Training practices in neonatal and paediatric life support: A survey among healthcare professionals working in paediatrics

Binkhorst, Mathijs; Aar, Inge M. van der; Linders, Marjolein; Heijst, Arno F J van; Boode, Willem P. de; Draaisma, Jos M. Th.; Hogeveen, Marije

doi:10.1016/j.resplu.2020.100063

Cited by 5 publications

(3 citation statements)

References 23 publications

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“…A study done by Binkhorst et al in Europe found recertification rates for life support skills training at 88 to 89% for BLS, 76.7 to 85.8% for PALS, and 66.7 to 84.8% for the Newborn Life Support (NLS). 16 We demonstrate that those physicians who maintain a higher level of resuscitation training are more comfortable performing EC-D. We postulate that this is due to increased familiarity and experience with equipment and procedures required to perform EC-D as a result of BLS and/or PALS training.…”

Section: Discussionmentioning

confidence: 72%

A Survey of Academic Neonatologists on Neonatal Electrical Cardioversion and Defibrillation

et al. 2023

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Objective: Assess neonatologists’ experience and comfort with neonatal electrical cardioversion or defibrillation (EC-D). Study Design: Electronic surveys were distributed to academic neonatologists affiliated with 12 Midwest academic hospitals. Neonatologists were asked about their residency training; years since completing residency; current certification/ competency training in BLS, PALS, ACLS and NRP; experiences with EC-D; availability of a pediatric cardiologist and their comfort levels with such procedures. Standard statistical tests evaluated comfort with EC-D. Results: Seventy-two out of 180 neonatologists responded to the survey (response rate=40%). 98.6% (71), 54.2% (39) and 37.5% (27) maintained current NRP, BLS and PALS training respectively. 73.6% (n=53) reported having performed neonatal EC-D. Of those, 50.9% (n=27) indicated feeling slightly to very uncomfortable performing EC-D. We report a lack of BLS certification being associated with lack of comfort (OR: 0.269 - 95% CI [0.071, 0.936]), and a positive association between a pediatric cardiologist being present and being uncomfortable (OR: 3.722 – 95% CI [1.069,14.059]). Those reporting greater volume and more recent experience with EC-D report more comfort. Conclusion: Of neonatologists that performed EC-D, half reported being uncomfortable. BLS certification and experience are positively associated with comfort in performing EC-D. Simulations to increase training in EC-D should be offered regularly to academic neonatologists.

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Section: Discussionmentioning

confidence: 72%

A Survey of Academic Neonatologists on Neonatal Electrical Cardioversion and Defibrillation

et al. 2023

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“…The potential impact of tailored interventions on improving acute medical care and subsequent patient outcome and survival is considerable [ 3 ]. The identified gap between theoretical understanding and instant practical preparedness is not surprising and has, for example, recently also been described among Dutch and Belgian pediatricians [ 16 ]. A priority in medical training should therefore be to seek opportunities for narrowing this gap.…”

Section: Discussionmentioning

confidence: 99%

Preparedness for Life-Threatening Situations in a Pediatric Tertiary-Care University Children’s Hospital: A Survey

et al. 2022

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Pediatric nurses and physicians are rarely exposed to life-threatening events. Understanding the needs of clinicians is key for designing continuing training programs. A survey exploring preparedness to manage life-threatening events as well as training needs was mailed to all clinically active nurses and physicians at a tertiary-level referral children’s hospital. Overall, 469 participants out of 871 answered the questionnaire (54% response rate). Respondents felt well or very well (nurses 93%, physicians 74%) prepared to recognize a deteriorating child and rated their theoretical understanding (70% well or very well prepared) of how to manage life-threatening situations significantly higher (p < 0.0001) than their cardiopulmonary resuscitation (CPR) preparedness (52% well or very well prepared). Both perceived theoretical understanding (p < 0.0001) and CPR preparedness (p < 0.002) were rated higher among nurses than physicians. Arrhythmias, shock, cardiac arrest and airway management constitute main areas of perceived training need. In conclusion, although a majority of pediatric nurses and physicians felt sufficiently trained to recognize a deteriorating child, their perceived ability to actively manage life-threatening events was inferior to their theoretical understanding of how to resuscitate a child. A high degree of institutional confidence and identification of areas of training need provide a good foundation for customizing future continuing education programs.

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“…Simulation training (ST) has become a vital teaching methodology in nursing education to refine nurses’ knowledge and practice (Al Gharibi & Arulappan, 2020 ; Ekert et al, 2021 ; Handeland et al, 2021 ; Higgins et al, 2020 ; Kose et al, 2019 ; Kuehnel et al, 2021 ; Lee et al, 2021 ). The endless BLS training and high-quality CPR training using simulation have a direct proportion with victims’ survival and patient outcomes (Binkhorst et al, 2021 ; Isa et al, 2022 ; Laco & Stuart, 2022 ; Oermann & Gaberson, 2016 ; Schroeder et al, 2023 ; Zhou et al, 2020 ) and a reverse relationship with unwanted outcomes (Laco & Stuart, 2022 ). World Health Organization (WHO) defined simulations as a pedagogical approach to nourish nursing practice and move nurses to become experts (Martins et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Enriching nursing knowledge and practice in Jordanian government hospitals through basic life support simulation training: A randomized controlled trial

Abu-Wardeh,

W. Ahmad,

Che Hamzah

et al. 2024

Belitung Nurs J

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Background: Healthcare providers must possess the necessary knowledge and skills to perform effective cardiopulmonary resuscitation (CPR). In the event of cardiopulmonary arrest, basic life support (BLS) is the initial step in the life-saving process before the advanced CPR team arrives. BLS simulation training using manikins has become an essential teaching methodology in nursing education, enhancing newly employed nurses’ knowledge and skills and empowering them to provide adequate resuscitation. Objective: This study aimed to evaluate the potential effect of BLS simulation training on knowledge and practice scores among newly employed nurses in Jordanian government hospitals. Methods: A total of 102 newly employed nurses were randomly assigned to two groups: the control group (n = 51) received standard training, and the experimental group (n = 51) received one full day of BLS simulation training. The training program used the American Heart Association (AHA)-BLS-2020 guidelines and integrated theoretical models such as Miller’s Pyramid and Kolb’s Cycle. Both groups were homogeneous in inclusion characteristics and pretest results. Knowledge and practice scores were assessed using 23 multiple-choice questions (MCQs). Data were analyzed using one-way repeated measures ANOVA. Results: The results indicated significant differences in knowledge scores, F(2, 182) = 58.514, p <0.001, and practice scores, F(2, 182) = 20.134, p <0.001, between the control and experimental groups at all measurement times: pretest, posttest 1, and posttest 2. Moreover, Cohen’s d reflected the effectiveness of BLS simulation training as an educational module, showing a large effect (Cohen’s d = 1.568) on participants’ knowledge levels and a medium effect (Cohen’s d = 0.749) on participants’ practice levels. Conclusion: The study concludes that BLS simulation training using the AHA-BLS-2020 guidelines and integrating theoretical models such as Miller’s Pyramid and Kolb’s Cycle significantly improves knowledge and practice scores among newly employed nurses, proving highly effective in enhancing their competencies in performing CPR. Implementing BLS simulation training in nursing education programs can significantly elevate the proficiency of newly employed nurses, ultimately improving patient outcomes during cardiopulmonary arrest situations. This training approach should be integrated into standard nursing curricula to ensure nurses are well-prepared for real-life emergencies. Trial Registry Number: NCT06001879

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Training practices in neonatal and paediatric life support: A survey among healthcare professionals working in paediatrics

Cited by 5 publications

References 23 publications

A Survey of Academic Neonatologists on Neonatal Electrical Cardioversion and Defibrillation

A Survey of Academic Neonatologists on Neonatal Electrical Cardioversion and Defibrillation

Preparedness for Life-Threatening Situations in a Pediatric Tertiary-Care University Children’s Hospital: A Survey

Enriching nursing knowledge and practice in Jordanian government hospitals through basic life support simulation training: A randomized controlled trial

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