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Klin Padiatr 2014; 226(01): 24-28
DOI: 10.1055/s-0033-1361106
Original Article
© Georg Thieme Verlag KG Stuttgart · New York

Compliance with Guidelines Recommending the Use of Simulation for Neonatal and Infant Resuscitation Training in Austria

Die Umsetzung von Empfehlungen zur Nutzung von Simulation in der Neugeborenen- und Säuglingsreanimationsausbildung in Österreich
L. P. Mileder
1   Clinical Skills Center, Medical University of Graz, Austria
2   Department of Pediatrics, Division of Neonatology, Medical University of Graz, Austria
,
B. Urlesberger
2   Department of Pediatrics, Division of Neonatology, Medical University of Graz, Austria
,
J. Schwindt
3   Department of Pediatrics and Adolescent Medicine, Division of ­Neonatology, Medical University of Vienna, Austria
,
B. Simma
4   Department of Pediatrics, Academic Teaching Hospital Landeskrankenhaus Feldkirch, Austria
,
G. M. Schmölzer
2   Department of Pediatrics, Division of Neonatology, Medical University of Graz, Austria
5   Department of Pediatrics, University of Alberta, Edmonton, Canada
6   Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, Canada
› Author Affiliations
Further Information

Publication History

Publication Date:
16 January 2014 (online)

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Abstract

Background:

Current international resuscitation guidelines recommend simulation for the training of neonatal and infant resuscitation. We aimed at assessing compliance rates with these recommendations in Austria.

Method:

We performed a national questionnaire survey among 31 neonatal institutions in Austria.

Results:

25 questionnaires (80.6%) were analyzed. 22/25 institutions (88%) used simulation as an instructional modality. 8 institutions (32%) had access to medical simulation centers, with 6/8 being used for neonatal and infant resuscitation training. Simulation equipment was available at 17/25 institutions (68%), with a median of 1 part-task trainer (0–2), 2 low-fidelity resuscitation mannequins (0–10), and 0 high-fidelity patient simulators (0–7). Resuscitation training frequency varied widely, ranging from one training per month to one training per year. 5 simulation centers utilized interdisciplinary resuscitation training with other medical specialties and team training including physicians and nursing staff. Of the 17 institutions with simulation equipment at their disposal, 8 (47.1%) carried out interdisciplinary training and 13 (76.5%) performed team-oriented training sessions.

Discussion/Conclusion:

The majority of surveyed institutions adopted simulation for neonatal and infant resuscitation training according to current guidelines and had simulation equipment at their disposal. However, educational practice varied widely, especially in regard to training frequency. Therefore, we suggest a national consensus agreement on best practices in simulation-based neonatal and infant resuscitation training.

Zusammenfassung

Hintergrund:

Aktuelle internationale Reanimationsrichtlinien empfehlen die Nutzung von Simulation in der Neugeborenen- und Säuglings­reanimationsausbildung. Wir untersuchten die Umsetzung dieser Empfehlungen in Österreich.

Methoden:

Wir führten eine nationale Umfrage mittels Fragebögen an 31 neonatologischen Abteilungen in Österreich durch.

Ergebnisse:

25 Fragebögen (80,6%) wurden ausgewertet. 22/25 Institutionen (88%) nutzten Simulation als Ausbildungsmethode. 8 Institutionen (32%) hatten Zugang zu einem medizinischen Simulationszentrum, wovon 6 für Neugeborenen- und Säuglingsreanimationsausbildung verwendet wurden. Simulationsmaterial war an 17/25 Institutionen (68%) verfügbar, mit einem Median von 1 Einzelfertigkeitentrainer (0–2), 2 Low-fidelity-Simulatoren (0–10) und 0 High-fidelity-Patientensimulatoren (0–7). Die Trainingsfrequenzen zeigten eine ausgeprägte Variabilität und reichten von einem Training im Monat zu einem Training im Jahr. 5 Simulationszentren hielten interdisziplinäre Reanimationstrainings mit anderen Fachrichtungen und Teamtrainings von Ärzten und Pflegepersonal ab. Von den 17 Institutionen mit eigenem Simulationsmaterial veranstalteten 8 (47,1%) interdisziplinäre ­Trainings und 13 (76,5%) teamorientierte Trainings.

Diskussion/Schlussfolgerung:

Die Mehrheit der befragten Institutionen nutzte Simulation in der Neugeborenen- und Säuglingsreanimations­ausbildung gemäß aktuellen Richtlinien und verfügte über eigenes Simulationsmaterial. Die Umsetzung war jedoch sehr heterogen, insbesondere in Bezug auf die Trainingshäufigkeit. Wir empfehlen daher die Erstellung eines nationalen Konsensuspapiers zur Durchführung simulationsbasierter Ausbildung in der Neugeborenen- und Säuglingsreanimation.

Key words

newborn - infant - resuscitation - education - simulation

Schlüsselwörter

Neugeborenes - Säugling - Reanimation - Ausbildung - Simulation

Appendix

 

  • References

  • 1 Anderson JM, Warren JB. Using simulation to enhance the acquisition and retention of clinical skills in neonatology. Semin Perinatol 2011; 35: 59-67
    CrossrefPubMedGoogle Scholar
  • 2 Andreatta P, Saxton E, Thompson M et al. Simulation-based mock codes significantly correlate with improved pediatric patient cardiopulmonary arrest survival rates. Pediatr Crit Care Med 2011; 12: 33-38
    CrossrefPubMedGoogle Scholar
  • 3 Biese KJ, Moro-Sutherland D, Furberg RD et al. Using screen-based simulation to improve performance during pediatric resuscitation. Acad Emerg Med 2009; 16: S71-S75
    CrossrefPubMedGoogle Scholar
  • 4 Bould MD, Hayter MA, Campbell DM et al. Cognitive aid for neonatal resuscitation: a prospective single-blinded randomized controlled trial. Br J Anaesth 2009; 103: 570-575
    CrossrefPubMedGoogle Scholar
  • 5 Cohen ER, Feinglass J, Barsuk JH et al. Cost savings from reduced catheter-related bloodstream infection after simulation-based education for residents in a medical intensive care unit. Simul Healthc 2010; 5: 98-102
    CrossrefPubMedGoogle Scholar
  • 6 Curran VR, Aziz K, O’Young S et al. Evaluation of the effect of a computerized training simulator (ANAKIN) on the retention of neonatal resuscitation skills. Teach Learn Med 2004; 16: 157-164
    CrossrefPubMedGoogle Scholar
  • 7 Donoghue AJ, Durbin DR, Nadel FM et al. Effect of high-fidelity simulation on Pediatric Advanced Life Support training in pediatric house staff: a randomized trial. Pediatr Emerg Care 2009; 25: 139-144
    CrossrefPubMedGoogle Scholar
  • 8 Draycott TJ, Crofts JF, Ash JP et al. Improving neonatal outcome through practical shoulder dystocia training. Obstet Gynecol 2008; 112: 14-20
    CrossrefPubMedGoogle Scholar
  • 9 Fritz PZ, Gray T, Flanagan B. Review of mannequin-based high-fidelity simulation in emergency medicine. Emerg Med Australas 2008; 20: 1-9
    CrossrefPubMedGoogle Scholar
  • 10 German Society for Neonatology and Pediatric Intensive Care Ausführungsempfehlungen für Simulationstraining in der PädInt. 2012. Available at: http://www.gnpi.de/cms2/images/attachments/static/459_Ausfuehrungsempfehlungen_der%20_GNPI_fuer_Teamtrainingskurse_fuer_innerklinische_und_klinische_Kindernotfaelle.pdf [Accessed June 15, 2013]
    PubMed
  • 11 Grant EC, Marczinski CA, Menon K. Using pediatric advanced life support in pediatric residency training: does the curriculum need resuscitation?. Pediatr Crit Care Med 2007; 8: 433-439
    CrossrefPubMedGoogle Scholar
  • 12 Halamek LP. The simulated delivery-room environment as the future modality for acquiring and maintaining skills in fetal and neonatal resuscitation. Semin Fetal Neonatal Med 2008; 13: 448-453
    CrossrefPubMedGoogle Scholar
  • 13 Halamek LP, Kaegi DM, Gaba DM et al. Time for a new paradigm in pediatric medical education: teaching neonatal resuscitation in a simulated delivery room environment. Pediatrics 2000; 106: e45
    CrossrefPubMedGoogle Scholar
  • 14 Joint Commission on Accreditation of Healthcare Organizations Sentinel Event Alert – Issue 30: Preventing infant death and injury during delivery. 2004. Available at: http://www.jointcommission.org/assets/1/18/SEA_30.PDF [Accessed December 16, 2012]
    PubMed
  • 15 Kaczorowski J, Levitt C, Hammond M et al. Retention of neonatal resuscitation skills and knowledge: a randomized controlled trial. Fam Med 1998; 30: 705-711
    PubMedGoogle Scholar
  • 16 Mancini ME, Soar J, Bhanji F et al. Part 12: Education, implementation, and teams: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation 2010; 122: S539-S581
    CrossrefPubMedGoogle Scholar
  • 17 McGaghie WC, Issenberg SB, Petrusa ER et al. A critical review of simulation-based medical education research: 2003–2009. Med Educ 2010; 44: 50-63
    CrossrefPubMedGoogle Scholar
  • 18 McGaghie WC, Issenberg SB, Petrusa ER et al. Effect of practice on standardised learning outcomes in simulation-based medical education. Med Educ 2006; 40: 792-797
    CrossrefPubMedGoogle Scholar
  • 19 McLaughlin SA, Bond W, Promes S et al. The status of human simulation training in emergency medicine residency programs. Simul Healthc 2006; 1: 18-21
    CrossrefPubMedGoogle Scholar
  • 20 Morey JC, Simon R, Jay GD et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res 2002; 37: 1553-1581
    CrossrefPubMedGoogle Scholar
  • 21 Norman G, Dore K, Grierson L. The minimal relationship between simulation fidelity and transfer of learning. Med Educ 2012; 46: 636-647
    CrossrefPubMedGoogle Scholar
  • 22 O’Leary FM. Paediatric resuscitation training: is e-learning the answer? A before and after pilot study. J Paediatr Child Health 2012; 48: 529-533
    CrossrefPubMedGoogle Scholar
  • 23 Patel D, Piotrowski ZH, Nelson MR et al. Effect of a statewide neonatal resuscitation training program on Apgar scores among high-risk neonates in Illinois. Pediatrics 2001; 107: 648-655
    CrossrefPubMedGoogle Scholar
  • 24 Patel J, Posencheg M, Ades A. Proficiency and retention of neonatal resuscitation skills by pediatric residents. Pediatrics 2012; 130: 515-521
    CrossrefPubMedGoogle Scholar
  • 25 Perkins GD. Simulation in resuscitation training. Resuscitation 2007; 73: 202-211
    CrossrefPubMedGoogle Scholar
  • 26 Perlman JM, Wyllie J, Kattwinkel J et al. Part 11: Neonatal resuscitation: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation 2010; 122: S516-S538
    CrossrefPubMedGoogle Scholar
  • 27 Schmölzer GM, Roehr CC. Use of respiratory function monitors during simulated neonatal resuscitation. Klin Padiatr 2011; 223: 261-266
    Article in Thieme ConnectPubMedGoogle Scholar
  • 28 Soar J, Monsieurs KG, Ballance JH et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 9. Principles of education in resuscitation. Resuscitation 2010; 81: 1434-1444
    CrossrefPubMedGoogle Scholar
  • 29 Weinberg ER, Auerbach MA, Shah NB. The use of simulation for pediatric training and assessment. Curr Opin Pediatr 2009; 21: 282-287
    CrossrefPubMedGoogle Scholar