Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Mileder, LP; Baik-Schneditz, N; Pansy, J; Schwaberger, B; Raith, W; Avian, A; Schmölzer, GM; Wöckinger, P; Pichler, G; Urlesberger, B.
Impact of in situ simulation training on quality of postnatal stabilization and resuscitation-a before-and-after, non-controlled quality improvement study.
Eur J Pediatr. 2024; 183(11):4981-4990
Doi: 10.1007/s00431-024-05781-3
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- Führende Autor*innen der Med Uni Graz
- Mileder Lukas Peter
- Co-Autor*innen der Med Uni Graz
- Avian Alexander
- Baik-Schneditz Nariae
- Pansy Jasmin
- Pichler Gerhard
- Raith Wolfgang
- Schmölzer Georg
- Schwaberger Bernhard
- Urlesberger Berndt
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- Abstract:
- UNLABELLED: This study aimed to evaluate the impact of in situ simulation-based training on quality indicators of patient care at a level IV neonatal intensive care unit. A before-and-after, non-controlled quality improvement study was performed at the Division of Neonatology, Medical University of Graz. The educational intervention comprised a period of 4 months, with structured in situ simulation training delivered regularly for neonatal providers and nurses in interprofessional teams. The primary study outcome was the quality of non-technical skills and team interaction during actual postnatal stabilization and resuscitation. This was assessed using video recording during two 2-month observational phases before (pre-training) and after the educational intervention (post-training). Delivery room video recordings were assessed by two external, blinded neonatologists using the Anaesthetists' Non-Technical Skills (ANTS) score. Furthermore, we collected clinical patient data from video-recorded neonates during the pre- and post-training periods, and training participants' individual knowledge of neonatal resuscitation guidelines was assessed using a before- and after-questionnaire. A total of 48 healthcare professionals participated in 41 in situ simulation trainings. The level of non-technical skills and team interaction was already high in the pre-training period, and it did not further improve afterwards. Nonetheless, we observed a significant increase in the teamwork event "evaluation of plans" (0.5 [IQR 0.0-1.0] versus 1.0 [1.0-2.0], p = 0.049). Following the educational intervention, training participants' knowledge of neonatal resuscitation guidelines significantly improved, although there were no differences in secondary clinical outcome parameters. CONCLUSION: We have successfully implemented a neonatal in situ simulation training programme. The observed improvement in one teamwork event category in the post-training period demonstrates the effectiveness of the training curriculum, while also showing the potential of in situ simulation training for improving postnatal care and, ultimately, patient outcome. WHAT IS KNOWN: • In situ simulation-based training is conducted in the real healthcare environment, thus promoting experiential learning which is closely aligned with providers' actual work. • In situ simulation-based training may offer an additional benefit for patient outcomes in comparison to other instructional methodologies. WHAT IS NEW: • This observational study investigated translational patient outcomes in preterm neonates before and after delivery of high-frequency in situ simulation-based training at a level IV neonatal intensive care unit. • There was a significant increase in the frequency of one major teamwork event following the delivery of in situ simulation-based training, indicating a notable improvement in the non-technical skills domain, which is closely linked to actual team performance.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Quality Improvement - administration & dosage
- Infant, Newborn - administration & dosage
- Simulation Training - methods
- Resuscitation - education
- Clinical Competence - administration & dosage
- Intensive Care Units, Neonatal - administration & dosage
- Female - administration & dosage
- Male - administration & dosage
- Patient Care Team - administration & dosage
- Video Recording - administration & dosage
- Neonatology - education
- Adult - administration & dosage
- Find related publications in this database (Keywords)
- Neonate
- Preterm
- Postnatal stabilization
- Resuscitation
- Video recording
- Non-technical skills
- Simulation training
- In situ training