Impact of a Prospective Simulation-Based Mastery Learning With Deliberate Practice Intervention on Neonatal...

Area of Science:

• Medical Education
• Neonatal Resuscitation
• Simulation-Based Training

Background:

• Neonatal intubation is a critical delivery room procedure.
• Declining clinical opportunities challenge skill acquisition for providers.
• Effective training methods are needed to ensure proficiency.

Purpose of the Study:

• To design and implement a simulation-based mastery learning (SBML) curriculum with deliberate practice (DP).
• To evaluate the impact of this SBML with DP curriculum on neonatal intubation performance and skill retention.
• To address the need for optimized proficiency in neonatal intubation.

Main Methods:

• A prospective single-group study implemented an SBML with DP intervention for pediatric hospitalists and neonatal nurse practitioners.
• Participants underwent baseline assessment, deliberate practice with feedback, and post-intervention assessments until a minimum passing standard (MPS) was achieved.
• Skill retention was assessed at three to six months, with additional practice if needed.

Main Results:

• Most participants (95%) had limited prior neonatal intubation experience.
• Baseline assessment showed 95% did not meet the MPS.
• Post-intervention, mean checklist scores improved from 74% to 99%, with significant impact (effect size >2).
• At retention assessment, 66% met MPS on the first attempt; 92% reported increased confidence and improved clinical practice.

Conclusions:

• The SBML with DP curriculum is an effective method for training neonatal intubation skills in the delivery room.
• This approach optimizes proficiency in a critical procedure with declining clinical learning opportunities.
• Healthcare simulation offers a viable solution to maintain and enhance essential neonatal resuscitation skills.