Premium
Effect of low‐cost interventions on the retention of knowledge and skills following Helping Babies Breathe training
Author(s) -
Cordova Erika,
AlRousan Tala,
CastilloAngeles Manuel,
Aftab Saima,
Nelson Brett D.
Publication year - 2018
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12512
Subject(s) - medicine , psychological intervention , objective structured clinical examination , nursing , knowledge retention , family medicine , medical education
Objective To evaluate the impact of a post‐Helping Babies Breathe bundle of interventions on the retention of provider‐level knowledge and skills. Method The present prospective pre–post study following a 1‐day Helping Babies Breathe training of professional midwives, physicians, and nurses was conducted in Cajamarca Province, Peru between January 1 and July 31, 2017. The interventions to improve retention included structured worksite practice before every shift, weekly in‐service simulated scenarios, and monthly supervised peer‐to‐peer abbreviated refresher trainings. Knowledge and skills were assessed before, immediately after, and 6 months after training using two validated multiple‐choice knowledge test and objective structured clinical examinations ( OSCE s; OSCE A and OSCE B). Data were analyzed for changes in knowledge and skills over time and to identify predictors of performance. Results There were 60 learners included. No significant differences were observed between assessments immediately after training and at 6‐month follow‐up for knowledge scores or time‐to‐effective‐ventilation. Pass rates for OSCE B increased from 83% immediately after training to 95% at follow‐up ( P =0.007). The only factor associated with a reduced time to effective ventilation at 6‐month follow‐up was working in a hospital ( P <0.001), accounting for years of training and experience. Conclusion Helping Babies Breathe knowledge and skills can be retained and even improved with simple, inexpensive interventions, including supervised on‐the‐job and peer‐to‐peer training.