Provider Readiness for Neonatal Resuscitation in Rural Hospitals

Jukkala, Angela; Henly, Susan J.

doi:10.1111/j.1552-6909.2009.01037.x

Cited by 36 publications

(24 citation statements)

References 18 publications

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“…15 Similarly, Jukkala and Henly found that although physicians were not more knowledgeable about neonatal resuscitation than nurses, they were more comfortable and reported more recent experience performing neonatal resuscitation, and nurses' comfort was significantly correlated with experience performing resuscitation skills. 12 Our study revealed that staff rated their comfort level and sense of preparedness poorly. However, similar to the findings of Jukkala and Henly, 12 we found that staff who had a neonatal clinical encounter within 6 months were more comfortable with neonatal emergencies.…”

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confidence: 95%

“…12 Our study revealed that staff rated their comfort level and sense of preparedness poorly. However, similar to the findings of Jukkala and Henly, 12 we found that staff who had a neonatal clinical encounter within 6 months were more comfortable with neonatal emergencies.…”

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confidence: 95%

“…Other possible explanations supported in the literature include a lack of time due to clinical demands, a lack of readily accessible educational opportunities, and a lack of administrative support. 12,16 Neonatal knowledge and skill may be improved with regular simulation drills, which allow staff to learn new skills and practice current proficiencies. 12 A number of studies have looked at the utility of medical simulation training in improving neonatal resuscitation skills.…”

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“…12,16 Neonatal knowledge and skill may be improved with regular simulation drills, which allow staff to learn new skills and practice current proficiencies. 12 A number of studies have looked at the utility of medical simulation training in improving neonatal resuscitation skills. 17,18 Lee and colleagues evaluated the change in score achieved on a validated neonatal resuscitation scoring tool among emergency medicine residents who undertook neonatal resuscitation simulation training compared to residents exposed to a traditional curriculum.…”

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confidence: 99%

“…Staff confidence in their ability to provide quality care to a critically ill neonate is key. 12 The NRP course designed and delivered by the Canadian Paediatric Society is specific to resuscitation of the critically ill neonate and allows practitioners to practice their skills in the safety of a simulated environment. 14 It is perhaps for this reason that participants in our study reported increased comfort with neonatal care after taking the NRP course.…”

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Preparedness of urban, general emergency department staff for neonatal resuscitation in a Canadian setting

Kester-Greene

Lee

2014

CJEM

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Objectives: The level of expertise and degree of training in neonatal resuscitation (NNR) of emergency physicians is not standardized and has not been measured. We sought to determine the self-reported comfort with, knowledge of, and experience with NNR of emergency department (ED) staff in a general ED prior to the opening of a new neonatal intensive care unit (NICU) and to explore factors associated with NNR comfort. Methods: Using Dillman methodology, we electronically surveyed full-time emergency physicians and nurses. Participants rated knowledge, comfort, and experience on 5-point Likert scales. We used logistic regression to explore factors associated with NNR comfort. Results: The response rate was 67.3% (n 5 107). Only 4.2% of staff reported ever participating in a NNR, and only 38.7% reported any previous NNR training. Between 75 and 85% of participants rated their comfort level in caring for neonates, sense of preparedness, and knowledge of managing a sick neonate as poor or very poor. A recent neonatal clinical encounter was the strongest predictor of perceived comfort in NNR (OR 5 22.2, 95% CI 5.0-98.7), as was completion of the Neonatal Resuscitation Provider (NRP) course (OR 5 3.1, 95% CI 1.4-7.0). Conclusions: Perceived comfort with, knowledge of, and preparedness for NNR were poor in an urban, general ED prior to the opening of an NICU. Recent neonatal clinical encounter and participation in the NRP course were the strongest predictors of improved NNR comfort. In future work, we intend to assess the impact of simulation-based training on comfort with NNR among ED staff who primarily treat adults. RÉ SUMÉObjectifs: Le degré de connaissances spé cialisé es et de formation des urgentologues en ré animation né onatale (RNN) n'est pas uniformisé et il n'a jamais fait l'objet de mesure. L'é tude visait donc à dé terminer, par autoé valuation, Conclusions: Le degré d'aise en RNN, les connaissances en la matiè re, et le degré de pré paration é taient perç us comme mé diocres dans un SU gé né ral, en milieu urbain, avant l'ouverture d'un SSNI. Les interventions cliniques ré centes en né onatologie et la participation au cours de ré animation né onatale se sont ré vé lé es les facteurs pré visionnels les plus puissants d'une amé lioration du degré d'aise en RNN. Il est de notre intention d'é valuer, dans le cadre d'un autre travail, l'incidence de la formation axé e sur la simulation sur le degré d'aise en RNN du personnel de SU, qui traite principalement des adultes.

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