Infant Simulationa Program In-hospital Resuscitation Education - Delivery Room

婴儿模拟项目院内复苏教育 - 产房

• 批准号: 8608108
• 负责人: Dana E. Niles
• 金额: $ 24.95万
• 依托单位: CHILDREN'S HOSP OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2016-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8608108
• 关键词: Infant; Simulationa; Program; hospital; Resuscitation

Project Summary/Abstract Globally, asphyxia from apnea causes over 1 million neonatal deaths each year.1,2 Effective rescue breathing sustains life until the newborn's control of breathing improves. However, healthcare provider (HCP) anxiety, operator position, HCP training, crowded bed space and infant size are significant barriers to timely and effective delivery of rescue breathing. Additionally, training competency is transient, with a decline in newborn resuscitation skills reported within 12 weeks.15 Our long term objective is to improve the speed and ability of the primary HCP to assess and provide effective rescue breathing to newborns at risk for birth asphyxia by implementing an innovative bundled Infant Simulation Program for In-hospital Resuscitation Education - in the Delivery Room (INSPIRE-D) program, consisting of a Training Trigger, Team Huddle, "Rolling Refresher" training, Brief Team Reflection immediately after every resuscitation, and periodic Educational Debriefing intervention. The objective of this research proposal is to compare the effectiveness of the bundled INSPIRE-D intervention to standard American Academy of Pediatrics neonatal resuscitation training and education on HCP newborn resuscitation confidence and skill performance (competence). The overall hypothesis is that implementation of a novel "INSPIRE-D" bundle will improve HCP newborn resuscitation confidence and skill performance, and process of care associated with improved patient survival. Using innovative techniques, we will: 1) confirm incidence of resuscitative measures (rescue breathing), and baseline patient data characteristics, compliance with current guidelines, and patient outcomes prior to INSPIRE-D bundle implementation; 2) compare the effectiveness of a simulation INSPIRE-D intervention to standard neonatal resuscitation training on HCP rescue breathing competence and confidence; and, 3) compare the effectiveness of a simulation INSPIRE-D intervention to standard neonatal resuscitation training on important, measurable patient outcomes. The proposed research is significant, because it will optimize provider confidence, competence, and quality and safety of care for newborns with birth asphyxia. On successful completion, strong preliminary data suggests that this training intervention will yield high impact, durable skills and knowledge that can be disseminated to front-line clinical providers and will exert a sustained, powerful influence on thousands of newborns, healthcare providers, and the field of resuscitation science.

项目总结/摘要 在全球范围内，呼吸暂停引起的窒息每年导致100多万新生儿死亡。1，2有效的抢救 呼吸维持生命，直到新生儿的呼吸控制改善。医疗保健提供者（HCP） 焦虑、操作者的位置、HCP培训、拥挤的床位和婴儿的大小是及时治疗的重要障碍。 以及有效的人工呼吸此外，培训能力是短暂的， 12周内报告的新生儿复苏技能。 我们的长期目标是提高初级HCP评估和提供 通过实施创新的捆绑式婴儿呼吸机，对有出生窒息风险的新生儿进行有效的呼吸抢救 医院内复苏教育模拟程序-在产房（INSPIRE-D）程序， 包括培训触发、团队会议、“滚动复习”培训、简短团队反思 每次复苏后立即进行，并定期进行教育汇报干预。的目的 一项研究建议是将捆绑的INSPIRE-D干预措施的有效性与标准干预措施的有效性进行比较。 美国儿科学会新生儿复苏培训和HCP新生儿复苏教育 信心和技能表现（能力）。总的假设是， 新型“INSPIRE-D”捆绑包将提高HCP新生儿复苏信心和技能 性能和护理过程与改善患者生存率相关。 使用创新技术，我们将：1）确认复苏措施（人工呼吸）的发生率， 和基线患者数据特征、对当前指南的依从性以及 INSPIRE-D捆绑包实施; 2）比较模拟INSPIRE-D干预的有效性， 关于HCP救援呼吸能力和信心的标准新生儿复苏培训;以及，3） 比较模拟INSPIRE-D干预与标准新生儿复苏训练的有效性 重要的、可测量的患者结果。 这项研究具有重要意义，因为它将优化供应商的信心，能力， 新生儿出生窒息护理的质量和安全。成功完成后，初步数据强劲 表明，这种培训干预将产生高影响力，持久的技能和知识，可以 传播到一线临床提供者，并将对数千人产生持续，强大的影响。 新生儿，医疗保健提供者和复苏科学领域。