Improving Teamwork for Neonatal Resuscitation

The University of Texas System (UT)

Status: Completed

Conditions: Teamwork During Neonatal Resuscitation

Treatments: Behavioral: Skills practice with low-fidelity mannequin; Behavioral: Skills practice with high-fidelity mannequin; Behavioral: Teamwork training; Behavioral: Standard NRP curriculum

Study type: Interventional

Funder types: Other

Identifiers

NCT00651794

UL1RR024148-01

Details and patient eligibility

About

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:

1. NRP with low fidelity team training results in a) better teamwork, and b) better quality of care compared with standard NRP.
2. NRP with high fidelity team training does not result in better teamwork or better quality of care than NRP with low fidelity simulation.
3. NRP with high fidelity team training does not produce a longer lasting effect on teamwork than NRP with low fidelity simulation.

Enrollment: 100 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• New interns that enter pediatrics, family medicine, obstetrics/gynecology, and emergency medicine.

Exclusion criteria

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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100 participants in 3 patient groups

Control (NRP Curriculum with LFT and no team training)

Active Comparator group

Description:

Standard Neonatal Resuscitation Program (NRP) curriculum with no team training; simulated resuscitation using low-fidelity simulators for low-fidelity training (LFT)

Treatment:

Behavioral: Skills practice with low-fidelity mannequin

Behavioral: Standard NRP curriculum

NRP with LFT and team training

Experimental group

Description:

Standard Neonatal Resuscitation Program (NRP) curriculum + team training; simulated resuscitation using low-fidelity simulators for low-fidelity training (LFT)

Treatment:

Behavioral: Skills practice with low-fidelity mannequin

Behavioral: Standard NRP curriculum

Behavioral: Teamwork training

NRP with HFT and team training

Experimental group

Description:

Standard Neonatal Resuscitation Program (NRP) curriculum + team training; simulated resuscitations using high-fidelity simulators for high-fidelity training (HFT)

Treatment:

Behavioral: Standard NRP curriculum

Behavioral: Teamwork training

Behavioral: Skills practice with high-fidelity mannequin