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Impact of Task-Oriented Role Assignment on Neonatal Resuscitation Performance: A Simulation-Based Randomized Controlled Trial

Authors :
Carrie Litke-Wager
Heather M. Delaney
Thornton S. Mu
Taylor Sawyer
Source :
American Journal of Perinatology. 38:914-921
Publication Year :
2020
Publisher :
Georg Thieme Verlag KG, 2020.

Abstract

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.

Details

ISSN :
10988785 and 07351631
Volume :
38
Database :
OpenAIRE
Journal :
American Journal of Perinatology
Accession number :
edsair.doi.dedup.....603e163095de3b2a627ef406ed61d1c5
Full Text :
https://doi.org/10.1055/s-0039-3402751