Scholarlink

Background <p>Neonatal mortality remains high in low- and middle-income countries (LMICs), where simulation-based training could enhance frontline providers’ resuscitation skills. This scoping review maps evidence on simulation-based neonatal resuscitation training for nurses, midwives, and birth attendants in LMICs.</p> Methods <p>Following PRISMA-ScR guidelines, three databases (Pubmed, Google scholar and Epistemonikos) were searched from 2015 to 2025 for studies on simulation training targeting nurses/midwives in LMICs. Two reviewers screened titles/abstracts and full texts, charting data on intervention design, outcomes, facilitators, and barriers.</p> Results <p>Seventeen studies were included, mainly from Tanzania (<i>n</i> = 6), India (<i>n</i> = 4), Uganda, Kenya, Pakistan, Zambia, Liberia, and Latin America. Interventions included Helping Babies Breathe (HBB; <i>n</i> = 9), PRONTO (<i>n</i> = 3), and low-dose refreshers, varying in duration (1–6 days), fidelity (low-high), and follow-up (immediate to 12 months). Providers showed gains in knowledge, skills (bag-mask ventilation proficiency), and confidence, but retention waned without refreshers. Barriers encompassed equipment scarcity, staffing shortages, and integration challenges.</p> Conclusions <p>Simulation training is feasible and effective short-term for LMIC providers, supporting scalable models like HBB with mentoring. Gaps in long-term neonatal outcomes and qualitative insights warrant randomized trials and policy focus on sustainability.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Simulation-based neonatal resuscitation training in low- and middle-income countries: A scoping review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月31日

查看全文
  • Shalu Chaudhary,
  • Medha Wadhwa,
  • Kruti Gupta,
  • Ankith Thomas

摘要

Background

Neonatal mortality remains high in low- and middle-income countries (LMICs), where simulation-based training could enhance frontline providers’ resuscitation skills. This scoping review maps evidence on simulation-based neonatal resuscitation training for nurses, midwives, and birth attendants in LMICs.

Methods

Following PRISMA-ScR guidelines, three databases (Pubmed, Google scholar and Epistemonikos) were searched from 2015 to 2025 for studies on simulation training targeting nurses/midwives in LMICs. Two reviewers screened titles/abstracts and full texts, charting data on intervention design, outcomes, facilitators, and barriers.

Results

Seventeen studies were included, mainly from Tanzania (n = 6), India (n = 4), Uganda, Kenya, Pakistan, Zambia, Liberia, and Latin America. Interventions included Helping Babies Breathe (HBB; n = 9), PRONTO (n = 3), and low-dose refreshers, varying in duration (1–6 days), fidelity (low-high), and follow-up (immediate to 12 months). Providers showed gains in knowledge, skills (bag-mask ventilation proficiency), and confidence, but retention waned without refreshers. Barriers encompassed equipment scarcity, staffing shortages, and integration challenges.

Conclusions

Simulation training is feasible and effective short-term for LMIC providers, supporting scalable models like HBB with mentoring. Gaps in long-term neonatal outcomes and qualitative insights warrant randomized trials and policy focus on sustainability.