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Background Approximately 6% of all newborns and up to 80% of infants weighing less than 1,500 grams require some resuscitation intervention at birth and the quality of care provided at that time can have a significant impact on the outcome of that life. The Neonatal Resuscitation Program (NRP), introduced in Newfoundland and Labrador (NL) in the early 1990's, has been developed to educate physicians and other health care providers about newborn resuscitation. Several studies have examined the use of simulation in resuscitation training, but few have compared low and high-fidelity simulation for NRP learning outcomes. Objectives To examine the effect of using low versus high-fidelity manikin simulators for NRP training on medical student knowledge, skill, confidence, and teamwork performance. Methods Randomized posttest-only control group study; experimental group received NRP instruction and megacode assessment using a high-fidelity manikin simulator, while control group receive...
2000 •
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
A medical simulation-based educational intervention for emergency medicine residents in neonatal resuscitation2012 •
ACADEMIC EMERGENCY MEDICINE 2012; 19: 577–585 © 2012 by the Society for Academic Emergency MedicineACADEMIC EMERGENCY MEDICINE 2012; 19: 577–585 © 2012 by the Society for Academic Emergency MedicineAbstractObjectives: The objective was to determine if a medical simulation-based neonatal resuscitation educational intervention is a more effective teaching method than the current emergency medicine (EM) curriculum at one 4-year EM residency program.Methods: A prospective, randomized study of second-, third-, and fourth-year EM residents was performed. Of 36 potential subjects, 27 residents were enrolled. Each resident was assessed at baseline and after the intervention using 1) a questionnaire to evaluate confidence in leading adult, pediatric, and neonatal resuscitation and prior neonatal resuscitation experience and 2) a neonatal resuscitation simulation scenario in which each participant was the code leader to evaluate knowledge and skills. Assessments were digitally recorded and reviewed independently by two Neonatal Resuscitation Program (NRP) instructors using a validated neonatal resuscitation scoring tool. Controls (15 participants) received the current EM curriculum. The intervention group (12 participants) experienced an educational session, which incorporated didactics, skills station, and medical simulation about neonatal resuscitation. Outcomes measured included changes in overall neonatal resuscitation score, number of critical actions, time to initial steps of neonatal resuscitation, and changes in confidence level leading neonatal resuscitation.Results: Baseline neonatal resuscitation scores were similar for the control and intervention groups. At the final assessment, the intervention group’s neonatal resuscitation score improved (p = 0.016) and the control group’s score did not. The intervention group performed 2.31 more critical actions overall and the time to achieve warming (p = 0.0002), drying (p < 0.0001), tactile stimulation (p = 0.002), and placing a hat on the patient (p <0.0001) were also improved compared to controls. At the baseline assessment, 80% of the control group and 75% of the intervention group reported being “not at all confident” in leading neonatal resuscitation. At the final assessment, the proportion of residents who were “not at all confident” leading neonatal resuscitation decreased to 35% in the intervention group compared to 67% of the control group. The majority of the intervention group (65%) reported an increased level of confidence in leading neonatal resuscitation.Conclusions: Medical simulation can be an effective tool to assess the knowledge and skills of EM residents in neonatal resuscitation. Our simulation-based educational intervention significantly improved EM residents’ knowledge and performance of the critical initial steps in neonatal resuscitation. A medical simulation-based educational intervention may be used to improve EM residents’ knowledge and performance with neonatal resuscitation.Objectives: The objective was to determine if a medical simulation-based neonatal resuscitation educational intervention is a more effective teaching method than the current emergency medicine (EM) curriculum at one 4-year EM residency program.Methods: A prospective, randomized study of second-, third-, and fourth-year EM residents was performed. Of 36 potential subjects, 27 residents were enrolled. Each resident was assessed at baseline and after the intervention using 1) a questionnaire to evaluate confidence in leading adult, pediatric, and neonatal resuscitation and prior neonatal resuscitation experience and 2) a neonatal resuscitation simulation scenario in which each participant was the code leader to evaluate knowledge and skills. Assessments were digitally recorded and reviewed independently by two Neonatal Resuscitation Program (NRP) instructors using a validated neonatal resuscitation scoring tool. Controls (15 participants) received the current EM curriculum. The intervention group (12 participants) experienced an educational session, which incorporated didactics, skills station, and medical simulation about neonatal resuscitation. Outcomes measured included changes in overall neonatal resuscitation score, number of critical actions, time to initial steps of neonatal resuscitation, and changes in confidence level leading neonatal resuscitation.Results: Baseline neonatal resuscitation scores were similar for the control and intervention groups. At the final assessment, the intervention group’s neonatal resuscitation score improved (p = 0.016) and the control group’s score did not. The intervention group performed 2.31 more critical actions overall and the time to achieve warming (p = 0.0002), drying (p < 0.0001), tactile stimulation (p = 0.002), and placing a hat on the patient (p <0.0001) were also improved compared to controls. At the baseline assessment, 80% of the control group and 75% of the intervention group reported being “not at all confident” in leading neonatal resuscitation. At the final assessment, the proportion of residents who were “not at all confident” leading neonatal resuscitation decreased to 35% in the intervention group compared to 67% of the control group. The majority of the intervention group (65%) reported an increased level of confidence in leading neonatal resuscitation.Conclusions: Medical simulation can be an effective tool to assess the knowledge and skills of EM residents in neonatal resuscitation. Our simulation-based educational intervention significantly improved EM residents’ knowledge and performance of the critical initial steps in neonatal resuscitation. A medical simulation-based educational intervention may be used to improve EM residents’ knowledge and performance with neonatal resuscitation.
Medical Education Online
Enhancing residents’ neonatal resuscitation competency through unannounced simulation-based training2013 •
American Journal of Perinatology
Acquisition of Behavioral Skills after Manikin-Based Simulation of Neonatal Resuscitation by Fellows in NeonatologyObjective Behavioral performance of health professionals is essential for adequate patient care. This study aimed to assess the behavioral skills of fellows in neonatology before and after a simulation training program on neonatal resuscitation. Study Design From March 2019 to February 2020, a prospective cohort with 12 second-year fellows in neonatology were evaluated during three training cycles (16 hours each) in manikin-based simulation of neonatal resuscitation with standardized scenarios. Each cycle lasted 1 month, followed by a 3-month interval. One video-recorded scenario of approximately 10 minutes was performed for each fellow at the beginning and at the end of each training cycle. Therefore, each fellow was recorded six times, before and after each one of three training cycles. Anxiety of the fellows was assessed by the Beck Anxiety Inventory applied before the first training cycle. The videos were independently analyzed in a random order by three trained facilitators usi...
Klinische Pädiatrie
Simulation-based neonatal and infant resuscitation teaching: a systematic review of randomized controlled trials2014 •
Current resuscitation guidelines recommend the use of simulation-based medical education (SBME) as an instructional methodology to improve patient safety and health. We sought to investigate the evidence-base for the effectiveness of SBME for neonatal and pediatric resuscitation training. Therefore, we conducted a systematic literature research of electronic databases (PubMed, EMBASE, Clinical Trials). 13 randomized controlled trials with a total of 832 participants were identified. However, due to distinct differences in research objectives and varying outcome assessment a meta-analysis of studies could not be conducted. Eligible trials showed that SBME can enhance trainees' cognitive, technical, and behavioral skills as well as self-confidence. Skills acquired in the simulated environment can be integrated in clinical practice, and SBME might also lead to improved patient safety and health. Further research on SBME--especially investigating patient outcomes--is urgently requir...
Advances in Simulation
Newborn resuscitation simulation training and changes in clinical performance and perinatal outcomes: a clinical observational study of 10,481 births2022 •
BMC Research Notes
Randomized control trial of high fidelity vs low fidelity simulation for training undergraduate students in neonatal resuscitation2015 •
International Journal of Nursing and Health Care Research
The Effectiveness of Simulation Training on Nursing Students’ Neonatal Resuscitation Skills: A Systematic Review2020 •
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Journal of Agricultural and Food Chemistry
Antioxidant Capacities and Phenolics Levels of French Wines from Different Varieties and Vintages2001 •
Croatian Journal of Education-Hrvatski Casopis za Odgoj i obrazovanje
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arXiv (Cornell University)
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Surgical Endoscopy and Other Interventional Techniques
Surgeon volumes: preserving appropriate surgical outcomes in higher-risk patient populations undergoing abdominal wall reconstruction2023 •
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Journal of Scientific Computing
Optimal Error Analysis of a FEM for Fractional Diffusion Problems by Energy Arguments2017 •