title: [Evaluation of the impact and efficiency of high-fidelity simulation for neonatal resuscitation in midwifery education].
abstract: BACKGROUND
  Prompt initiation of appropriate neonatal resuscitation skills is critical for the neonate experiencing difficulty transitioning to extra-uterine life. Expertise in neonatal resuscitation is essential for personnel involved in the care of newborns, above all for midwives who are sometimes alone to initiate the first resuscitation. The use of simulation training is considered to be an indispensable tool to address these challenges, not only in continuing education but also in midwifery education.
  
  
  OBJECTIVE
  The aim of this study was to evaluate the impact and efficiency of high-fidelity simulation for neonatal resuscitation in midwifery education.
  
  
  METHODS
  This was a prospective monocentric study conducted in the Angers university hospital between October and December 2012 and included two groups of midwifery students (n=40) who received high-fidelity simulation as part of their basic midwifery education. Participants' perceptions of the knowledge, skills, and confidence gained following training in high-fidelity simulation for neonatal resuscitation were determined using a pre-/post-test questionnaire design completed during the training and also several months after the course, as well as after the students had begun working. A satisfaction survey to evaluate this training was also completed at the same time.
  
  
  RESULTS
  With a good participation rate (67.5%), the survey showed a high degree of satisfaction among the participants. This training was described as facilitating their hire in one third of cases. A significant increase in self-assessment of skills scores was observed between the pre-test and post-test (P<0.001), the pre-test and the distance test (P<0.001), and the post-test and distance test (P=0.007). Although a decrease in the median score was observed on the knowledge questionnaire given as a post-test, this median remained significantly higher than that obtained on the pre-test (P=0.03).
  
  
  CONCLUSIONS
  The significant improvement in knowledge during the session and its preservation after a few months confirmed the efficacy of this teaching method. The simulation training increased the participants' perceptions of their knowledge, skills, and confidence in conducting neonatal resuscitation. These preliminary results are very encouraging and argue in favor of generalizing this teaching method. However, this training could be more profitable if it was proposed earlier in the midwifery curriculum and organized with a multidisciplinary team (pediatric and anesthesia residents).
authors.affiliation: École de sages-femmes René-Rouchy, université d'Angers, 49933 Angers, France.
authors.forename: C
authors.initials: C
authors.lastname: Coyer
authors.affiliation: Service de réanimation et médecine néonatales, CHU d'Angers, faculté de médecine d'Angers, 4, rue Larrey, 49933 Angers, France. Electronic address: gegascoin@chu-angers.fr.
authors.forename: G
authors.initials: G
authors.lastname: Gascoin
authors.affiliation: Service de gynécologie et obstétrique, CHU d'Angers, faculté de médecine d'Angers, 49933 Angers, France.
authors.forename: L
authors.initials: L
authors.lastname: Sentilhes
authors.affiliation: Service de réanimation et médecine néonatales, CHU d'Angers, faculté de médecine d'Angers, 4, rue Larrey, 49933 Angers, France.
authors.forename: C
authors.initials: C
authors.lastname: Savagner
authors.affiliation: Centre de simulation en anesthésie et réanimation (CeSAR), CHU d'Angers, 49933 Angers, France.
authors.forename: J
authors.initials: J
authors.lastname: Berton
authors.affiliation: Service de réanimation et médecine néonatales, CHU d'Angers, faculté de médecine d'Angers, 4, rue Larrey, 49933 Angers, France; Service de gynécologie et obstétrique, CHU d'Angers, faculté de médecine d'Angers, 49933 Angers, France; Centre de simulation en anesthésie et réanimation (CeSAR), CHU d'Angers, 49933 Angers, France.
authors.forename: F
authors.initials: F
authors.lastname: Beringue
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D005602:France; D006801:Humans; D007231:Infant, Newborn; D008348:Manikins; D008880:Midwifery / Q000193:education*; D015397:Program Evaluation; D012151:Resuscitation / Q000193:education*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires