Infant Simulationa Program In-hospital Resuscitation Education - Delivery Room

描述（由申请人提供）：在全球范围内，每年由呼吸暂停引起的窒息导致超过100万新生儿死亡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。然而，医疗保健提供者（HCP）的焦虑、操作人员的位置、HCP培训、拥挤的床位和婴儿的体型是及时有效地进行抢救呼吸的重要障碍。此外，训练能力是短暂的，新生儿复苏技能在12周内下降我们的长期目标是通过实施创新的院内复苏教育捆绑婴儿模拟计划（INSPIRE-D）计划，提高初级卫生保健人员评估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，该计划包括训练触发、团队聚会、“滚动复习”培训、每次复苏后立即进行简短的团队反思、以及定期的教育汇报干预。本研究计划的目的是比较INSPIRE-D捆绑干预与标准美国儿科学会新生儿复苏培训和教育在HCP新生儿复苏信心和技能表现（能力）方面的有效性。总体假设是，实施一种新颖的“INSPIRE-D”捆绑方案将提高HCP新生儿复苏的信心和技能表现，以及与提高患者生存率相关的护理过程。使用创新技术，我们将：1)确认复苏措施（抢救呼吸）的发生率，基线患者数据特征，当前指南的依从性，以及在INSPIRE-D捆绑实施之前的患者结果；2)比较模拟INSPIRE-D干预与标准新生儿复苏训练对HCP抢救呼吸能力和信心的影响；3)比较模拟INSPIRE-D干预与标准新生儿复苏训练在重要的、可测量的患者预后方面的有效性。提出的研究是重要的，因为它将优化提供者的信心，能力，质量和安全护理新生儿出生窒息。如果成功完成，强有力的初步数据表明，这一培训干预措施将产生高影响、持久的技能和知识，可传播给一线临床提供者，并将产生持续的强大影响

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.