The Impact of Pedagogical Framework in Education of Neonatal Resuscitation

NCT04748341 | Completed Results

• 1 other identifier: IRB-UOL-FAHS/775/2020
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

Virtually 10% of newborns suffer respiratory distress at birth thus need intervention from proficient health professionals. Pakistan is one of the top ten countries that carry two-thirds of the global burden of neonatal deaths. It is suggested that most of these deaths can be prevented through the provision of trained emergency birth attendants, in which education plays an integral role. Since its inception in the neonatal resuscitation program, we are still in the struggle to find out the best strategies to disseminate NRP knowledge, training, and guidelines that promise the best outcome. Hence, little published data on this phenomenon is available regarding undergraduate students. That determines the best way to educate them in performing the skills that urgently require an infrequent needed such as neonatal resuscitation. Therefore, this study intended to address this gap in the education of neonatal resuscitation through two different approaches. One is a traditional 2-step method and the other is an adapted Pedagogical framework (Lean, See, Practice, Prove, Do and Maintain).

Conditions

Nursing Students Education on Neonatal Resuscitation

Outcome Measures

Primary Outcomes (3)

• Knowledge Questionnaire

  knowledge is considering awareness of Neonatal resuscitation. It will be measured through a 17-item multiple-choice question adopted from Knowledge Question total score ranged from 0 to 17. A higher score means have more knowledge.

  before intervention and 6 weeks after intervention

• Self-efficacy for Neonatal Resuscitation (SENR)

  The SENR instrument is a 23-item scale that measured nursing students' perception of confidence in their capabilities in neonatal resuscitation. All SENR items were valued on a 10-point Likert scale. The total score ranged from 0 to 230. A higher score means have more self-efficacy.

  before intervention and 6 weeks after intervention

• Neonatal Resuscitation Checklist

  A 30 items checklist will be used. Each of the correct actions was graded as 1=yes and for wrong action 0=no. The total score ranged from 0 to 30. The total score ranged from 0 to 30. A higher score means have more skill.

  before intervention and 6 weeks after intervention

Study Arms (2)

Traditional Group

ACTIVE COMPARATOR

Group A will be taught through the two steps traditional method (2 lectures/week + 1 skill lab/week). First, learn through didactic Lectures and then practice skills on the Mannequins. The educational lecture content will be the same for both groups.

Other: Traditional Method

Pedagogical Group

EXPERIMENTAL

Group B will learn through the 5-step method \[ 2 lectures/week + video + 2skill lab/week (1 session under instructor + 1 session for skill maintenance)\], learn skill, see the video on resuscitation, practice on simulator, prove through practice, observe skill on clinical rotation and lastly maintain it through clinical supplemented with simulation.

Other: Pedagogical Framework (Learn, See, Practice, Prove, Do, and Maintain)

Interventions

Pedagogical Framework (Learn, See, Practice, Prove, Do, and Maintain) OTHER

The "Learn, See, Practice, Prove, Do, and Maintain" (LSPPDM) pedagogy is acting as a guiding path for educators in teaching and learning procedural skills. It is synthesized after intensely reviewing the literature comprises steps. In the 1st step, learners learn through didactic lectures, further proceeding to see procedural videos. The 3rd step, "Practice" expose learners to perform the skill on a simulator. In the 4th step "Prove" the learner proves the skill. The 5th step Do comprise real-life exposure through the clinical rotation. Then, finally the 6th step"Maintain" the learner maintains skill supplemented with simulation as needed.

Pedagogical Group

Traditional Method OTHER

The traditional method group learns through 2-step method. 1. didactic lectures on neonatal resuscitation were delivered. 2. Practice skill on mannequins

Traditional Group

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Are currently enrolled in the Bachelor of Science in Nursing (4 years) 3rd and 4th Professional.
• Those willing to attend the full course of neonatal resuscitation.
• Having age 18-25 years.
• Those willing to give informed consent.

You may not qualify if:

• Will be on leave from that period
• Have already received any educational training on neonatal resuscitation.
• Working as Nursing Assistants in Clinical Setting.

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

College of Nursing, Allama Iqbal Medical College.

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (1)

• Liaqat M, Hussain M, Afzal M, Altaf M, Khan S, Gilani SA, Liaqat I. Efficacy of pedagogical framework in neonatal resuscitation skill learning in a resource-limited setting: a randomized controlled trial. BMC Med Educ. 2021 Aug 18;21(1):436. doi: 10.1186/s12909-021-02846-x.

  PMID: 34407810 DERIVED

MeSH Terms

Interventions

Educational Status; Vision, Ocular; Benzocaine

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics; Light Signal Transduction; Signal Transduction; Biochemical Phenomena; Chemical Phenomena; Cell Physiological Phenomena; Sensation; Nervous System Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Ocular Physiological Phenomena; para-Aminobenzoates; Aminobenzoates; Benzoates; Acids, Carbocyclic; Carboxylic Acids; Organic Chemicals; Benzene Derivatives; Hydrocarbons, Aromatic; Hydrocarbons, Cyclic; Hydrocarbons

Results Point of Contact

• Title: Ms. Mishal Liaqat (Principal Investigator)
• Organization: Lahore school of nursing, University of lahore, Pakistan

mishee861@gmail.com

+923441481666

Study Officials

• Mishal Liaqat

  Lahore School of Nursing, The University of Lahore

  PRINCIPAL INVESTIGATOR

• Muhammad Hussain

  Lahore School of Nursing, The University of Lahore

  STUDY CHAIR

• Muhammad Afzal

  Lahore School of Nursing, The University of Lahore

  STUDY CHAIR

• Amir Gillani

  Faculty of Allied Health Sciences, The University of Lahore

  STUDY DIRECTOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The data will be collected at two points in time. 1st-time data will be collected as a pre-test before the educational intervention. The 2nd-time data will be collected after 6 weeks of educational intervention. Two facilitator evaluators will be trained regarding the scoring of each scale in a two-hour workshop before data collection. All the students were allotted code after allocation. Only the principal investigator knows the allocation status of each student code. The skill was tested through simulation scenarios in the skill lab. The facilitators, who assessed the student's skills, endure uninformed regarding the student's allocation status and sequence of the scenario in the pre-and post-data collection.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: The study design is a Single-blind randomized control trial conducted in the College of Nursing, Allama Iqbal Medical College, Lahore, Pakistan. A sample size of 72 nursing students (36 in each group) will be taken through simple random sampling. The students allocated from each professional in group A and group B through the Lottery method. Allocation of participants was concealed using envelop method. A total of 6 weeks of intervention will be provided to both groups. Group A will be taught through the two steps traditional method (2 lectures/week + 1 skill lab/week). On the contrary Group B will learn through the 6-step method constituted 2 lecture/week + video + 2skill lab/week (1 session under instructor + 1 session for skill maintenance).

Study Record Dates

• First Submitted: February 3, 2021
• First Posted: February 10, 2021
• Study Start: February 10, 2021
• Primary Completion: March 22, 2021
• Study Completion: March 25, 2021
• Last Updated: May 18, 2021
• Results First Posted: May 18, 2021

Record last verified: 2021-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)