Abstract
Background: Providing skilled initial neonatal care at birth can greatly improve neonatal outcomes. While simulation-based education is implemented in developed countries to enhance students’ confidence and competence, it remains underutilized in low-income settings like Tanzania. In these contexts, lecture-based teaching dominates, offering limited practical experience in managing neonatal emergencies. This study evaluated whether simulation training improves neonatal care skills among nursing students in Tanzania.
Methods: Using a quasi-experimental study with a control group, 90 students from two nursing schools—45 from an urban school (intervention group) and 45 from a rural school (control group) were conveniently selected. Both groups received standard lectures on initial neonatal care, but the intervention group received additional simulation-based training involving two scenarios: to a normal, healthy breathing neonate and (2) initial neonatal care to neonates with difficulty breathing. Skills performance was assessed using an OSCE checklist on real neonates in labor wards across four sites in Kilimanjaro between June – August 2023. Data analysis included descriptive statistics, t-tests, and linear regression.
Results: Students who received simulation training scored significantly higher mean score of 47.5 (± 5.8) than those who only received lecture teaching (mean 41.2 (± 5.8), p – 0.001. Linear regression confirmed a significant difference in skills performance favouring the intervention group (p < 0.05).
Conclusion: Simulation-based education enhanced initial neonatal care skills practice among nursing students compared to lecture methods alone. Implementing simulation can better prepare students in Tanzania, help address shortages of skilled healthcare provider, and potentially reduce neonatal mortality rates.