The Impact of Simulation-Based Training regarding Neuroprotective Strategies on Nurses' Performance and Preterm Infants' Outcomes for Preventing Intraventricular Hemorrhage | ||
| Egyptian Journal of Health Care | ||
| Volume 16, Issue 4, December 2025, Pages 121-136 PDF (456.15 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2025.461203 | ||
| Authors | ||
| Shimaa Ramadan Ahmed1; Semha Abd El Nasser El Sayed2; Rehab Hassan Mohamed Kafl3; Marwa Abd Allah Salem4 | ||
| 1Fellow (Lecturer) of Pediatric Nursing, Pediatrics Department, Tanta University Hospitals, Tanta University, Egypt | ||
| 2Lecturer of Pediatric Nursing, Faculty of Nursing, Sohag University. | ||
| 3Associate Professor of Pediatric Nursing, Faculty of Nursing, Suez Canal University | ||
| 4Lecturer of Pediatric Nursing, Faculty of Nursing, Beni-Suef University | ||
| Abstract | ||
| Background: Intraventricular hemorrhage continues to pose a significant and potentially life-threatening risk in preterm or extremely low birth weight infants. Training through simulation serves as a bridge between theoretical understanding and practical application, enhancing nursing skills before encountering premature infants in real-life scenarios. This ultimately raises the level of care and protects the welfare of premature infants. Aim: To determine the impact of simulation-based training regarding neuroprotective strategies on nurses' performance and preterm infants' outcomes for preventing intraventricular hemorrhage. Design: A quasi-experimental research approach was utilized. Example: comprising premature infants and neonatal care nurses. Setting: Neonatal Intensive Care Units at Sohag University Hospitals, Egypt. Tools: three tools were employed; tool 1: A detailed Questionnaire sheet; tool 2: Observational Neuroprotective Strategies Checklist (Pre/Post-assessment); and tool 3: Intraventricular Hemorrhage (IVH) Severity Rating Scale (Post-assessment). Results: The application of simulation-based training on neuroprotective strategies led to a marked decrease in the incidence of intraventricular hemorrhage (p-value < 0.001). A notable reduction was observed in the composite outcome, which included severe IVH, cystic periventricular leukomalacia, and mortality (p < 0.001). There were considerable enhancements in nurses' knowledge and practice following simulation-based training on neuroprotective strategies. Conclusion: Training through simulation on Neuroprotective strategies greatly improves nurses' performance and is linked to a reduced risk of intraventricular hemorrhage, cystic periventricular leukomalacia, and mortality in extremely preterm infants. Recommendations: It is advised that simulation-centered training be included as a successful training approach for nurses concerning neuroprotective strategies. It is advised to incorporate Neuroprotective strategies into the standard practices of the Neonatal Intensive Care Unit to enhance neonatal outcomes. | ||
| Keywords | ||
| Intraventricular hemorrhage; Neuroprotective strategies; Preterm infant; Simulation-based training | ||
|
Statistics Article View: 8 PDF Download: 5 |
||
