A Novel Role-Specific Simulation Refresher Course Improves Performance of Ventilation Corrective Steps Among Neonatal...

Area of Science:

• Neonatal Resuscitation
• Nursing Education
• Simulation Training

Background:

• Effective ventilation is critical during neonatal resuscitation.
• Current nursing performance of ventilation corrective steps requires evaluation.
• Simulation offers a valuable tool for assessing and improving resuscitation skills.

Purpose of the Study:

• To assess Neonatal Intensive Care Unit (NICU) and Labor and Delivery (L&D) nurse performance of ventilation corrective steps during simulated neonatal resuscitation.
• To identify performance differences between NICU and L&D nurses.
• To evaluate the impact of a role-specific simulation refresher course on ventilation performance.

Main Methods:

• Prospective observational study design.
• Utilized a simulation refresher course including baseline assessment, debriefing with feedback, and post-debrief simulation.
• Documented and analyzed nurse performance of ventilation corrective steps, comparing roles and pre/post-intervention.

Main Results:

• 64 NICU and 55 L&D nurses participated.
• Most nurses initiated facemask ventilation within 1 minute.
• Participant performance improved from a median of 2 to 4 ventilation corrective steps post-simulation.

Conclusions:

• Baseline performance indicated a need for enhanced training in ventilation corrective steps.
• A role-specific simulation refresher course effectively improved nurses' cognitive-motor skills for ventilation.
• Results underscore the necessity of targeted training for optimal neonatal resuscitation outcomes.