International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
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IJCRR - Vol 11 Issue 15, August, 2019

Pages: 07-10

Date of Publication: 03-Aug-2019


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A Study to Assess the Effectiveness of Simulation on Neonatal Basic Life Support Among Nursing Students \? A Narrative Review

Author: Ms. Wichamjailiu Ringkangmai, Mr. Siva N.

Category: Healthcare

Abstract:Introduction: Neonatal period is characterized by transition to extra uterine life and rapid growth and development. Newborn period, just first 28 days of life, carries the greatest risk of mortality. Despite being less than 2% of total period of under 5 children, the newborn period accounts for over half of under 5 child mortality. Good care therefore not only improves survival of children but lays foundation of optimal log term physical and neurocogitive development.
Aim: The aim of the study is to assess the effectiveness of simulation on neonatal BLS( basic life support) among selected colleges of nursing in Greater Noida , UP. The findings of the study can help the teacher to gain knowledge regarding the effectiveness of simulation on neonatal BLS( basic life support).
Methodology:
Intervention: Simulation of Neonatal BLS( basic life support).
Types of studies: True Experimental study.
Types of participants: Nursing students
Setting: Selected colleges of Greater Noida, UP.
Results: This narrative review result has proved that simulation of neonatal BLS( basic life support) has increased in terms of knowledge and skills among nursing students.

Keywords: Simulation of neonatal BLS (basic life support), Nursing students

Full Text:

INTRODUCTION

Neonatal asphyxia accounts for the major neonatal mortality rate which is a great hindrance in the country health status therefore it is essential for the health team members to have the required knowledge regarding the neonatal BLS (basic life support) . Newborn health is the key to child health and survival. In India, neonatal death account for 56% of under 5 and 69% of infant death. First week deaths alone account for 45% of total under 5 deaths. Preterm complications accounts for 35% of all neonatal death and constitutes the most important cause of neonatal mortality. Causes of mortality are birth asphyxia, congenital malformation and sepsis. Almost three forth of all neonatal death occurs among the low birth weight newborn.

Of all the neonatal deaths, about 40% occur within 72 hours and three fourths within one week of birth. Health of the mother and child during pregnancy and childbirth has a profound influence on neonatal outcome. Of the 25 million infants born every year in India, 3-5 % experience asphyxia at birth. Asphyxia is characterized by a progressive hypoxia, hypercapnia, hypo perfusion and acidosis. When an infant is deprived of oxygen an initial brief period of rapid breathing occurs, if the asphyxia continues, the respiratory movements cease and the infants enters into  a period of apnoea known as primary apnoea.

            Neonatal deaths are a major hindrance for the improvement of survival of  children in developing countries. An estimated 4 million babies die in the neonatal period yearly and approximately all of these deaths occur in developing and underdeveloped countries. The need for information on neonatal deaths is increasing because of an increase in the percentage of mortality with a current report of about 40% of global under-five mortality occurs in the neonatal period. World Health Organization defined birth asphyxia as the failure to initiate and sustain breathing at birth.  Every newborn should be considered at a high risk of birth asphyxia since most cases of asphyxia cannot be predicted.  Although neonatal death is multifactorial, the most important single causes of neonatal deaths are preterm birth, birth asphyxia, sepsis and pneumonia.

An experimental study was conducted at SRM (Sri Ramaswamy Memorial) College of nursing. The students were explained about the nature and purpose of the study and a written consent was obtained from the participants prior to their recruitment in the study. 25 students for interventional group and 25 students for control group sample were randomly selected for this study. Firstly pretest knowledge was assessed from control and interventional group with the help of multiple choice questions on Neonatal BLS (basic life support) were done and it was collected back after 15 minutes. Simulation teaching was given to interventional group only. On the 7th day pos ttest was taken for both the groups and skill was checked for both the group through OSCE (objective structured clinical examination). Then data was collected for analysis. By using student’s unpaired t test statistically no significant difference was found in pretest knowledge score in between control and interventional group ( t=1.21 , p- value=0.56) and statistically significant difference is found in post test knowledge score between control and experimental group (t=15.37, p value=0.000). Hence it was concluded that the simulation teaching increase the post test knowledge score and psychomotor score of nursing students and simulation teaching is more effective for nursing students. Archana Maurya , (2016)

A quasi experimental study was conducted at Rufaida College of Nursing New Delhi. Data was collected after obtaining formal permission from principal of Rufaida College of nursing, Jamia Hamdard University New Delhi. The sample of 24 students nurses studying GNM nursing 3rd year were selected by total enumerative sampling technique. Data was collected by self-introduction for establishment of rapport with students, provision of conductive environment for data collection; the samples were screened based on inclusion and exclusion criteria, taking informed consent from the participants for the research study. The mean pre test knowledge scores of control group were higher than the mean pre test knowledge scores of experimental group with a mean difference of 0.35.  The mean post test knowledge scores of experimental group was higher than the mean post test knowledge scores of control group with a mean difference of (16.1). Therefore it was concluded that the training program on PBLS( paediatric basic life support) on 2015 AHA( American heart association) guidelines is more effective in enhancing the knowledge and practice of 3rd year GNM nursing students regarding PBLS( pediatric basic life support). (Swati Sharma (2017)

Another quasi experimental study was conducted at college of nursing Sultan Qaboos University. This study was to evaluate the effectiveness of simulation in critical care nursing among students in a public university. A single quasi experimental design was used to evaluate the effectiveness of simulation compared to videos and high fidelity simulation. A convenient sample of 100 students in the critical care nursing course was selected in the year 2015-2016. Standardized simulation instruments were used to measure the knowledge and performance and ANOVA and t test was used to analyze the findings. Mean overall satisfaction was higher among students exposed to high fidelity students than those students with video. Hence the study confirms that the overall satisfaction and self confidence was higher among the students exposed to high fidelity simulation students compared to the students exposed with video learning. ( Melba Sheila D’souza 2017)

Experimental research study was conducted at Afyonkarahisar city of Turkey health training school. This study aimed to detect the overall evaluation of nursing students towards simulation throughout the practice education and to reveal their learning styles in relation to certain individual features. The study included 3rd yr nursing students in nursing department in Afyonkarahisar city of Turkey. An instructor demonstrated the practice steps by doing with a group of 10-12 students each week after theoretical lesson by means of utilizing simulation in the related topics. The questionnaire was administered to the students. According to the results 70.9% of the participants stated that laboratory setting along with simulation was suitable for education. (Yasemi Celik (2015)

A cross sectional study was conducted in private medical college Mangalore, Karnataka India. This study was conducted to explore the perception of medical students towards simulation-based learning (SBL). A total of 247 participants from fourth, sixth, eighth semester and internship were chosen by convenience sampling method. Attitudinal data on perception towards simulation-based learning were collected using a self-administered questionnaire with responses in a 5-point Likert's scale.  The mean age of students was 21.3 (standard deviation 1.9) years, and males constituted 55.5% (137/247). Most participants 72.5% (179/247) had favourable perceptions of simulation based learning , with scores of 92-118 out of a possible 118 points. Favourable perception towards simulation based learning was seen significantly more among female students (P = 0.04) and senior MBBS students of sixth and eighth semesters (P = 0.05). Nearly, all students (90.7%; 224/247) agreed that simulation supports the development of clinical skills. As many as 29.6% (73/247) agreed that real patients might be replaced with simulated patients in practical examinations. Hence it was concluded that simulation based learning was perceived as favourable by a large number of participants in this study indicating a bright prospect for its implementation in the medical curriculum. (S Jindal 2013)

MATERIAL AND METHOD:

RESULTS

The systematic search was conducted by formulating the terms separately and in integration with all synonyms, also according to the database. Likewise, a manual Google scholar search was undertaken using the keywords and search synonyms from already articles. An addition of 6 articles was found in the database. Initial search recovers 1270 articles over which 180 articles were selected manually. 100articles were rejected as a result of replication in the database. Replication was removed and reviewed 80 articles for acceptability. 74 more studies were rejected because of unreachable of the full text. Hence 6 articles were screened which includes quantitative study.

DISCUSSION

These findings are supported by a study conducted by Archana Maurya an experimental study conducted. An experimental study was conducted at SRM (Sri Ramaswamy Memorial) college of nursing.  The students were explained about the nature and purpose of the study and a written consent was obtained from the participants prior to their recruitment in the study. 25 students for interventional group and 25 students for control group sample were randomly selected for this study. Firstly pre-test knowledge was assessed to the control and interventional group with the help of multiple choice questions on Neonatal BLS were done and it was collected back after 15 minutes. Simulation teaching was given to interventional group only. On the 7th day post-test was taken for both the groups and skill was checked for both the group through OSCE (objective structured clinical examination). Then data was collected for analysis. By using student’s unpaired t test statistically no significant difference was found in pre-test knowledge score in between control and interventional group ( t=1.21 , p- value=0.56) and statistically significant difference is found in post-test knowledge score between control and experimental group( t=15.37, p value=0.000). Hence it was concluded that the simulation teaching increase the post-test knowledge score and psychomotor score of nursing students and simulation teaching is more effective for nursing students.

CONCLUSION

There was a significant increase in knowledge and skills related to simulation of neonatal BLS( basic life support) among the nursing students. Therefore the method of teaching by the means of simulation must be initiated in the academic and hospital setting for the health care professionals.

SOURSE OF FUNDING: Self-funding

Conflict of Interest: Nil

ETHICAL CLEARANCE:

  • Prior permission was obtained from the Dean of school of nursing sciences and research , Sharda university

  • Permission was also obtained from the university ethical committee

  • Informed written consent was taken from each participant under the study. Objective of the study was maintained with honesty, privacy confidentiality and anonymity.

ACKNOWLEDGEMENT

We would like to thank the authors whose works  have cited and included in this study such as Archana Maurya, Swati Sharma, Melba Sheila D’ souza, Yasemi Celik, AL Kadi AS Donnon T ,S Jindal and N Srivastava. We acknowledge the immense help received from the scholars whose articles are cited and included in references of this manuscript. We are also grateful to authors / editors / publishers of all those articles, journals and books from where the literature for this article has been reviewed and discussed.

References:

  • Archana Maurya(2016). A study to assess the effectiveness of simulation teaching of neonatal BLS among nursing students. International Journal of Science and Research volume 4 issue 1 page no 2319-3462

  • Swati Sharma, Smriti Arora, Urmila Bhardwaj(2017) A quasi experimental study to assess the effectiveness of training programme on knowledge and practice regarding pediatric Basic life support based on 2015 AHA guidelines among student nurses in a selected college of nursing, in Delhi, India. International Journal of Current Research  volume 9 issue 05 page no 44935-49939

  • Melba Sheila D’ souza, Ramesh Venkatesaperumal(2017). A study to evaluate the effectiveness of simulation in critical care nursing among students in a public university. Pubmed volume 6 issue 3 page no 2864-3056

  • Yasemi Celik, Yesim and Ceylantekin and Ibrahim Kiliv (2015). A study to detect the overall evaluation of nursing students towards simulation throughout the practice education. Journal of Nursing and Allied Health Science, volume 9 issue 7 page no 1862-174

  • AL Kadi AS Donnon T (2013). A study to assess the effectiveness of laparoscopic simulators on medical students. Journal of Medical Science and Clinical Research volume 4 issue 2 page no 2893-2898

  • S Jindal and N Srivastava (2013). A study to assess the perception of medical students in simulation based learning. Journal of Medical Science and Clinical Research. Volume 12 issue 8 page no 1864-1872

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One article from every issue is selected for the ‘Best Article Award’. Authors of selected ‘Best Article’ are rewarded with a certificate. IJCRR Editorial Board members select one ‘Best Article’ from the published issue based on originality, novelty, social usefulness of the work. The corresponding author of selected ‘Best Article Award’ is communicated and information of award is displayed on IJCRR’s website. Drop a mail to editor@ijcrr.com for more details.

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This award is instituted to encourage women researchers to publish her work in IJCRR. Women researcher, who intends to publish her research work in IJCRR as the first author is eligible to apply for this award. Editorial Board members decide on the selection of women researchers based on the originality, novelty, and social contribution of the research work. The corresponding author of the selected manuscript is communicated and information is displayed on IJCRR’s website. Under this award selected women, the author is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

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Best Article Award

A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Leow Jun Xian and Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh et al. entitled "Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma COLAKOGLU entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by Arpita M. et al entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09
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List of Awardees

A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


Awardees of COVID-19 Research

Woman Researcher Award

A Study by Neha Garg et al. entitled "Optimization of the Response to nCOVID-19 Pandemic in Pregnant Women – An Urgent Appeal in Indian Scenario" published in Vol 12 issue 09

A Study by Sana Parveen and Shraddha Jain entitled "Pathophysiologic Enigma of COVID-19 Pandemic with Clinical Correlates" published in Vol 12 issue 13

A Study by Rashmi Jain et al. entitled "Current Consensus Review Article on Drugs and Biologics against nCOVID-19 – A Systematic Review" published in Vol 12 issue 09

Emerging Researcher Award

A Study by Madhan Jeyaraman et al. entitled "Vitamin-D: An Immune Shield Against nCOVID-19" published in Vol 12 issue 09

Study by Dheeraj Kumar Chopra et al. entitled "Lipid-Based Solid Dispersions of Azilsartan Medoxomil with Improved Oral Bioavailability: In Vitro and In Vivo Evaluation" published in Vol 12 issue 19


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