A Novel Role-Specific Simulation Refresher Course Improves Performance of Ventilation Corrective Steps Among Neonatal and Labor and Delivery Room Nurses.
Academic Article
Overview
abstract
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.
