Effectiveness of Teaching of Neonatal Resuscitation Programme at a Workshop for a Mixed Population of Medical Personnel

Abstract

We evaluated the effectiveness of teaching at a neonatal resuscitation programme (NRP) workshop held for 35 medical personnel (including postgraduate trainee doctors, general duty medical officers, nursing officers and probationer nurses) using a onegroup pretest-posttest design. None of the participants had any formal exposure to the NRP guidelines. A pre-workshop test of 20 multiple-choice questions was administered to all the participants. At the end of the workshop, the same 20 questions were administered and the two scores compared using t-test for paired data on SPSS statistical software. The mean pre-workshop score was 9.03 (SD 2.66) which improved to a mean of 15.53 (SD 1.93) post-workshop. This improvement was highly significant with p < 0.0001 (two-tailed) and the 95% confidence interval being -7.41 to -5.59. Subgroup analysis revealed that nursing officers and probationer nurses showed highly significant improvement in the post-workshop scores while trainee doctors doing Medicine, Pediatrics and the general duty medical officers showed statistically significant improvement in the post-workshop scores. This study shows that a medical workshop is an effective means of imparting knowledge to a mixed group of medical personnel. ResultsOut of a total of 35 participants, 34 completed both the pre-workshop and post-workshop test and thus qualified for entry into the study. One trainee in Obstetrics could not complete the post-test due to an emergency call from the ward. The participants' groups according to their qualification were as follows: pediatric trainees -4 (11.4%); medicine trainees -4 (11.4%); anaesthesiology trainees' -3 (8.6%); obstetrics and gynecology trainees -3 (8.6%); general duty medical officers -5 (14.3%); nursing officers -7 (20.0%) and probationer nurses -9 (25.7%).Out of a maximum possible score of 20 for each test, the lowest pre-workshop score was 3 out of 20 (15.0%) and the highest was 16 (80.0%). The lowest post-workshop score was 11 out of 20 (55.0%) while the highest was 20 (100.0%). The mean pre-workshop score was 9.03 (SD 2.66) which had risen post workshop to a mean of 15.53 (SD 1.93). Based on the t-test for paired samples the two-tailed p value of this difference was < 0.0001, suggesting that the improvement in the post-workshop score was highly significant; 95% confidence interval for the same being -7.44 to -5.99.Subgroup analysis of scores was done and the results are depicted in Table 1. This analysis was not done for the trainees of Obstetrics as only two of them completed the study and the resulting scores had a skewed distribution. Sub-group analysis revealed highly significant improvement (two-tailed

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