Strides in Development of Medical Education

Document Type : Original Article


1 M.Sc. in Nursing pediatric, Assistant Professor, Hazrat_Fatemeh School of Nursing and Midwifery, Shiraz University of Medical Science, Shirz, Iran

2 Ph.D. in Statistics and Epidemiology, Assistant Professor, Department of Statistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

3 M.Sc. Neonatal nursing, Hazrat_Fatemeh school of nursing and midwifery, Shiraz university of medical science, Shirz, Iran

4 Ph.D. in Nursing, Assistant Professor, Department of Neonatal Care, Fatemeh School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran


Background & Objective: Nursing staff can prevent asphyxia and neonatal mortality by learning the correct resuscitation principles Therefore this study was performed with the aim to determine the effectiveness of teaching through simulation and filming of the performance of nurses in neonatal resuscitation Methods: In this experimental study 40 nursing staff were divided into teams of 2 nurses through simple randomization The level of knowledge before and after the intervention was evaluated using a written exam To assess performance before and after the intervention simulated environment and scenario building were used All stages of resuscitation of the teams were filmed Before training the experimental group participants viewed their videos and were trained through error analysis practicing on manikin and viewing educational videos of resuscitation (2011) The videos were evaluated and scored by two instructors through doubleblind techniques and using a standard checklist Data were analyzed in SPSS software using independent sample ttest paired ttest repeated measurement and Pearson correlation coefficient Results: The level of knowledge in the control and experimental groups increased by 9 and 10 scores respectively This difference was not statistically significant (P = 0830) Before the training no statistically significant difference was observed in terms of performance (P = 0109) However one month after training a significant difference was observed between the two groups in terms of performance (P < 0001) This reflects the effect of training on performance of the experimental group Conclusion: The results showed that the simultaneous use of simulation and filming for training will be more effective in the learning process Thus it is better that both techniques be used for training to be more effective


  1. Kattwinkel J. Textbook of neonatal resucitation. 5th ed. Philadelphia: American Heart Association; 2006.
  2. Bahman-Bijari B, Niknafs P, Madahiyan S. Causes of neonatal mortality in Kerman province in (2008-2009). Urmia Med J. 2012; 22(6): 501-6. [In Persian]
  3. Ersdal HL, Mduma E, Svensen E, PerlmanJ. Birth asphyxia: a major cause of early neonatal mortality in a Tanzanian rural hospital. Pediatrics. 2012;129(5):e1238-e43.
  4. Frazier M, Werthammer J. Post-resuscitation complications in term neonates. J Perinatol. 2007;27(2):82-4.
  5. Deulofeut R, Sola A, Lee B, Rogido M. Delivery room cardiopulmonary resucitation of very preterm infant is associated with adverse short- and long-term outcomes. An Pediatr (Barc). 2007;66(1):31-7.
  6. Boog G. Cerebral palsy and perinatal asphyxia (II--Medicolegal implications and prevention). Gynecol Obstet Fertil. 2011;39(3):146-73.
  7. Dehghani H, Dehghani K, Nasiriyani K, Dehghani A, Benaderakhshan H. Educational need assessment of nursing personnel of Shahid Sadoughi University of Medical Sciences using Delphi method. J Med Educ Dev. 2013;7(4):73-83.
  8. Murila F, Obimbo MM, Musoke R. Assessment of knowledge on neonatal resuscitation amongst health care providers in Kenya. Pan Afr Med J. 2012;11:78.
  9. Lee MO, Brown LL, Bender J, Machan JT, Overly FL. A medical simulation-based educational intervention for emergency medicine residents in neonatal resuscitation. Acad Emerg Med. 2012;19(5):577-85.
  10. Sawyer T, Sierocka-Castaneda A, Chan D, Berg B, Lustik M, Thompson M. Deliberate practice using simulation improves neonatal resuscitation performance. Simul Healthc. 2011;6(6):327-36.
  11. Niknafs N, Niknafs P, Bahmanbijari B. Effective Factors on Maintaining Neonatal Resuscitation Skills among the Nurses and Midwives in Kerman Province Hospital. J Strides Dev Med Educ. 2009; 6(1): 66-73. [In Persian]
  12. Zaichkin J, Weiner GM. Neonatal Resuscitation Program (NRP) 2011: new science, new strategies. Neonatal Netw. 2011;30(1):5-13.
  13. Mohajeri M, Mohajri A. Simulation and virtual reality,a new method improve the quality of medical education. Horizons Med Educ Dev. 2010;4(1):69-74. [In Persian]
  14. Faraji A, Khankeh H, Hosseini M, Abdi K, Rezasoltani P. Effect of simulated training course on preparedness of nurses to do pre-hospital triage. J Health Promotion Management. 2013;2(4):24-9. [In Persian]
  15. Erfanian F, Khadivzadeh T. The effects of Simulation Based and Traditional Education on students' skill in Pelvic examination. Ofogh-e-Danesh J. 2008; 14(2):n 61-9. [In Persian]
  16. Weiner GM, Menghini K, Zaichkin J, Caid AE, Jacoby CJ, Simon WM. Self-directed versus traditional classroom training for neonatalresuscitation. Pediatrics. 2011;127(4):713-9.
  17. Hadian Shirazi Z, Kargar M, Edraki M, Ghaem H, Pishva N. The effect of instructing the principles of endotracheal tube suctioning on knowledge and performance of nursing staff working in neonatal intensivecare units in shiraz university of medical sciences. Iran J Med Educ. 2010;9(4):365-70. [In Persain]
  18. Assadibidmeshki E, Shahraki Vahed A, Nrouei F, Badakhsh M, Hshemi Z. Evaluation on Knowledge of Nurses about in Insulin Therapy Before and After Training. J Diabetes Nurs 2013, 1(1): 6-11. [In Persian]
  19. Singhal N1, Lockyer J, Fidler H, Keenan W, Little G, Bucher S, et al. Helping Babies Breathe: global neonatal resuscitation program development and formative educational evaluation. Resuscitation. 2012;83(1):90-6.
  20. Finan E, Bismilla Z, Campbell C, Leblanc V, Jefferies A, Whyte HE. Improved procedural performance following a simulation training session may not be transferable to the clinical environment. J Perinatol. 2012;32(7):539-44.
  21. Cardoso AF, Moreli L, Braga FT, Vasques CI, Santos CB, Carvalho EC. Effect of a video on developing skills in undergraduate nursing students for the management of totally implantable central venous access ports. Nurse Educ Today. 2012;32(6):709-13.
  22. Ahmady M, Nasiri E, Emady SA, Mohammad Poor RA. Assessment of knowledge attitude and practice of trainees on neonatal resuscitation in the healthcare center affiliated to the University of Medical Science of Mazandaran. J Mazandaran Univ Med Sci. 2007, 17(58): 109-16. [In Persian]
  23. Rovamo L, Mattila MM, Andersson S, Rosenberg P. Assessment of newborn resuscitation skills of physicians with a simulator manikin. Arch Dis Child Fetal Neonatal Ed. 2011;96(5):F383-9.
  24. Campbell DM, Barozzino T, Farrugia M, Sgro M. High-fidelity simulation in neonatal resuscitation. Paediatr Child Health. 2009;14(1):19-23.