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Impact of Task-Oriented Role Assignment on Neonatal Resuscitation Performance: A Simulation-Based Randomized
Carrie Litke-Wager1,2, Heather Delaney1,2, Thornton Mu1,2
1Division of Neonatology, Department of Pediatrics, Brooke Army Medical Center, San Antonio, Texas.
American Journal of Perinatology
|January 4, 2020
Summary
Task-oriented role assignment (TORA) training improved behavioral skills in neonatal resuscitation teams. While technical skills remained similar, TORA enhanced teamwork and communication during simulated events.
Area of Science:
- Medical Education
- Neonatal Resuscitation
- Team Performance
Background:
- Effective teamwork is crucial in neonatal resuscitation.
- Standard Neonatal Resuscitation Program (NRP) courses may not fully optimize team dynamics.
- Task-oriented role assignment (TORA) is a structured approach to defining team member responsibilities.
Purpose of the Study:
- To evaluate the impact of TORA training on technical and behavioral skills in neonatal resuscitation teams.
- To compare the performance of teams receiving standard NRP training versus those receiving TORA-enhanced NRP training.
Main Methods:
- Cluster randomized controlled trial comparing standard NRP with TORA-enhanced NRP.
- Participants included resident physicians and nurses in simulated neonatal resuscitation scenarios.
- Technical and behavioral skills were assessed by blinded reviewers using validated instruments.
Main Results:
- No significant difference in technical skill scores between the TORA and control groups.
- The TORA group demonstrated significantly higher overall behavioral skill scores (p < 0.001).
- TORA training improved 8 out of 10 key behavioral skills assessed.
Conclusions:
- TORA training enhances behavioral skills in simulated neonatal resuscitation, particularly in teams with resident physicians.
- Further research is needed to assess TORA's impact on interdisciplinary teams and actual clinical performance.
