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Am J Perinatol 2021; 38(09): 914-921
DOI: 10.1055/s-0039-3402751
Original Article

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

Carrie Litke-Wager
1   Division of Neonatology, Department of Pediatrics, Brooke Army Medical Center, San Antonio, Texas
2   Department of Simulation, Brooke Army Medical Center, San Antonio, Texas
,
Heather Delaney
1   Division of Neonatology, Department of Pediatrics, Brooke Army Medical Center, San Antonio, Texas
2   Department of Simulation, Brooke Army Medical Center, San Antonio, Texas
,
Thornton Mu
1   Division of Neonatology, Department of Pediatrics, Brooke Army Medical Center, San Antonio, Texas
2   Department of Simulation, Brooke Army Medical Center, San Antonio, Texas
,
Taylor Sawyer
3   Division of Neonatology, Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington
› Institutsangaben Funding None.
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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 < 0.001).

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.

Keywords

neonatal resuscitation - task-oriented role assignment - Neonatal Resuscitation Program - performance evaluation - behavioral assessment

Note

The views expressed in this article are those of the author(s) and do not reflect the official policy or position of the U.S. Department of the Army, U.S. Department of Defense, or the U.S. Government.


Supplementary Material



Publikationsverlauf

Eingereicht: 10. September 2019

Angenommen: 05. Dezember 2019

Artikel online veröffentlicht:
03. Januar 2020

© 2020. Thieme. All rights reserved.

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