Utility of AABR screening training for nurses in neonatal/post-natal wards at a quaternary care center

Objectives: This study evaluates the utility of an AABR screening training module in Indian English for nurses working in a neonatology/post-natal ward of a quaternary care center. Method:The study comprises of 5 phases: module development, pre-training evaluation, training workshop, and post-training assessments at immediate and at one month interval.The developed video module (15 minutes duration) featuring the MB11 BERAphone, covers information on importance of AABR screening, procedure to perform AABR screening, and interpretation of test results.The baseline knowledge of 50 nurses were tested using a 24-item questionnaire and skills were assessed using an OSCE.Immediate and onemonth post-training assessments were evaluated, with a benchmark of 75% set as minimum level of knowledge required to perform AABR screening. Results:Pre-training evaluation revealed limited knowledge and skill among nurses and none met the required benchmark of 75%.Immediate post-training evaluation reveals a significant improvement (p=0.00) in knowledge across all domains, with 29 nurses reaching the benchmark.Skills improvement was observed, indicating nurses' enhanced ability to conduct AABR screening confidently.One-month post-training, knowledge scores increased significantly (p=0.00), with 44 nurses reaching the 75% benchmark. Conclusion:The study suggests that the developed training module is effective and shall be used to train and educate nurses to perform AABR screening.The outcome will be useful in implementing NHS using ABR screening in various hospitals/ healthcare centers in developing countries.This represents one of the first structured nurse-training initiatives J o u r n a l P r e -p r o o f 2 on AABR in India, highlighting the feasibility of task-sharing to achieve wider NHS implementation.