation Team-training (NEST) courses in India.
Aim: To evaluate the effectiveness of NEST courses in India and analyze the participant’s feedback
Methods: A total of 16 NEST courses were conducted between November 2014 and February 2016. Structured pre- and postcourse feedback from participants was analyzed. Key domains studied included structured approach, human factors, situation-background-assessment-recommendation tool, and teamwork in an emergency. Each category was rated from 1 to 5, indicating a low to high scale. Pre- and posttraining scores and scores between centers were compared using the Wilcoxon signed-rank test and Kruskal-Wallis test, respectively.
Results: A total of 191 feedbacks from 58 nurses and 133 doctors from 4 centers were analyzed. The comparison of self-reported pre- and postcourses showed a significant improvement across all domains. There was no statistical difference between scores from different centers showing consistent course results.
Conclusions: We have demonstrated that the NEST multiprofessional course can be collaboratively delivered. The analysis of feedback shows a significant improvement in the candidate’s self-reported ability across all domains related to the application of the course principles to simulated neonatal emergencies.
GabaDM.The future vision of simulation in health care. Qual Saf Health Care. 2004;13(suppl 1):i2–10.
2.
ReasonJ.Human error: models and management. BMJ. 2000;320(7237):768–770.
3.
IssenbergSBMcGaghieWCPetrusaERLeeGordon DScalese RJ.Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach. 2005;27(1):10–28.
4.
AhmedAMooreHPurvaMClarkS.G14(P) what do senior paediatric trainees want from simulation in Yorkshire? Training needs assessment survey. Arch Dis Child. 2013;98(suppl 1):A11–A13.
5.
BlackwoodJDuffJPNettel-AguirreADjogovicDJoyntC.Does teaching crisis resource management skills improve resuscitation performance in pediatric residents? Pediatr Crit Care Med. 2014;15(4):e168–e174.
6.
HoganMPPaceDEHapgoodJBooneDC. Use of human patient simulation and the situation awareness global assessment technique in practical trauma skills assessment. J Trauma. 2006;61(5):1047–1052.
7.
AdlerMDTrainorJLSiddallVJMcGaghieWC. Development and evaluation of high-fidelity simulation case scenarios for pediatric resident education. Ambul Pediatr. 2007;7(2):182–186.
8.
FalconeRAJr, DaughertyMSchweerLPattersonMBrownRLGarciaVF.Multidisciplinary pediatric trauma team training using high-fidelity trauma simulation. J Pediatr Surg. 2008;43(6):1065–1071.
9.
GrantDJMarriageSC. Training using medical simulation. Arch Dis Child. 2012;97(3):255–259.
10.
RudolphJWSimonRRivardPDufresneRLRaemerDB.Debriefing with good judgment: combining rigorous feedback with genuine inquiry. Anesthesiol Clin. 2007;25(2):361–376.
KolbDA.Experiential learning: experience as the source of learning and development. Englewood CliffsNJ: Prentice-Hall. 1984;1.
16.
GibbsG.Learning by doing: a guide to teaching and learning methods. Oxford: Further Education Unit Oxford Polytechnic. 1988.
17.
AggarwalRMyttonOTDerbrewM. Training and simulation for patient safety. Qual Saf Health Care. 2010;19(suppl 2):i34–i43.
18.
HarrisT.I’m OK—You’re OK. New York NY: Harper Collins; 2004.
19.
CatesLAWilsonD.Acquisition and maintenance of competencies through simulation for neonatal nurse practitioners: beyond the basics. Adv Neonatal Care. 2011;11(5):321–327.
20.
EricssonKA.Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79(10 Suppl):S70–S81.
21.
ParkerBCMyrickF.A critical examination of high-fidelity human patient simulation within the context of nursing pedagogy. Nurse Educ Today. 2009;29(3):322–329.
22.
CarapietDFraserJWadeABussPWBinghamR.Changes in paediatric resuscitation knowledge among doctors. Arch Dis Child. 2001;84(5):412–414.
23.
KirkpatrickDL.Techniques for evaluating training programs. J Am Soc Train Dir. 1959;13(3):21–26.
24.
ChapmanA.Review and contextual material Alan Chapman 1995-2007. Donald Kirkpatrick’s Learning Evaluation Model. 1959. Available at: http://www.businessballs.com/kirkpatricklearningevaluationmodel.htm
