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: 8925025
• 负责人: Dana E. Niles
• 金额: $ 24.97万
• 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 2017-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8925025
• 关键词: Infant; Simulationa; Program; hospital; Resuscitation

DESCRIPTION (provided by applicant): 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.

描述（由申请人提供）：在全球范围内，呼吸暂停引起的窒息每年导致超过100万新生儿死亡。1，2有效的人工呼吸可维持生命，直到新生儿的呼吸控制得到改善。然而，医疗保健提供者（HCP）的焦虑、操作者的位置、HCP培训、拥挤的床位空间和婴儿的体型是及时有效地进行人工呼吸的重大障碍。此外，培训能力是短暂的，12周内报告新生儿复苏技能下降。15我们的长期目标是通过在产房实施创新的捆绑式婴儿模拟计划进行院内复苏教育，提高初级HCP评估新生儿并为有出生窒息风险的新生儿提供有效抢救呼吸的速度和能力（INSPIRE-D）计划，包括培训触发、团队集合、“滚动复习”培训、每次复苏后立即进行的简短团队反思和定期教育汇报干预。本研究提案旨在比较捆绑式INSPIRE-D干预与标准美国儿科学会新生儿复苏培训和HCP新生儿复苏信心和技能表现（能力）教育的有效性。总体假设是，实施新型“INSPIRE-D”捆绑包将提高HCP新生儿复苏信心和技能表现，以及与改善患者生存相关的护理过程。 使用创新技术，我们将：1）确认复苏措施的发生率（人工呼吸）和基线患者数据特征、对当前指南的依从性以及INSPIRE-D捆绑包实施之前的患者结局; 2）比较模拟INSPIRE-D干预与标准新生儿复苏培训对HCP人工呼吸能力和信心的有效性;以及3）比较模拟INSPIRE-D干预与标准新生儿复苏训练对重要、可测量患者结局的有效性。 拟议的研究是重要的，因为它将优化提供者的信心，能力，质量和新生儿出生窒息的护理安全。成功完成后，强有力的初步数据表明，这种培训干预措施将产生高影响力，持久的技能和知识，可以传播给一线临床提供者，并将产生持续的强大影响 成千上万的新生儿，医疗保健提供者和复苏科学领域。