De Bernardo Giuseppe, Sordino Desirée, Cavallin Francesco, Mardegan Veronica, Doglioni Nicoletta, Tataranno Maria Luisa, Trevisanuto Daniele
Department of Emergency, AORN Santobono-Pausilipon, Via Mario Fiore 6, Naples, NA, 80129, Italy.
Independent Statistician, Padua, Italy.
Ital J Pediatr. 2016 Nov 18;42(1):100. doi: 10.1186/s13052-016-0313-0.
High fidelity simulation has been executed to allow the evaluation of technical and non-technical skills of health caregivers. Our objective was to assess technical and non-technical performances of low level hospitals health caregivers who attended a Neonatal Resuscitation course using high fidelity simulation in a standard-setting scenario.
Twenty-three volunteers were asked to manage a simple scenario (infant with secondary apnea) after the course. Technical and non-technical skills were assessed by using previously published scores. Performances were assessed during the scenario and after 2 months by filmed video recordings.
Sixteen (69.5%) participants failed to pass the minimum required technical score. Staff experience and participation in previous courses were associated to higher score in technical and non-technical skills, while working in level I or II hospitals did not affect the scores. Previous experience in neonatal resuscitation requiring positive pressure ventilation was associated to better non-technical performance. Technical and non-technical scores were significantly correlated (r = 0.67, p = 0.0005). Delayed and direct evaluation of technical skills provided the same scores.
A neonatal resuscitation course, performed by using a high fidelity simulation manikin, had a limited impact on technical and non-technical skills of participants working in low level hospitals. Training programs should be tailored to the participants' professional background and to the more relevant sessions.
高保真模拟已被用于评估医护人员的技术和非技术技能。我们的目的是在标准设定场景中，使用高保真模拟评估参加新生儿复苏课程的基层医院医护人员的技术和非技术表现。
23名志愿者在课程结束后被要求处理一个简单场景（继发性呼吸暂停的婴儿）。使用先前公布的评分来评估技术和非技术技能。通过拍摄的视频记录在场景中及2个月后评估表现。
16名（69.5%）参与者未达到所需的最低技术评分。工作人员的经验和参加以前的课程与技术和非技术技能的较高评分相关，而在一级或二级医院工作并不影响评分。以前在需要正压通气的新生儿复苏方面的经验与更好的非技术表现相关。技术和非技术评分显著相关（r = ０.67，p = 0.0005）。对技术技能的延迟评估和直接评估得到相同的分数。
使用高保真模拟人体模型进行的新生儿复苏课程，对在基层医院工作的参与者的技术和非技术技能影响有限。培训计划应根据参与者的专业背景和更相关的课程进行调整。
