Display options
Share it on

Paediatr Child Health. 2001 Jan;6(1):31-5. doi: 10.1093/pch/6.1.31.

Retention of skills in neonatal resuscitation.

Paediatrics & child health

M B Skidmore, H Urquhart

Affiliations

  1. Department of Newborn and Developmental Paediatrics, Sunnybrook and Women's College Health Sciences Centre, Women's College Campus, University of Toronto, Toronto;

PMID: 20084205 PMCID: PMC2804451 DOI: 10.1093/pch/6.1.31

Abstract

OBJECTIVES: To evaluate the impact of a neonatal resuscitation course on the theoretical knowledge and practical skills of birthing room personnel, and to evaluate the performance of skills at different times after the course.

DESIGN: A program evaluation using a before and after cohort study.

SETTING: Seven level II perinatal centres in the central-east region of Ontario.

PARTICIPANTS: Seven hundred thirty-seven individuals (medical staff, nurses and respiratory technologists) who worked in birthing rooms.

INTERVENTION: During an eight-month period, a course in neonatal resuscitation was presented at the perinatal centres. A cohort of 108 (15%) participants received testing before and after the course; the theoretical knowledge and practical performance of 62 of these participants were retested after six and 12 months.

RESULTS: A significant improvement in both theoretical knowledge and practical skills was seen immediately after the course. Throughout the study, no difference was observed in the performance of nursing staff compared with that of medical staff, nor among the institutions involved. No significant difference in the decline of either theoretical knowledge or practical skills was seen among those who scored well in the original pre-test compared with those who scored poorly.

CONCLUSIONS: Neonatal resuscitation should be an integral part of continuing education for all personnel involved in obstetrical care because it improves both tested knowledge and performance. Practical skills appear to decline faster than theoretical knowledge. Inservice instruction is required, at least, every six months.

Keywords: Neonatal resuscitation; Skill retention

References

  1. J Med Educ. 1983 Jul;58(7):568-75 - PubMed
  2. Neonatal Netw. 1992 Jun;11(4):37-40 - PubMed
  3. CMAJ. 1987 Mar 15;136(6):601-6 - PubMed
  4. Crit Care Med. 1985 Nov;13(11):916-20 - PubMed
  5. JAMA. 1992 Oct 28;268(16):2276-81 - PubMed
  6. J Contin Educ Nurs. 1992 May-Jun;23(3):118-26 - PubMed
  7. CMAJ. 1987 Sep 15;137(6):491-6 - PubMed
  8. Obstet Gynecol. 1977 Jul;50(1):71-7 - PubMed
  9. CMAJ. 1994 Aug 1;151(3):299-304 - PubMed
  10. Heart Lung. 1992 Jul-Aug;21(4):372-80 - PubMed
  11. Heart Lung. 1989 Sep;18(5):520-5 - PubMed
  12. Pediatr Clin North Am. 1993 Apr;40(2):431-8 - PubMed

Publication Types