Evaluation of Two Strategies for Debriefing in the Development of Skills for Neonatal Resuscitation

Not Applicable

Completed

• Conditions: Asphyxia Neonatorum; Cardiopulmonary Resuscitation; Birth Injuries
• Interventions: Other: Structured oral debriefing; Other: Structured debriefing assisted by video

• Registration Number: NCT03606278
• Lead Sponsor: Universidad de la Sabana

Brief Summary

Introduction: Training of health professionals in neonatal resuscitation reduces risks and adverse events during this intervention. Simulation-based education with constructive immediate feedback (debriefing) is an effective teaching method for personnel in charge of neonatal resuscitation.

Objective: To evaluate two debriefing strategies for the development of neonatal resuscitation skills in professionals specialized in critical newborn care.

Materials and Methods: A simple blind randomized clinical trial was conducted. Twenty-four professionals (pediatricians, nurses, and respiratory therapists) were randomly assigned for two interventions; one group received oral debriefing and the other oral debriefing assisted by video. Three standardized clinical scenarios that were recorded on video were executed. A checklist was applied for the evaluation, administered by a reviewer blinded to the assignment of the type of debriefing.

Null hypothesis: The improved in the skills of neonatal resuscitation is the same for both strategies of debriefing.

Alternative hypothesis: The improved in the skills of neonatal resuscitation is different for both strategies of debriefing

Detailed Description

Not available

Study Timeline

• Study Start: 2016-02-01
• Primary Completion: 2016-06-15
• Study Completion: 2017-06-15
• Status Verified: 2018-07
• Study First Submitted: 2018-07-13
• Study First Submitted QC: 2018-07-27
• Last Update Submitted: 2018-07-27
• Study First Posted: 2018-07-30
• Last Update Posted: 2018-07-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

• The specialized health professionals (Professional nurses, respiratory therapists, and pediatricians) in charge of newborn care that working in the Neonatal Unit areas, maternity wards, surgery rooms responsible for the care of caesarean sections, and those of pediatric emergencies of University Hospital of La Sabana

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Structured oral debriefing	Structured oral debriefing	In the structured oral debriefing, the process was based by the mental search of their memories of what occurred.
Structured debriefing assisted by video	Structured debriefing assisted by video	In the structured debriefing assisted by video, the process was based on the immediate review of the video, stopping and rewinding the recording as required.

Primary Outcome Measures

Name	Time	Method
Compliance percentage of the activities	The checklist was applied by a reviewer blinded to the assignment of the type of debriefing by reviewing the video, on average 1 week after of the participation of the groups in the scenarios.	For the performance and evaluation score of the adherence of the teams to the resuscitation protocols, a review of the literature was performed for constructed a checklist that included cognitive/technical and behavioral aspects of individual performance and performance by profession in each of the scenarios. Each item of the tool was assigned a score of 1 if the evaluated activity was correctly performed, 0 if it was not performed correctly, and N/A if it did not apply for the scenario and/or for the profession. A compliance percentage (range 0% to 100%) of the activities evaluated by participant in the tool was obtained, summed the points obtained onto the possible total score. The higher percentage indicate better outcome.