Performances of low level hospital health caregivers after a neonatal resuscitation course. Issue 1 (December 2016)

• Record Type: Journal Article
• Authors: De Bernardo, Giuseppe; Sordino, Desirée; Cavallin, Francesco; Mardegan, Veronica; Doglioni, Nicoletta; Tataranno, Maria; Trevisanuto, Daniele
• Is Part Of: Italian journal of pediatrics. Volume 42:Issue 1(2016)
• Page Start: 1
• Page End: 7
• Publication Date: 2016-12
• Subjects: Neonatal resuscitation -- Course -- Training -- Infant newborn; Pediatrics -- Periodicals; 618.920005
• DOI: 10.1186/s13052-016-0313-0
• Languages: English
• ISSNs: 1824-7288

Abstract

Abstract Background High fidelity simulation has been executed to allow the evaluation of technical and non-technical skills of health caregivers. Our objective was to assess technical and non-technical performances of low level hospitals health caregivers who attended a Neonatal Resuscitation course using high fidelity simulation in a standard-setting scenario. Methods Twenty-three volunteers were asked to manage a simple scenario (infant with secondary apnea) after the course. Technical and non-technical skills were assessed by using previously published scores. Performances were assessed during the scenario and after 2 months by filmed video recordings. Results Sixteen (69.5%) participants failed to pass the minimum required technical score. Staff experience and participation in previous courses were associated to higher score in technical and non-technical skills, while working in level I or II hospitals did not affect the scores. Previous experience in neonatal resuscitation requiring positive pressure ventilation was associated to better non-technical performance. Technical and non-technical scores were significantly correlated (r = 0.67, p = 0.0005). Delayed and direct evaluation of technical skills provided the same scores. Conclusions A neonatal resuscitation course, performed by using a high fidelity simulation manikin, had a limited impact on technical and non-technical skills of participants working in low level hospitals. Training programs should be tailored to the participants' professional background and to the more relevant sessions.