Integrating a Dedicated Neuroprotector Role Through Interprofessional Education to Support Extremely Preterm and

AORN Journal
|March 26, 2026
PubMed

Insights

A new neuroprotector role and simulation program improved care for extremely preterm infants during the critical "Golden Hour." This enhanced team collaboration and neuroprotection, aiming to reduce brain injury and improve developmental outcomes.

Area of Science:

  • Neonatal Medicine
  • Neuroprotection
  • Medical Education

Background:

  • Extremely preterm and low birth weight infants are highly susceptible to brain injury.
  • The first hour after birth (the "Golden Hour") is critical for resuscitation and stabilization.
  • Physiological immaturity and environmental stressors increase vulnerability during this period.

Purpose of the Study:

  • To introduce a dedicated neuroprotector role to mitigate noxious stimuli.
  • To prioritize neuroprotective strategies during the resuscitation and stabilization of vulnerable infants.
  • To improve interprofessional team collaboration and integrate evidence-based practices.

Main Methods:

  • A multiphase, interprofessional education and in situ simulation program was developed.
  • Grounded in adult learning theory, the program included presimulation education.
  • In situ simulation in perioperative settings prepared existing staff for the neuroprotector role.

Main Results:

  • The program led to improved interprofessional team collaboration.
  • Prioritized integration of the neuroprotector role was observed.
  • Role-specific interventions successfully closed a key care gap.

Conclusions:

  • Education and simulation effectively implemented a dedicated neuroprotector role.
  • This initiative advanced alignment with evidence-based practices for vulnerable infants.
  • The program is expected to enhance immediate and long-term neurodevelopmental outcomes.

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