Single-Day vs Longitudinal NRP Training for Neonatal Resuscitation Skills
Recruiting in Palo Alto (17 mi)
+6 other locations
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Ahmed Moussa
Disqualifiers: Completed NRP training
No Placebo Group
Trial Summary
What is the purpose of this trial?This trial is testing a new way to retrain nurses in neonatal resuscitation. It targets nurses in Canadian NICUs who face challenges like budget cuts and high staff turnover. The new training method uses various tools like books, online exams, and practice stations to help nurses stay skilled in emergency newborn care.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of this treatment?
Research shows that the Neonatal Resuscitation Program (NRP) is effective in improving both knowledge and practical skills in participants, including pediatric residents and nurses, which helps in reducing complications during birth. The program has been shown to enhance comfort levels in providing neonatal resuscitation and improve skill performance, although maintaining these skills over time may require additional strategies.
12345Is Neonatal Resuscitation Program (NRP) training safe for participants?
The Neonatal Resuscitation Program (NRP) is widely used to train healthcare professionals in managing newborns, and it is considered safe as it focuses on education and skill development rather than medical treatment.
12367How does the Neonatal Resuscitation Program Training differ from other treatments for neonatal resuscitation skills?
The Neonatal Resuscitation Program (NRP) Training is unique because it offers two different approaches: a single-day intensive course and a longitudinal training spread over time, allowing for flexibility in learning and skill retention. This contrasts with other treatments that may not offer such varied training schedules.
89101112Eligibility Criteria
This trial is for newly recruited registered nurses working in level 2 and 3 perinatal centers who have joined within the last three months. Nurses who have previously completed NRP training are not eligible to participate.Inclusion Criteria
I am a new neonatal or delivery room nurse at a level 2 or 3 perinatal center.
Exclusion Criteria
I am a registered nurse who has completed NRP training.
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Single-day NRP Training
Participants undergo a single-day NRP training course, which takes 8 hours to complete
1 day
1 visit (in-person)
Longitudinal NRP Training
Participants undergo a longitudinal NRP training course consisting of nine 30-minute modules taught every 6-8 weeks over a year
1 year
9 visits (in-person)
Follow-up
Participants are monitored for knowledge retention and cost-efficiency of the training methods
1 year
Participant Groups
The study is examining two methods of Neonatal Resuscitation Program (NRP) training: a traditional single-day session versus a new longitudinal approach. The goal is to determine which method better maintains nurses' resuscitation skills, considering educational outcomes and financial implications.
2Treatment groups
Experimental Treatment
Group I: Single-day NRP trainingExperimental Treatment1 Intervention
This group will follow the single-day NRP training course that is currently the standard. It usually takes 8 hours to complete this training course and the nurses are released from their clinical duty to attend the training course.
Group II: Longitudinal one year NRP TrainingExperimental Treatment1 Intervention
This group will follow the longitudinal NRP training course. The longitudinal NRP training course will consist of nine 30-minute modules that will be taught every 6-8 weeks over a period of one year. The nurses will attend the different modules of the training course at their work place and during their work shift so they will have to be released from their clinical duty only 30 minutes at a time.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Cité de la santé de LavalLaval, Canada
CHU Sainte-Justine, Dept NeonatologyMontréal, Canada
Université de SherbrookeSherbrooke, Canada
University of Montreal Health CenterMontreal, Canada
More Trial Locations
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Who Is Running the Clinical Trial?
Ahmed MoussaLead Sponsor
References
Knowledge and practical performance gained by Iraqi residents after participation to a neonatal resuscitation program course. [2019]Neonatal resuscitation program (NRP) course is effective in improving knowledge in participants coming from developed as well as developing countries; however, its impact on practical performances has not been yet formally evaluated in participants coming from developing countries. We evaluate the knowledge and the performance on clinical simulations gained by Iraqi residents following participation in the NRP course.
Resuscitation skills of pediatric residents and effects of Neonatal Resuscitation Program training. [2016]The Neonatal Resuscitation Program (NRP) is an effective tool in decreasing mortality and morbidity due to birth asphyxia. The aim of the study was to assess the skill and knowledge level of pediatric residents in a teaching hospital and the effects of NRP training.
Enhanced Neonatal Resuscitation Provider Course for Novice Learners. [2022]To study the effect of an enhanced format of the Neonatal Resuscitation Program (NRP) course on new clinicians' comfort level in providing neonatal resuscitation.
The provision and evaluation of a neonatal resuscitation program. [2022]The need to train perinatal staff in neonatal resuscitation is widely accepted; however, standardized educational programs have not been available. This study used a randomized control trial to evaluate a one-day neonatal resuscitation education program with 190 nurses. Experimental subjects receiving the program had significantly improved knowledge and skill performance. Knowledge, but not skill performance, was maintained at six months for the experimental group. There was a significant relationship between subjects' self-rating of knowledge and performance, suggesting that this method could be used to prioritize staff for basic or refresher training. An effective format and evaluation instruments for neonatal resuscitation training have been developed. Strategies to maintain skills should be addressed in future research.
Proficiency and knowledge gained and retained by pediatric residents after neonatal resuscitation course. [2022]In previous studies the efficacy of the Neonatal Resuscitation Program (NRP) was evaluated, demonstrating good retention of knowledge in the participants. The aim of the present study was to evaluate the knowledge and proficiency that pediatric residents gained and retained following NRP and to determine the necessity and timing of the refresher courses.
Failure of pediatric and neonatal trainees to meet Canadian Neonatal Resuscitation Program standards for neonatal intubation. [2022]Neonatal intubation skills are initially taught through the Neonatal Resuscitation Program (NRP) and thereafter complemented by further practical clinical training. The aim of this study is to compare the ability of NRP trained individuals to successfully complete a neonatal intubation.
The NRP 8th Edition: Innovation in Education. [2023]Approximately 10% of newborns need assistance at birth, and an evidence-based, timely, and coordinated response is critical to optimal outcome. The Neonatal Resuscitation Program® (NRP®) is the training and education standard in the United States for healthcare professionals who manage newborns in the hospital. This article summarizes the development of evidence-based resuscitation science, changes in the NRP 8th edition educational methodologies, and several significant practice changes made for educational efficiency and patient safety.
A nomenclature and data model to describe NMR experiments. [2022]Despite ongoing efforts in organising NMR information, there is no consistent and well-described generic standard for naming NMR experiments. The main reason for the absence of a universal naming system is that the information content of the coherence pathways is difficult to describe in full detail. We propose a system that describes the common and generic elements of the coherence pathways produced by pulse sequences. The system itself is formalised by an 'NMR experiment protocol' model, which is described in the Universal Modelling Language (UML) as part of the CCPN data model. Furthermore, normalized experiment names can be derived from this proposed model. We hope this article will stimulate discussion to organise the wealth of NMR experiments, and that by bringing this discussion into the public domain we can improve and expand our proposed system to include as much information and as many NMR experiments as possible.
Numerical design of RN(n)(nu) symmetry-based RF pulse schemes for recoupling and decoupling of nuclear spin interactions at high MAS frequencies. [2021]An approach for the efficient implementation of RN(n)(nu) symmetry-based pulse schemes that are often employed for recoupling and decoupling of nuclear spin interactions in biological solid state NMR investigations is demonstrated at high magic-angle spinning frequencies. RF pulse sequences belonging to the RN(n)(nu) symmetry involve the repeated application of the pulse sandwich {R(phi)R(-phi)}, corresponding to a propagator U(RF) = exp(-i4phiI(z)), where phi = pinu/N and R is typically a pulse that rotates the nuclear spins through 180 degrees about the x-axis. In this study, broadband, phase-modulated 180 degrees pulses of constant amplitude were employed as the initial 'R' element and the phase-modulation profile of this 'R' element was numerically optimised for generating RN(n)(nu) symmetry-based pulse schemes with satisfactory magnetisation transfer characteristics. At representative MAS frequencies, RF pulse sequences were implemented for achieving 13C-13C double-quantum dipolar recoupling and through bond scalar coupling mediated chemical shift correlation and evaluated via numerical simulations and experimental measurements. The results from these investigations are presented here.
Improved resolution in 1H-detected 1H-15N correlation experiments. [2019]The determination of protein structure by NMR is restricted at molecular masses above 10 kDa by overlapping resonances. One way of overcoming this problem is to label the protein with 15N. The conventional way to record 15N spectra is to use heteronuclear multiple-quantum coherence. We present here an alternative approach based on 15N single-quantum coherence. This is shown to have substantial advantages over the multiple-quantum method, including better F1 resolution.
Comparative experimental analysis of composite pulses in 14N NQR. [2019]Experimental results of comparing composite pulses in nitrogen-14 NQR, that are analogous to common 90 degrees RF pulses in powder, are presented. All tested pulses have been taken from publications in journals. Comparative diagrams of the measurement results for induction signals and echo signals are presented. The results of the measurements demonstrate that the best outcomes are achieved when the composite pulse (45)0(95)180(164)0 is used.
The optimal number of personnel for good quality of chest compressions: A prospective randomized parallel manikin trial. [2018]Long durational chest compression (CC) deteriorates cardiopulmonary resuscitation (CPR) quality. The appropriate number of CC personnel for minimizing rescuer's fatigue is mostly unknown.