The NIFty Method; Developing the 'Neonatal Intubation Flowchart'
| Autor: | Simon Jackson, Alison Walker, M. T. Coffey |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of Neonatology. 35:49-53 |
| ISSN: | 0973-2187 0973-2179 |
| DOI: | 10.1177/09732179211011406 |
| Popis: | Introduction: When intubation is required during a neonatal emergency, it is imperative there are no delays in collecting equipment. Current practice is for the Intubation Assistant to gather intubation equipment with no memory adjuncts. This study aimed to develop a Neonatal Intubation Flowchart (NIF) and test whether it improves performance in equipment collection. Methodology: Using simulation, a control group (n = 21) was compared to an intervention group (utilizing prototype NIF 1) (n = 24), with both groups consisting of neonatal nurses, midwives, and junior and senior pediatric doctors. The simulation involved a neonate requiring emergency intubation and the participant was tasked to collect the intubation equipment. The outcomes measured were Percentage of Equipment Collected, Time to Collect Equipment, and Amount of Questions Asked. Following post-simulation feedback, the NIF 2 was developed. The same simulation was repeated to an intervention group (n = 28) which utilized NIF 2. Results: The NIF 2 displayed a significantly better Time to Collect Equipment compared to control and NIF 1 (Mean [M] = 64.3-102.0 and 150.8 s, respectively). The NIF 2 had a significantly better Percentage of Equipment Collected compared to the control and NIF 1 (M = 96%-59% and 87%, respectively). The NIF 2 demonstrated significantly less Amount of Questions Asked compared to the control and NIF 1 groups (Median = 0-1 and 2, respectively). Conclusion: The NIF 2 provides a significantly superior method to collect equipment, in a quicker time, with less distracting questions asked, compared to current practice. |
| Databáze: | OpenAIRE |
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