The power of practice: simulation training improving the quality of neonatal resuscitation skills in Bihar, India

BMC Pediatrics

Table 2 Percent of simulations in which mentees correctly performed key NR skills at weeks 4 and 8 of training (N = 113 matched pairs)

Key NR skill	N^a	Week 4	Week 8	Percentage-point change^c	P-value^d
Key NR skill	N^a	n (%)^b		Percentage-point change^c	P-value^d
Stimulation	107	38 (35.5)	26 (24.3)	−11.2	0.08
Suction	111	69 (62.2)	78 (70.3)	8.1	0.25
Neck extension	104	78 (75.0)	92 (88.5)	13.5	0.01
PPV with chest rise	100	66 (66.0)	85 (85.0)	19.0	< 0.01
PPV rate 40–60 breaths/min	106	39 (36.8)	52 (49.1)	12.3	0.08
Heart rate assessed	112	97 (86.6)	110 (98.2)	11.6	< 0.01

NR Neonatal resuscitation, PPV Positive pressure ventilation
^aN = total number of PHC-matched week 4 and 8 simulation pairs in which key NR skill could be evaluated
^bn = number of week 4 and 8 simulations in which key NR skill was completed % = percent of week 4 and 8 simulations in which key NR skill was completed
^cPercentage-point difference in completion of key NR skill from week 4 to 8 of training
^dMcNemar’s Test of paired proportions

ISSN: 1471-2431