Examination of the Effect of Low versus High-Fidelity Simulation on Neonatal Resuscitation Program (NRP) Learning Outcomes: Final Report of Study Findings

The purpose of this study was to examine the effect of using low versus high-fidelity manikin simulators in Neonatal Resuscitation Program (NRP) instruction. Low and high-fidelity manikin simulators provide trainees with an opportunity to learn, practice and demonstrate neonatal resuscitation skills in a learning environment which simulates the experiences involved with real resuscitation emergencies. High-fidelity manikin simulator systems have been developed which approximate a full-term newborn in size and weight, possess a realistic airway that can be intubated, lungs that can be inflated with positive pressure ventilation, and an umbilical cord containing a single vein and 2 arteries that allow insertion of umbilical venous and arterial catheters. Integrated computer programs allow primary cues important for accurate assessment of the neonate (heart rate, respiratory rate, and skin color) to be controlled remotely. In 2003, the International Liaison Committee on Resuscitation (ILCOR) recommended that high-fidelity simulation-directed training should increasingly supplement instructor-directed training in advanced life support/advanced cardiac support (Chamberlain & Hazinski, 2003). Several studies have examined the use of simulation in resuscitation training and specifically compared the utility and effectiveness of low and high-fidelity simulation. However, few studies have compared low and high-fidelity simulation for NRP learning outcomes, and more specifically on team performance and confidence. This study was funded by a grant from the Janeway Children’s Hospital Foundation, Research Advisory Committee. It was led and managed by Professional Development & Conferencing Services (PDCS), Faculty of Medicine, Memorial University, as well as a team of study investigators (see Section 1.1). Ethics approval was received from the Interdisciplinary Committee on Ethics in Human Research (ICEHR), Memorial University