The Impact of Simulation-Based Training regarding Neuroprotective Strategies on Nurses' Performance and Preterm Infants' Outcomes for Preventing Intraventricular Hemorrhage

Ramadan Ahmed, Shimaa; Abd El Nasser El Sayed, Semha; Hassan Mohamed Kafl, Rehab; Abd Allah Salem, Marwa

doi:10.21608/ejhc.2025.461203

The Impact of Simulation-Based Training regarding Neuroprotective Strategies on Nurses' Performance and Preterm Infants' Outcomes for Preventing Intraventricular Hemorrhage

Document Type : Original Article

Authors

¹ Fellow (Lecturer) of Pediatric Nursing, Pediatrics Department, Tanta University Hospitals, Tanta University, Egypt

² Lecturer of Pediatric Nursing, Faculty of Nursing, Sohag University.

³ Associate Professor of Pediatric Nursing, Faculty of Nursing, Suez Canal University

⁴ Lecturer of Pediatric Nursing, Faculty of Nursing, Beni-Suef University

10.21608/ejhc.2025.461203

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.

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