Educational Strategies for Maintaining Technical Skills in Neonatal Resuscitation for the Nursing Team: A Pilot Project
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Number of participants that agree to participate
研究概览
简要总结
Despite efforts for initial training in neonatal resuscitation, health professionals show a decline in post-training skills, requiring continuing training. This randomized controlled pilot study will compare the feasibility and preliminary effects of two educational tools in the field, namely the traditional teaching method (instructor-assisted deliberate practice) and an educational tool developed during the research project that involves repeated peer-guided practice. Both groups will perform the same educational activity using a mobile training station equipped with the equipment necessary for the PPV. Each session will be of 30 minutes and will be repeated three times over a period of three months.
详细描述
Background :
Despite efforts for initial training in neonatal resuscitation (NR), health professionals show a decline in post-training skills, requiring continuing training. Lack of practice, financial resources and competent worker are the main challenges encountered on the department. However, optimal care in NR, particularly in positive pressure ventilation (PPV) saves lives. Deliberate practice (DP) is a simulation-based instructional strategy known for its effectiveness in maintaining skills. However, DP is limited by the resources and costs linked to the presence of experts. Self-directed, learner-centred approaches could solve these challenges.
This pilot study seeks to compare the proposed tool with a traditional method which is learning through PD guided by an instructor. This feasibility study will make it possible in the future to plan more in-depth research to promote the possibility of generalization.
Th specific research objectives are as follows.
- The primary objective is to document the feasibility of implementing the proposed educational tool in order to maintain technical skills in VPP among practising nurses by comparing it to the traditional method. Feasibility measures include participant satisfaction with the quality of the teaching method, speed of participant recruitment, and participant participation and retention rate.
- The secondary objective is to evaluate whether the participants' confidence in VPP, the propensity to change one's own practice as well as the performance of VPP in the experimental group is similar to the traditional group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Registered or practical nurse working in neonatal intensive care at CHU Sainte-Justine
- •At least one year of experience in neonatology care at CHU Sainte-Justine
- •Completed the initial neonatal resuscitation training
排除标准
- •Neonatal transport nurses, due to their particular expertise which may introduce bias.
- •Nurse that are instructor for neonatal resuscitation training
研究组 & 干预措施
Repeated practice guided by peers
Intervention group which will use the educational tool during repeated practice guided by peers
干预措施: Repeated practice guided by peers (Other)
Instructor-guided deliberate practice
A control group that will use the traditional method, instructor-guided deliberate practice
干预措施: Instructor-guided deliberate practice (Other)
结局指标
主要结局
Number of participants that agree to participate
时间窗: 6 months
From 0 to 50, 50 being the better outcome
Number of participants that terminate the study (retention rate).
时间窗: 6 months
From 0 to 50, 50 being the better outcome
Participant satisfaction with the quality of the educational methods assessed by a questionnaire
时间窗: 6 months
The questionnaire uses a 1 to 4 likert scale with 1 being the highest satisfaction.
Participant satisfaction with the quality of the educational methods assessed by a questionnaire
时间窗: 6 months
The questionnaire uses a 1 to 4 likert scale with 1 being the highest satisfaction.
次要结局
- Mean difference in performance of VPP as per the Neonatal Mask Ventilation Competency Assessment Tool (NMVCAT) score(6 months)
- Propensity to change behaviour score based on the CPD-REACTION questionnaire(6 months)
- Mean difference in performance of VPP as per the Neonatal Mask Ventilation Competency Assessment Tool (NMVCAT) score(6 months)
- Mean difference in confidence level of participants(6 months)
- Mean difference in confidence level of participants(6 months)
- Propensity to change behaviour score based on the CPD-REACTION questionnaire(6 months)
研究者
Ahmed Moussa
Neonatalogist
St. Justine's Hospital
