Impact of Task-Oriented Role Assignment on Neonatal Resuscitation Performance: A Simulation-Based Randomized Controlled Trial
| Autor: | Carrie Litke-Wager, Heather M. Delaney, Thornton S. Mu, Taylor Sawyer |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Resuscitation education MEDLINE law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030225 pediatrics Neonatal Resuscitation Program Task Performance and Analysis Task oriented medicine Humans Education Nursing Simulation Training Simulation based Patient Care Team Asphyxia Neonatorum business.industry Infant Newborn Internship and Residency Obstetrics and Gynecology 030208 emergency & critical care medicine Technical performance Pediatrics Perinatology and Child Health Physical therapy Clinical Competence Neonatology business Neonatal resuscitation |
| Zdroj: | American Journal of Perinatology. 38:914-921 |
| ISSN: | 1098-8785 0735-1631 |
| DOI: | 10.1055/s-0039-3402751 |
| Popis: | Objective Task-oriented role assignment (TORA) is the assignment of a specific role, a list of tasks, and a location to stand to each resuscitation team member. We performed this study to examine the impact of TORA training during a Neonatal Resuscitation Program (NRP) course on neonatal resuscitation team technical performance and behavioral skills.Study Design Participants were cluster randomized into either a standard NRP course (control) or an NRP course with TORA training. Both technical and behavioral skills were evaluated using standardized simulations. The simulations were video recorded and then scored by two blinded reviewers using previously validated instruments.Results A total of 65 participants (62 resident physicians and 3 nurses) participated in 108 simulations (48 controls, 60 TORA). Technical skill scores were similar between the two groups (control = 77.6% [±8.4] vs. TORA = 78.1% [±8.1]; p = 0.74). The TORA group had higher behavior skill scores in 8 of the 10 NRP key behavioral skills and had higher overall behavioral skill scores (control = 30.1 [±7.2] vs. TORA = 34.9 [±4.8]; p Conclusion In resuscitation teams comprising mostly resident physicians, TORA training resulted in better behavioral skills during simulated neonatal resuscitation. Further study on the impact of TORA training on actual resuscitation performance in interdisciplinary teams is warranted. |
| Databáze: | OpenAIRE |
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