Janwadkar Aashika, Sancheti Akanksha, Raschke Tracy, Shah Dhaivat, Nanda Vishakha C
Neonatology, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.
Pediatrics, Rush Medical College, Chicago, USA.
Cureus. 2025 Jun 18;17(6):e86302. doi: 10.7759/cureus.86302. eCollection 2025 Jun.
Introduction Simulations have been a cornerstone in teaching procedures and resuscitation algorithms in neonatal intensive care units (NICU). As advances in care and technology have reduced healthcare-related complications, simulations are being utilized to effectively increase confidence, link knowledge with clinical practice, and enhance procedural skills. The use of simulations in NICU training is on the rise, yet the quality and structure of neonatal simulations vary. Objective The objective is to enhance the self-efficacy and confidence of neonatal-perinatal medicine (NPM) fellows in managing common neonatal diseases in our NICU through simulation-based education. Methods A prospective educational cohort study was conducted in the NICU with NPM fellows. Fellows completed pre- and post-simulation questionnaires using a Likert scale. Each fellow completed six validated simulations based on NICU scenarios, with both pre-brief and debrief sessions. Statistical analyses were performed using SAS 9.4, with statistical significance defined as p<0.05. The difference between the pre- and post-intervention Likert scores was tested using the Wilcoxen rank-signed test. Results The study highlights positive shifts in five participants' confidence across diverse neonatal scenarios following their involvement in six simulations. Noticeable improvements are evident in symptom recognition (p<0.0001), scenario management (p<0.0001), NRP resuscitation skill (p=0.0029), code leadership (p=0.0004), and communication skills (p<0.0001). While p-values underscore statistical significance overall, adjusting for individual scenarios did not achieve statistical significance, due to the constraint of a smaller sample size. Conclusion Our study showed an overall positive impact on symptom recognition, scenario management, NRP resuscitation skills, code leadership, and communication skills, supporting the broader implementation of simulation-based training (SBT) in neonatology.
引言
模拟已成为新生儿重症监护病房（NICU）教学程序和复苏算法的基石。随着护理和技术的进步减少了与医疗相关的并发症，模拟被用于有效增强信心、将知识与临床实践联系起来并提高操作技能。NICU培训中模拟的使用正在增加，但新生儿模拟的质量和结构各不相同。
目的
目的是通过基于模拟的教育提高新生儿 - 围产医学（NPM）研究员在我们NICU管理常见新生儿疾病方面的自我效能感和信心。
方法
在NICU对NPM研究员进行了一项前瞻性教育队列研究。研究员使用李克特量表完成模拟前和模拟后的问卷。每位研究员基于NICU场景完成六个经过验证的模拟，并进行模拟前简报和模拟后总结。使用SAS 9.4进行统计分析，统计学显著性定义为p<0.05。使用Wilcoxon秩和检验测试干预前和干预后李克特评分之间的差异。
结果
该研究突出了五名参与者在参与六个模拟后，在各种新生儿场景中的信心出现积极转变。在症状识别（p<0.0001）、场景管理（p<0.0001）、新生儿复苏计划（NRP）复苏技能（p = 0.0029）、急救指挥（p = 0.0004）和沟通技巧（p<0.0001）方面有明显改善。虽然p值总体上强调了统计学显著性，但由于样本量较小的限制，针对个别场景进行调整未达到统计学显著性。
结论
我们的研究表明，对症状识别、场景管理、NRP复苏技能、急救指挥和沟通技巧产生了总体积极影响，支持在新生儿学中更广泛地实施基于模拟的培训（SBT）。
