The Effect of Teaching through Simulation of the Performance of Nurses in Neonatal Resuscitation in Farideh Behbahani Hospital, Iran


Marzieyeh Kargar 1 , * , Rezvan Mahfoozi 2 , Mostajab Razavinejad 3 , Zahra Bagheri 4


1 M.Sc. in Nursing pediatric, Assistant Professor, Hazrat_Fatemeh School of Nursing and Midwifery, Shiraz University of Medical Science, Shirz, Iran, Iran

2 M.Sc. Neonatal nursing, Hazrat_Fatemeh school of nursing and midwifery, Shiraz university of medical science, Shirz, Iran, Iran

3 Ph.D. in Nursing, Assistant Professor, Department of Neonatal Care, Fatemeh School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran, Iran

4 Ph.D. in Statistics and Epidemiology, Assistant Professor, Department of Statistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran, Iran


Strides in Development of Medical Education: 13 (2); e57973
Published Online: June 15, 2016
Article Type: Research Article
Received: July 11, 2017
Accepted: July 12, 2015




Background & Objective: Nursing staff can prevent asphyxia and neonatal mortality by learning the correct resuscitation principles. Therefore, this study was performed with the aim to determine the effectiveness of teaching through simulation and filming of the performance of nurses in neonatal resuscitation.

Methods: In this experimental study, 40 nursing staff were divided into teams of 2 nurses through simple randomization. The level of knowledge before and after the intervention was evaluated using a written exam. To assess performance before and after the intervention, simulated environment and scenario building were used. All stages of resuscitation of the teams were filmed. Before training, the experimental group participants viewed their videos and were trained through error analysis, practicing on manikin, and viewing educational videos of resuscitation (2011). The videos were evaluated and scored by two instructors through double-blind techniques and using a standard checklist. Data were analyzed in SPSS software using independent sample t-test, paired t-test, repeated measurement, and Pearson correlation coefficient.

Results: The level of knowledge in the control and experimental groups increased by 9 and 10 scores, respectively. This difference was not statistically significant (P = 0.830). Before the training, no statistically significant difference was observed in terms of performance (P = 0.109). However, one month after training, a significant difference was observed between the two groups in terms of performance (P < 0.001). This reflects the effect of training on performance of the experimental group.

Conclusion: The results showed that the simultaneous use of simulation and filming for training will be more effective in the learning process. Thus, it is better that both techniques be used for training to be more effective.


Resuscitation Neonate Nursing performance evaluation Simulation

© 2016, Strides in Development of Medical Education. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.


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