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Updated: Jun 4, 2026

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Longitudinal Telesimulation Program and Rural Clinicians' Neonatal Resuscitation Performance.

Misty Melendi1, Allison Zanno1, Sophie Martens2

  • 1Barbara Bush Children's Hospital at Maine Medical Center, MaineHealth, Portland, Maine.

Pediatrics
|June 2, 2026
PubMed
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This summary is machine-generated.

Longitudinal telesimulation (TS) improved Neonatal Resuscitation Program (NRP) adherence in rural hospitals. More frequent training sessions for neonatal resuscitation teams enhanced performance and readiness.

Area of Science:

  • Medical Simulation
  • Neonatal Resuscitation
  • Healthcare Education

Background:

  • Telesimulation (TS) overcomes geographical barriers for simulation training in rural settings.
  • The Maine Ongoing Outreach Simulation Education (MOOSE) program implemented longitudinal TS across five hospitals.
  • The study aimed to enhance Neonatal Resuscitation Program (NRP) adherence and analyze training impacts.

Purpose of the Study:

  • To evaluate the effectiveness of a longitudinal telesimulation program on Neonatal Resuscitation Program (NRP) adherence.
  • To assess the influence of team composition and training frequency on resuscitation performance.
  • To determine the feasibility of in situ telesimulation for improving neonatal emergency readiness.

Main Methods:

  • Monthly telesimulation (TS) sessions were conducted with teams from five hospitals.

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  • Adherence to NRP guidelines was assessed using TS recordings.
  • Linear regression models analyzed the relationship between NRP adherence, number of TS sessions, and team composition.
  • Main Results:

    • A total of 121 clinicians participated across 6 to 18 TS sessions per hospital.
    • NRP adherence scores increased by an average of 1.3 percentage points per training session.
    • Improved performance in cardiac compressions and positive pressure ventilation was observed, linked to training frequency and physician participation.

    Conclusions:

    • Longitudinal in situ telesimulation demonstrated improved team adherence to NRP guidelines across multiple hospitals.
    • Increased training frequency for individual team members correlated with enhanced overall team performance.
    • In situ TS is a viable model for improving interprofessional neonatal resuscitation and emergency preparedness.