Simulation-Based Outreach Program Improves Rural Hospitals' Team Confidence in Neonatal Resuscitation.
Simulation-Based Outreach Program Improves Rural Hospitals' Team Confidence in Neonatal Resuscitation.
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DOI：
10.7759/cureus.28670
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发表时间：
2022-09
期刊：
影响因子：
--
通讯作者：
Craig A
中科院分区：
文献类型：
--
作者：
Zanno A;Melendi M;Cutler A;Stone B;Chipman M;Holmes J;Craig A
简介：新生儿复苏是一种高敏度、低发生率事件（HALO），在农村社区医院，低出生率使提供者无法定期掌握必要的复苏技能。模拟是一种有效的医学教育培训模式，但农村医院的模拟资源往往有限。我们的主要目的是检验原位新生儿复苏模拟培训提高农村医院产房团队执行关键新生儿复苏计划（NRP）技能的信心的假设。我们的第二个目标是比较信心和性能，通过遵守NRP®指南来衡量。研究方法：我们进行了准实验性的培训前调查和培训后调查的产房团队的信心在NRP®技能在五个一级分娩医院之前和之后的原位模拟培训计划。参与者包括农村医院通常的产房团队成员。参与者在五点李克特量表上评估他们的信心。使用经验证的NRP®依从性评分工具的改编版本对模拟进行分析，并以总体百分比评分表示。结果如下：我们的数据表明，在新生儿复苏的关键领域的模拟训练前后的自我评估的信心水平显着提高。参与者报告了气道管理（4 vs. 3，p=0.003）、紧急静脉通路（3 vs. 2，p=0.007）以及在产房（4 vs. 3，p=0.013）和手术室（4 vs. 3，p=0.028）管理代码的能力的更高信心。他们的团队成员进行新生儿复苏的知识和技能也有所提高。虽然在信心方面有所改善，但技能表现（NRP®依从性评分）通常处于次优表现范围内。结论：基于现场的新生儿复苏外展模拟项目提高了农村产房团队的自信心。需要进一步的研究来了解如何将提高的信心转化为实际的改善表现。
Introduction: Neonatal resuscitation is a high acuity, low occurrence event (HALO), and in rural community hospitals, low birth rates prevent providers from regular opportunities to maintain essential resuscitation skills. Simulation is an effective training modality for medical education, although resources for simulation are often limited in rural hospitals. Our primary objective was to test the hypothesis that in situ neonatal resuscitation simulation training improves rural hospitals' delivery room team confidence in performing key Neonatal Resuscitation Program® (NRP®) skills. Our secondary objective was to compare confidence to performance as measured by adherence to NRP® guidelines. Methods: We conducted a quasi-experimental pre-training survey and post-training survey of delivery room team confidence in NRP® skills at five level one delivery hospitals before and after an in situ simulation training program. Participants included rural hospitals’ usual delivery room team members. Participants rated their confidence on a five-point Likert scale. Simulations were analyzed using an adapted version of a validated scoring tool for NRP® adherence and presented as overall percentage scores. Results: Our data demonstrate a significant improvement in self-assessed confidence levels pre- and post-simulation training in key areas of neonatal resuscitation. Participants reported higher confidence in airway management (4 vs. 3, p=0.003), emergency intravenous access (3 vs. 2, p=0.007), and the ability to manage a code in the delivery room (4 vs. 3, p=0.013) and the operating room (4 vs. 3, p=0.028). Improvements were also noted in their team member’s knowledge and skills to perform neonatal resuscitation. While improvements were appreciated in confidence, the performance of skills (NRP® adherence scores) was often in the sub-optimal performance range. Conclusions: An in situ-based neonatal resuscitation outreach simulation program improves self-confidence among rural delivery room teams. Additional research is needed to understand how to translate improved confidence into actual improved performance.
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影响因子：
2.2
作者：
Schlottmann, Francisco;Tolleson-Rinehart, Sue;Patti, Marco G.
通讯作者：
Patti, Marco G.
DOI：
10.1016/j.ejogrb.2006.02.013
发表时间：
2007-02-01
期刊：
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY
影响因子：
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作者：
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影响因子：
120.7
作者：
WEAVER, FJ;RAMIREZ, AG;RAIZNER, AE
通讯作者：
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DOI：
10.1177/1049909116681972
发表时间：
2018-01-01
影响因子：
1.9
作者：
Brown, Crystal E.;Back, Anthony L.;Engelberg, Ruth A.
通讯作者：
Engelberg, Ruth A.
影响因子：
2.9
作者：
Escobedo, M.
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Escobedo, M.