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Variation in optimal communication modes during neonatal resuscitation.
Heidi M Herrick1, Anne M Ades1, Preston B Cline2
13401 Civic Center Blvd, 2nd Floor Main Building, Department of Pediatrics, Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Resuscitation Plus
|April 20, 2026
Summary
Neonatal resuscitation teams lack shared understanding of optimal communication modes during critical events. Improving team alignment requires addressing divergent views on communication strategies in neonatal intensive care units (NICUs).
Area of Science:
- Medical communication strategies
- Team dynamics in critical care
- Neonatal resuscitation protocols
Background:
- Effective communication is vital for neonatal resuscitation.
- High-performing neonatal intensive care unit (NICU) teams use routine and critical communication modes.
- The extent of shared understanding of optimal communication modes among NICU teams is unknown.
Purpose of the Study:
- To investigate interprofessional NICU teams' shared understanding of optimal communication modes during neonatal resuscitation.
- To compare perceptions between physicians and non-physicians regarding communication strategies.
Main Methods:
- Cross-sectional study of NICU providers during a team-development day.
- Participants rated communication modes for a hypothetical resuscitation scenario (pre-code, code, post-code).
- Consensus defined as ≥60% agreement; comparisons made between physicians and non-physicians.
Main Results:
- Forty-eight providers participated (physicians, nurses, APPs, RTs).
- Consensus reached on critical communication for code phase steps.
- No consensus for pre-code or post-code phases; physicians favored critical communication pre-code.
Conclusions:
- NICU teams exhibit divergent mental models on communication during resuscitation phases.
- Heterogeneity in communication expectations may impede team alignment.
- Quality improvement efforts should target shared communication strategies in NICUs.
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