Improving Teamwork for Neonatal Resuscitation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Teamwork Event Rate
研究概览
简要总结
The Neonatal Resuscitation Program (NRP) is the curriculum used to teach providers how to care for newborns in the delivery room. Breakdowns in teamwork and communication contribute to NRP quality problems. Adding teamwork instruction to NRP may be a method to improve communication, teamwork, and the overall quality of neonatal resuscitation. This study uses simulation to incorporate team training into NRP and to evaluate both the effectiveness and duration of the team training. Furthermore, because high fidelity simulation is very expensive and not widely available, we will compare NRP with low fidelity team training to NRP with high fidelity team training.
Our hypotheses are:
- NRP with low fidelity team training results in a) better teamwork, and b) better quality of care compared with standard NRP.
- NRP with high fidelity team training does not result in better teamwork or better quality of care than NRP with low fidelity simulation.
- NRP with high fidelity team training does not produce a longer lasting effect on teamwork than NRP with low fidelity simulation.
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
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •New interns that enter pediatrics, family medicine, obstetrics/gynecology, and emergency medicine.
排除标准
- 未提供
研究组 & 干预措施
NRP with LFT and team training
Standard Neonatal Resuscitation Program (NRP) curriculum + team training; simulated resuscitation using low-fidelity simulators for low-fidelity training (LFT)
干预措施: Skills practice with low-fidelity mannequin (Behavioral)
NRP with HFT and team training
Standard Neonatal Resuscitation Program (NRP) curriculum + team training; simulated resuscitations using high-fidelity simulators for high-fidelity training (HFT)
干预措施: Standard NRP curriculum (Behavioral)
Control (NRP Curriculum with LFT and no team training)
Standard Neonatal Resuscitation Program (NRP) curriculum with no team training; simulated resuscitation using low-fidelity simulators for low-fidelity training (LFT)
干预措施: Skills practice with low-fidelity mannequin (Behavioral)
Control (NRP Curriculum with LFT and no team training)
Standard Neonatal Resuscitation Program (NRP) curriculum with no team training; simulated resuscitation using low-fidelity simulators for low-fidelity training (LFT)
干预措施: Standard NRP curriculum (Behavioral)
NRP with LFT and team training
Standard Neonatal Resuscitation Program (NRP) curriculum + team training; simulated resuscitation using low-fidelity simulators for low-fidelity training (LFT)
干预措施: Teamwork training (Behavioral)
NRP with LFT and team training
Standard Neonatal Resuscitation Program (NRP) curriculum + team training; simulated resuscitation using low-fidelity simulators for low-fidelity training (LFT)
干预措施: Standard NRP curriculum (Behavioral)
NRP with HFT and team training
Standard Neonatal Resuscitation Program (NRP) curriculum + team training; simulated resuscitations using high-fidelity simulators for high-fidelity training (HFT)
干预措施: Teamwork training (Behavioral)
NRP with HFT and team training
Standard Neonatal Resuscitation Program (NRP) curriculum + team training; simulated resuscitations using high-fidelity simulators for high-fidelity training (HFT)
干预措施: Skills practice with high-fidelity mannequin (Behavioral)
结局指标
主要结局
Teamwork Event Rate
时间窗: During the megacode, which was performed about 1 hour after the training
The teamwork event rate was calculated by summing the number of scored teamwork events (sharing information, inquiry, assertion, teaching/advising, and evaluation of plans) and dividing by the total resuscitation time (in minutes).
次要结局
- Percentage of Time Spent on Workload Management(During the megacode, which was performed about 1 hour after the training)
- Percentage of Time Spent on Vigilance(During the megacode, which was performed about 1 hour after the training)
- Neonatal Resuscitation Program (NRP) Quality as Assessed by NRP Performance Score(During the megacode, which was performed about 1 hour after the training)
- Neonatal Resuscitation Program (NRP) Quality as Assessed by Resuscitation Duration(During the megacode, which was performed about 1 hour after the training)
研究者
Eric Thomas
Professor - Internal Medicine
The University of Texas Health Science Center, Houston