Using Simulation-Based Training to Improve Neonatal Resuscitation Clinical Competency, Confidence, and Comfort Level...

Area of Science:

• Neonatal care
• Medical education
• Quality improvement

Background:

• Approximately 10% of newborns need resuscitation, impacting perinatal mortality and neonatal outcomes.
• Caregiver inexperience and infrequent events hinder preparedness for neonatal resuscitation emergencies.
• There is a need for effective educational strategies to maintain caregiver competency and confidence.

Purpose of the Study:

• To assess the impact of simulation-based education on neonatal resuscitation competency.
• To evaluate changes in self-perceived confidence and comfort levels among NICU caregivers.
• To determine the effectiveness of a quality improvement project in enhancing neonatal resuscitation skills.

Main Methods:

• A pre-post survey design was employed for this quality improvement project.
• Competency was measured using the Creighton Competency Evaluation Instrument during simulated mock codes.
• Self-perceived confidence and comfort were assessed via pre- and post-intervention surveys.

Main Results:

• Average competency scores on the Creighton Competency Evaluation Instrument were below the target of 80%.
• A statistically significant improvement was observed in both self-perceived confidence and comfort levels post-intervention.
• The quality improvement project demonstrated practical significance in enhancing caregiver preparedness.

Conclusions:

• Simulation-based education can enhance competency, confidence, and comfort in neonatal resuscitation for NICU caregivers.
• Routine simulation training is recommended to ensure sustained competency in neonatal resuscitation.
• Replicating similar projects can help institutions address continuing competency requirements for neonatal resuscitation.