Related Experiment Video
Updated: Jan 14, 2026
Mechanical Ventilation Boot Camp Curriculum
Published on: March 12, 2018
A Novel Role-Specific Simulation Refresher Course Improves Performance of Ventilation Corrective Steps Among Neonatal
Dina Elachi1, Michaela Berroya, Mary Miller
1Author Affiliations: Department of Pediatrics, Connecticut Children's, Poughkeepsie, NY (Dr Elachi); Department of Pediatrics, NewYork Presbyterian-Weill Cornell, New York, New York State (Ms Berroya, Ms Miller, Ms Roberts, Ms Venturini, and Dr Perlman); Northwell Health, New Hyde Park, New York State (Ms McMahon); Division of Biostatistics and Epidemiology, Weill Cornell Medical College, New York, New York State (Ms Thompson); and Department of Pediatrics, University of Utah Health, Salt Lake City, Utah (Dr Chang).
Purpose:
(1) To determine neonatal intensive care unit (NICU) and labor and delivery room (L&D) nursing performance of the ventilation corrective steps in a simulated neonatal resuscitation, (2) To evaluate whether there are differences in performance based on role, (3) To determine the value of a role-specific simulation refresher course in improving performance of ventilation.
Methods:
This was a prospective observational study that utilized a simulation refresher course to document the performance of the ventilation corrective steps among nurses. The course was comprised of (1) a baseline simulation to assess resuscitation skills, (2) a debrief with feedback and teaching, and (3) a post-debrief simulation to reinforce skills. Performance was documented during each simulation and then analyzed for differences based on role (NICU vs L&D) and for improvement following teaching.
Results:
About 64 NICU and 55 L&D nurses were included for analysis. Most initiated facemask ventilation within 1 minute. At baseline, NICU nurses completed more ventilation corrective steps when compared to L&D nurses with a median of 2 (IQR 2-3) vs a median of 2 (IQR 1-2). Participant performance of the ventilation corrective steps improved from a median of 2 steps performed during the baseline simulation to a median of 4 steps performed during the post-debrief simulation.
Conclusion:
Baseline performance of ventilation corrective steps among NICU and L&D nurses during a simulated resuscitation demonstrated a need for additional training. Performance improved following participation in a role-specific simulation refresher course that focused on the cognitive-motor skills of providing effective ventilation.
Implications:
Results support the need for additional training to focus on the cognitive-motor skills of providing effective ventilation.
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