Infant Simulationa Program In-hospital Resuscitation Education - Delivery Room

项目摘要/摘要 全球范围内，每年有100多万新生儿死于呼吸暂停所致的窒息。 呼吸维持生命，直到新生儿对呼吸的控制能力得到改善。但是，医疗保健提供商(HCP) 焦虑、操作员的位置、HCP培训、拥挤的床位和婴儿的大小是及时完成任务的重要障碍 并有效地进行抢救呼吸。此外，培训能力是暂时的， 12周内报告的新生儿复苏技能。15 我们的长期目标是提高初级卫生政策评估和提供服务的速度和能力 通过实施创新的捆绑式新生儿有效抢救窒息新生儿 院内复苏教育模拟程序-在产房(INSPIRE-D)程序， 由一个训练触发器、团队抱团、“滚动刷新”训练、简短的团队反思组成 每次复苏后立即进行，并定期进行教育汇报干预。这样做的目的是 研究建议是将捆绑的INSPIRE-D干预的有效性与标准进行比较 美国儿科学会关于HCP新生儿复苏的培训和教育 自信和技能表现(能力)。总体假设是实现一个 新颖的“INSPIRE-D”套餐将提升HCP新生儿复苏的信心和技能 与改善患者存活率相关的绩效和护理过程。 使用创新的技术，我们将：1)确认复苏措施(抢救呼吸)的发生率， 和基线患者数据特征、对当前指南的遵从性以及患者预后 INSPIRE-D捆绑实施；2)将模拟INSPIRE-D干预的有效性与 关于HCP抢救呼吸能力和信心的标准新生儿复苏培训；以及，3) 模拟INSPIRE-D干预与标准新生儿复苏训练的有效性比较 关于重要的、可衡量的患者结果。 拟议的研究具有重要意义，因为它将优化提供商的信心、能力和 新生儿窒息护理的质量和安全性。成功完成后，强劲的初步数据 表明这种培训干预将产生高影响力、持久的技能和知识，这些技能和知识 传播给一线临床提供者，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，以及复苏科学领域。

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.