Nurse Training in Neonatal Resuscitation
Conditions
Brief summary
The Neonatal Resuscitation Program (NRP) recommends providers renew their certification every 2 years. However, many Neonatal Intensive Care Units (NICUs) in Canada face challenges of significant budget cuts in training and a large number of caregivers to train with a high turnover rate. This situation makes it difficult for managers and nurse educators to ensure up-to-date certification and competence for all clinical staff. In addition, considering that only 0.1% of newborns will require cardiac massage and/or epinephrine, health care professionals' exposure to critical events is low to insure maintenance of expertise. Furthermore, it is shown that there is a significant decrease in knowledge among learners who have undergone specific training after only 3 months. This is worrisome considering that some nurses will not renew their certification if the course is not paid for by the employer, or if they are not released from clinical duties to attend. While keeping in mind the various required components of NRP training: book reading, online exam, performance stations, Integrated Skills Station Assessment (ISSA) and simulations, we would like to assess the educational and financial impact of a new educational strategy developed as to allow more nurses to be retrained thus ensuring maintenance of their neonatal resuscitation expertise.
Interventions
OTHERSingle-day NRP Training
NRP training course completed in one single day of 8 hours
OTHERlongitudinal NRP training
NRP training course completed over one year by attending nine 30-minute modules.
Sponsors
Ahmed Moussa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Newly recruited ( in the last 3 months) neonatal and delivery room registered nurses from level 2 and 3 perinatal centers
Exclusion criteria
* Registered nurses that have already completed a NRP training in the past.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knowledge | 1 year | Integrated Skills Stations Assessment Score. The higher the score, the better the performance. Scores range from 0 to 100 %. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Confidence and behavior | 1 year | continuing professional development (CPD) reaction questionnaire (REACT). The higher the score, the better the outcome. Scores range from 12 to 82. |
| Cost-efficiency | 1 year | Cost of each educational intervention (each arm). |
Countries
Canada
Outcome results
None listed