Caldelari M, Floris L, Marchand C, Schuler Barazzoni M
School of Health Sciences, Vaud, 1011 Lausanne, Switzerland.
School of Health Sciences, Vaud, 1011 Lausanne, Switzerland; Nursing Directorate, Geneva University Hospitals (HUG), 1205 Geneva, Switzerland.
Arch Pediatr. 2019 Sep;26(6):385-392. doi: 10.1016/j.arcped.2019.05.001. Epub 2019 Jul 25.
Training student midwives in neonatal resuscitation is essential because the midwife is present at every birth and must be able to perform resuscitation procedures when needed. The objective of this study was to evaluate student midwives' retention of theoretical knowledge about resuscitation as well as their practical application of that knowledge 6 months after training.
A cross-sectional study was conducted for two consecutive years, 2015 and 2016, among 49 student midwives in the middle of their second and final year of training at the University of Applied Sciences in Western Switzerland. The study included assessments of both theoretical knowledge and practical skills regarding neonatal resuscitation 6 months after each participant had completed the training program. The students' theoretical knowledge was evaluated using a multiple-choice question (MCQ) test, the results of which were compared with results from the same MCQ test that had been obtained 6 months earlier. The students' practical skills were evaluated following a simulation workshop by analyzing recorded videos and applying scores using an adapted validated grid.
The MCQ pretest and MCQ posttest (after 6 months) scores showed no statistically significant difference (z=-1.583, P=0.113). In terms of the practical skills assessment, 25% of the students (11/44) were considered insufficiently skilled for the table preparation. During the simulation, 22 teams of students were available for analysis. Of these, 11 teams (50.0%) were considered insufficiently skilled. The skills observation findings showed an integration of technical gestures for the majority of the teams, but the items demonstrated a lack of organization and management.
Neonatal resuscitation training for student midwives shows that their theoretical knowledge seems to be well assimilated while practical skills are unevenly retained. Certain elements, as indicated by the detail of the analysis grid, need to be reinforced by additional workshops before the end of the training.
对助产专业学生进行新生儿复苏培训至关重要，因为助产士会参与每次分娩，且必须能够在需要时实施复苏程序。本研究的目的是评估助产专业学生在培训6个月后对复苏理论知识的掌握情况以及他们对这些知识的实际应用能力。
在2015年和2016年连续两年对瑞士西部应用科学大学处于培训第二年和最后一年的49名助产专业学生进行了一项横断面研究。该研究包括在每位参与者完成培训计划6个月后对其新生儿复苏的理论知识和实践技能进行评估。学生的理论知识通过多项选择题（MCQ）测试进行评估，其结果与6个月前同一MCQ测试的结果进行比较。学生的实践技能在模拟工作坊后通过分析录制的视频并使用经过改编的有效评分网格进行评分来评估。
MCQ预测试和6个月后的MCQ后测试分数没有统计学上的显著差异（z=-1.583，P=0.113）。在实践技能评估方面，25%的学生（11/44）被认为在准备工作台上技能不足。在模拟过程中，有22组学生可供分析。其中，11组（50.0%）被认为技能不足。技能观察结果显示，大多数团队的技术动作能够整合，但各项操作显示出缺乏组织和管理。
对助产专业学生进行的新生儿复苏培训表明，他们的理论知识似乎掌握得较好，而实践技能的掌握情况参差不齐。分析网格的细节表明，某些要素需要在培训结束前通过额外的工作坊加以强化。
