Penguatan Kompetensi Resusitasi Neonatus pada Perawat melalui Pelatihan Berbasis Pedoman American Heart Association (AHA)

Indah Purnama Sari; Wulan Pramadhani; Oki Isnanto

doi:10.59024/jpma.v4i3.2361

Authors

Indah Purnama Sari Program Studi Ilmu Keperawatan, Universitas Awal Bros
Wulan Pramadhani Universitas Awal Bros
Oki Isnanto Universitas Awal Bros

DOI:

https://doi.org/10.59024/jpma.v4i3.2361

Keywords:

American Heart Association, Neonatal Resuscitation, Newborn Safety, Nurse Training, Simulation

Abstract

Neonatal asphyxia remains one of the leading causes of neonatal mortality in Indonesia, and timely, competent resuscitation by nurses is critical to improving newborn survival. This community service activity aimed to strengthen nurses' neonatal resuscitation competency through an intensive training program based on the 2025 American Heart Association (AHA) and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. The training was conducted for 25 nurses working in the perinatology, delivery room, and neonatal intensive care unit of Awal Bros Batam Hospital using a one-group pretest-posttest design, combining lectures, algorithm-based discussion, and high-fidelity manikin simulation covering the Newborn Chain of Care, initial steps of resuscitation, positive-pressure ventilation, chest compression, and updated umbilical cord management recommendations. Results showed a significant increase in nurses' knowledge and skill scores after training, along with improved self-confidence in managing simulated neonatal emergencies. This activity demonstrates that structured, guideline-based simulation training is an effective and feasible strategy to enhance nurses' readiness in delivering safe, standardized neonatal resuscitation, supporting broader efforts to reduce neonatal mortality.

References

American Academy of Pediatrics, & American Heart Association. (2025). Textbook of Neonatal Resuscitation (9th ed.). American Academy of Pediatrics.

American Heart Association, & American Academy of Pediatrics. (2025). Part 5: Neonatal resuscitation: 2025 American Heart Association and American Academy of Pediatrics guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 152(16_suppl_2), S385–S423. https://doi.org/10.1161/CIR.0000000000001367

Astuti, E. S., Solikhah, F. K., & Ernawati, N. (2022). Peningkatan pengasuhan bayi berat lahir rendah (BBLR) oleh tenaga kesehatan dan kader. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 5(12), 4311–4322.

Bucher, S., Young, A., Dolan, M., Padmanaban, G., Chandnani, K., Purkayastha, S., & Ayatollahi, H. (2023). The NeoRoo mobile app: Initial design and prototyping of an Android-based digital health tool to support Kangaroo Mother Care in low/middle-income countries (LMICs). PLOS Digital Health, 2(10), e0000216.

Chae, S., & Shon, S. (2024). Effectiveness of simulation-based interprofessional education on teamwork and communication skills in neonatal resuscitation. BMC Medical Education, 24, 602. https://doi.org/10.1186/s12909-024-05581-1

Ezenwa, B. N., Umoren, R., Fajolu, I. B., Hippe, D. S., Bucher, S., & Purkayastha, S. (2022). Using mobile virtual reality simulation to prepare for in-person Helping Babies Breathe training: Secondary analysis of a randomized controlled trial (the eHBB/mHBS trial). JMIR Medical Education, 8, e37297.

Farhadi, R., Azandehi, B. K., Amuei, F., Ahmadi, M., Zazoly, A. Z., & Ghorbani, A. A. (2023). Enhancing residents' neonatal resuscitation competency through team-based simulation training: An intervention educational study. BMC Medical Education, 23, 743. https://doi.org/10.1186/s12909-023-04704-4

Felton, A., & Cheshire, K. (2024). Using simulation-based training to improve neonatal resuscitation clinical competency, confidence, and comfort level of NICU caregivers. Journal of Continuing Education in Nursing, 55(4), 175–180. https://doi.org/10.3928/00220124-20231130-21

Huang, Q., Yan, S.-Y., Huang, J., Guo, Y., Zeng, X.-T., & Jin, Y.-H. (2024). Effectiveness of simulation-based clinical research curriculum for undergraduate medical students—A pre-post intervention study with external control. BMC Medical Education, 24, 542. https://doi.org/10.1186/s12909-024-05455-6

Kain, V., Dhungana, R., Basnet, B., Basnet, L., Budhathoki, S., Fatth, W., & Sherpa, A. (2024). Stakeholders' perspectives on the "Helping Babies Breathe" program situation in Nepal following the COVID-19 pandemic. Journal of Perinatal & Neonatal Nursing, 38(2), 221.

Kementerian Kesehatan Republik Indonesia. (2024). Survei Kesehatan Indonesia (SKI) 2023. Kemenkes RI.

Kim, E., Song, S., & Kim, S. (2023). Development of pediatric simulation-based education: A systematic review. BMC Nursing, 22, 291.

Lim, C. Y., & Song, M. R. (2024). Sustained effect of simulation-based resuscitation education on knowledge, self-confidence, and performance ability of neonatal intensive care unit nurses. Journal of Continuing Education in Nursing, 55(2), 79–86. https://doi.org/10.3928/00220124-20231109-05

McAdams, R. M., & Trinh, G. K. (2024). Using virtual reality-based simulation in neonatal resuscitation program training. NeoReviews, 25(9), e567–e577.

Pangket, P., Estadilla, L., Benjamin, L. S., & Ahmed, K. E. (2023). Effects of simulation in improving the self-confidence of student nurses in clinical practice: A systematic review. BMC Medical Education, 23, 815. https://doi.org/10.1186/s12909-023-04793-1

Republik Indonesia. (2023). Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan.

Rusmariana, A., Utami, S., & Ratnawati, R. (2022). Edukasi tentang penatalaksanaan asfiksia pada bayi baru lahir. Jurnal Batikmu, 1(2), 10–13.

Soghier, L. (2024). Improving neonatal patient outcomes using simulation-based education. Journal of Pediatrics, 266, 113831. Umoren, R. A., & Schmölzer, G. M. (2023). Virtual simulations for neonatal education. Seminars in Perinatology, 47(7), 151826. https://doi.org/10.1016/j.semperi.2023.151826

World Health Organization. (2024). Newborn mortality (fact sheet). WHO.