Tesis

Stimulasi Video Pembelajaran Resusitasi Neonatus Memperbaiki Performa Keterampilan Resusitasi Neonatus Peserta Program Pendidikan Dokter Spesialis Ilmu Kesehatan Anak = Video Stimulation Of Neonatal Resuscitation Learning Improving Neonatal Resuscitation Skills Performance For Pediatric Residency Programs.

Proporsi kematian neonatal meningkat dari 40% menjadi 47% di antara kematian Balita. Angka kematian neonatal merupakan salah satu target indikator Sustainable Developmental Goals (SDGs) dengan target penurunan menjadi 12 per 1000 kelahiran hidup pada tahun 2030. Perbaikan kualitas pelayanan neonatal dengan resusitasi neonatus yang efektif melalui Program Resusitasi Neonatus (PRN) yang terstandar diyakini akan dapat menurunkan kematian neonatal sampai 30%. Konsil akreditasi pendidikan kedokteran spesialis mengisyaratkan bahwa PRN sebagai kelengkapan pelatihan formal bagi semua peserta didik Program Pendidikan Dokter Spesialis Anak (PPDS anak). Pasca pelatihan modul, monitoring terhadap retensi keterampilan penting untuk menjaga performa resusitasi PPDS anak, dan upaya refreshing sangat dibutuhkan. Penelitian ini bertujuan mengetahui kompetensi prosedur resusitasi neonatus dan upaya penyegaran untuk memperbaiki performa resusitasi neonatus PPDS anak. Desain penelitian yang digunakan adalah Quasi experimental. Kelompok intervensi yang mendapatkan penyegaran dengan mengakses video resusitasi neonatus secara aktif pada modul pembelajaran daring. Hasil ada 35 PPDS dalam 2 tahun pendidikan, dianalisis pada penelitian ini, 18 kelompok intervensi 17 kelompok kontrol. Hasil penilaian pada base line didapati 16(45,7%) dari 35 PPDS tidak memenuhi standar kelulusan prosedur keterampilan resusitasi neonatus. Pencapaian target nilai level A untuk prosedur keterampilan, secara berurutan untuk Ventilasi Tekanan Positif , Intubasi dan pemberian Continuous positive airway pressure adalah 22,8%, 25,7% dan 0,6%. Penilaian pasca perlakuan didapatkan performa resusitasi kelompok intervensi lebih baik dengan nilai rerata 80 ± 11 sedang pada kelompok kontrol dengan nilai rerata 58 ± 18, berbeda bermakna dengan nilai kemaknaan p < 0,001. Kesimpulan stimulasi berupa review program resusitasi neonatus secara audiovisual dangan video pembelajaran resusitasi neonatus secara bermakna memperbaiki performa resusitasi PPDS saat dievaluasi dengan megacode.
Kata kunci: retensi keterampilan, performa resusitasi neonatus, refreshing audiovisual, PPDS Anak


The proportion of neonatal deaths increased from 40% to 47% among neonatal deaths. The neonatal mortality rate is one of the indicators of Sustainable Developmental Goals (SDGs) with a target of decreasing to 12 per 1000 live births by 2030. Improving the quality of neonatal services with effective neonatal resuscitation through the standardized Neonatal Resuscitation Program (NRP) is believed to reduce neonatal mortality by up to 30%. The Specialist Accreditation Board suggests that NRP is a complement to formal training for all students of Pediatric Residency Programs. After the module training, monitoring of skill retention is important to maintain the resuscitation performance of pediatric residents, and refreshing efforts are needed. This study aimed to determine the competence of neonatal resuscitation procedures and refresher efforts to improve the resuscitation performance of pediatric residents. The research design used was Quasi-experimental design. The intervention group received a refresher by actively accessing neonatal resuscitation videos in the online learning module. The results were 35 pediatric residents in 2 years of education, analyzed in this study, divided into 18 intervention groups and 17 control groups. The results of the assessment on the baseline found that 16 (45.7%) of 35 residents did not meet the graduation standards for neonatal resuscitation skills procedures. Achievement for A-level for skill procedures, in Positive Pressure Ventilation, Intubation, and continuous positive airway pressure were 22.8%, 25.7%, and 0.6% respectively. Post-treatment assessment showed that the resuscitation performance of the intervention group was better with a mean value of 80 ± 11, while the control group had a mean value of 58 ± 18, which was significantly different with a significance value of p < 0.001. The conclusion of stimulation in the form of an audiovisual review of neonatal resuscitation programs with neonatal resuscitation learning videos significantly improved the resuscitation performance of residents when evaluated by megacode.
Keywords: skills retention, neonatal resuscitation performance, audiovisual refreshing, pediatric residents