{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T15:25:35Z","timestamp":1793201135312,"version":"4.5.0"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T00:00:00Z","timestamp":1610928000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p><jats:bold>Purpose:<\/jats:bold>To safely care for their newborn patients, health-care professionals (HCP) must undergo frequent training to improve and maintain neonatal resuscitation knowledge and skills. However, the current approach to neonatal resuscitation simulation training is time and resource-intensive, and often inaccessible. Digital neonatal resuscitation simulation may present a convenient alternative for more frequent training.<\/jats:p><jats:p><jats:bold>Method:<\/jats:bold>Fifty neonatal HCPs participated in the study (44 female; 27 nurses, 3 nurse practitioners, 14 respiratory therapists, 6 doctors). This study was conducted at a tertiary perinatal center in Edmonton, Canada from April\u2013August 2019, with 2-month (June\u2013October 2019) and 5-month (September 2019\u2013January 2020) follow-up. Neonatal HCPs were recruited by volunteer sampling to complete a demographic survey, pre-test (baseline knowledge), two digital simulation scenarios (intervention), and post-test (knowledge acquisition). Two months later, participants repeated the post-test (knowledge retention). Five months after the initial intervention, participants completed a post-test using a table-top simulation (knowledge transfer). Longitudinal analyses were used to compare participants' performance over time.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold>Overall the proportion of correct performance increased: 21\/50 (42%) passed the pre-test, 39\/50 (78%) the post-test, 30\/43 (70%) the 2-month post-test, and 32\/40 (80%) the 5-month post-test. GLMM and GEE analyses revealed that performance on all post-tests was significantly better than the performance on the pre-test. Therefore, training with the RETAIN digital simulation effectively improves, maintains, and transfers HCPs' neonatal resuscitation knowledge.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold>Digital simulation improved, maintained, and helped transfer HCPs' neonatal resuscitation knowledge over time. Digital simulation presents a promising approach for frequent neonatal resuscitation training, particularly for distance-learning applications.<\/jats:p>","DOI":"10.3389\/fped.2020.599638","type":"journal-article","created":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T05:58:20Z","timestamp":1610949500000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":10,"title":["Digital Simulation Improves, Maintains, and Helps Transfer Health-Care Providers' Neonatal Resuscitation Knowledge"],"prefix":"10.3389","volume":"8","author":[{"given":"Simran K.","family":"Ghoman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Cutumisu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg M.","family":"Schm\u00f6lzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,1,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/1478-4505-5-4","article-title":"Reducing one million child deaths from birth asphyxia\u2013a survey of health systems gaps and priorities","volume":"5","author":"Lawn","year":"2007","journal-title":"Heal Res Policy Syst."},{"key":"B2","volume-title":"Sentinel Event Alert: Preventing Infant Death and Injury During Delivery","year":"2004"},{"key":"B3","doi-asserted-by":"crossref","DOI":"10.1542\/9781610020275","volume-title":"Textbook of Neonatal Resuscitation (NRP)","author":"Weiner","year":"2016"},{"key":"B4","doi-asserted-by":"publisher","first-page":"35","DOI":"10.4103\/1319-1683.68787","article-title":"Simulation-based medical teaching and learning","volume":"17","author":"Al-Elq","year":"2010","journal-title":"J Fam Commun Med."},{"key":"B5","doi-asserted-by":"crossref","DOI":"10.1002\/9781119604020","volume-title":"Healthcare Simulation at a Glance","author":"Forrest","year":"2019"},{"key":"B6","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1136\/archdischild-2019-317011","article-title":"Serious games, a game changer in teaching neonatal resuscitation? 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