Impact of Video-recorded Debriefing and Neonatal Resuscitation Program Workshops on Short-term Outcomes and Quality of Neonatal Resuscitation

Document Type : Original Article

Authors

1 Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

2 Faculty Member of Nursing Department, Shirvan Center of Higher Health Education, Imam Khomeini Hospital, North Khorasan University of Medical Sciences, Bojnurd, Iran

3 Faculty Member of Nursing Department, Shirvan Center of Higher Health Education, North Khorasan University of Medical Sciences, Bojnurd, Iran

4 Ommolbanin Hospital, Mashhad, Iran

Abstract

Background: The goal of neonatal resuscitation is to prevent death and further complications, reestablish spontaneous respiration, and achieve sufficient cardiac output. Inappropriate or wrong resuscitation will result in the death of neonates or long-term side effects. The present study was performed to compare the effects of video-recorded debriefing and neonatal resuscitation program (NRP) workshops on the short-term outcomes and quality of neonatal resuscitation.
Methods: In this semi-experimental study with three groups, 90 cases of neonatal resuscitation were videotaped at the delivery and operating rooms of Omolbanin Hospital of Mashhad, Iran. This research was conducted within three periods. In the first stage, 30 resuscitation cases were recorded as the control group. In the second stage, all the members of the resuscitation teams participated in the training workshops, and in the third stage, they participated in the debriefing sessions. The data were analyzed by the Chi-square and one-way analysis of variance using SPSS software (version 16).
Results: The results of this study showed that the debriefing method significantly improved short-term outcomes, such as the length of pulse improvement, and time to breathe spontaneously, returning duration of neonate's color to the natural state, and resuscitation quality (P<0.001). Also, the mean of Apgar scores in 1, 5, and 10 min increased in the debriefing group, compared to those reported for other groups; however, these changes were not statistically significant.
Conclusion: According to the results of this study, despite the fact that educational workshops were held, new methods, such as debriefing, play an important role in improving the knowledge and skills of people who are involved in the resuscitation of newborns.

Keywords


1. Mousavi A, Behnam Vashani H, Heidarzadeh M, Malekzadeh J. Comparison of the effects of video-assisted debriefing and educational workshops on the quality of neonatal resuscitation. Evid Based Care. 2015; 5(3):29-38.
2. Kattwinkel J, Perlman JM, Aziz K, Colby C, Fairchild K, Gallagher J, et al. Part 15: neonatal resuscitation: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010; 122(18 Suppl 3):S909-19.
3. Bijari BB, Niknafs P, Alavi SA. The role of education methods, on knowledge and skills of neonatal resuscitation in nursing students. Iran J Pediatr. 2006; 16(4):467-75.
4. Frazier MD, Werthammer J. Post-resuscitation complications in term neonates. J Perinatol. 2007; 27(2):82-4.
5. Carlo WA, Wright LL, Chomba E, McClure EM, Carlo ME, Bann CM, et al. Educational impact of the neonatal resuscitation program in low-risk delivery centers in a developing country. J Pediatr. 2009; 154(4):504-8.e5.
6. Finer NN, Rich W. Neonatal resuscitation: toward improved performance. Resuscitation. 2002; 53(1):47-51.
7. Kambarami R, Chirenje M, Rusakaniko S. Perinatal practices in two rural districts of Zimbabwe: a community perspective. Cent Afr J Med. 2000; 46(4):96-100.
8. Duran R, Aladağ N, Vatansever Ü, Süt N, Acunaş B. The impact of neonatal resuscitation program courses on mortality and morbidity of newborn infants with perinatal asphyxia. Brain Dev. 2008;
30(1):43-6.
9. Niknafs N, Niknafs P, Bahman-Bijari B. Effective factors on maintaining neonatal resuscitation skills among the nurses and midwives in kerman province hospitals. Strid Dev Med Educ. 2009; 6(1):66-73.
10. Thomas EJ, Williams AL, Reichman EF, Lasky RE, Crandell S, Taggart WR. Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. Pediatrics. 2010; 125(3):539-46.
11. Nadler I, Sanderson PM, Van Dyken CR, Davis PG, Liley HG. Presenting video recordings of newborn resuscitations in debriefings for teamwork training. BMJ Qual Saf. 2011; 20(2):163-9.
12. Schilleman K, Siew ML, Lopriore E, Morley CJ, Walther FJ, Te Pas AB. Auditing resuscitation of preterm infants at birth by recording video and physiological parameters. Resuscitation. 2012; 83(9):1135-9.
13. Carbine DN, Finer NN, Knodel E, Rich W. Video recording as a means of evaluating neonatal resuscitation performance. Pediatrics. 2000; 106(4):654-8.
14. Gelbart B, Hiscock R, Barfield C. Assessment of neonatal resuscitation performance using video recording in a perinatal centre. J Paediatr Child Health. 2010; 46(7‐8):378-83.
15. Patel D, Piotrowski ZH, Nelson MR, Sabich R. Effect of a statewide neonatal resuscitation training program on Apgar scores among high-risk neonates in Illinois. Pediatrics. 2001; 107(4):648-55.
16. Patel D, Piotrowski ZH. Positive changes among very low birth weight infant Apgar scores that are associated with the Neonatal Resuscitation Program in Illinois. J Perinatol. 2002; 22(5):386-90.
17. Duran R, Görker I, Küçükuğurluoğlu Y, Aladağ Çiftdemir N, Özbek ÜV, Acunaş B. Effect of neonatal resuscitation courses on long‐term neurodevelopmental outcomes of newborn infants with perinatal asphyxia. Pediatr Int. 2012; 54(1):56-9.
18. Zaichkin J, Weiner GM. Neonatal resuscitation program (NRP) 2011: new science, new strategies. Neonatal Netw. 2011; 30(1):5-13.
19. Gardner R. Introduction to debriefing. Sem Perinatol. 2013; 37(3):166-74.
20. Kaufman DM. Applying educational theory in practice. BMJ. 2003; 326(7382):213-6.
21. Rudolph JW, Taylor SS, Foldy EG. Collaborative off-line reflection: a way to develop skill in action science and action inquiry. California: Sage Publications; 2006.
22. Taylor K, Mayell A, VanDenberg S, Blanchard N, Parshuram CS. Prevalence and indications for video recording in the health care setting in North American and British paediatric hospitals. Paediatr Child Health. 2011; 16(7):e57-60.