Gamboa Oscar Andrés, Agudelo Sergio Iván, Maldonado María Jose, Leguizamón Diana C, Cala Sandra M
School of Medicine, Specialization Program in Pediatrics, Universidad de La Sabana, Campus Universitario Puente del Común, km. 7, Autopista Norte de Bogotá, Edifico H, oficina 204 D, Chía, Cundinamarca, Colombia.
BMC Res Notes. 2018 Oct 17;11(1):739. doi: 10.1186/s13104-018-3831-6.
To evaluate two debriefing strategies for the development of neonatal resuscitation skills in health professionals responsible for the critical newborn care in a high-complexity university Hospital.
A simple blind randomized clinical trial was conducted. Twenty-four professionals (pediatricians, nurses, and respiratory therapists) were randomly assigned for two interventions; one group received oral debriefing and the other oral debriefing assisted by video. Three standardized clinical scenarios that were recorded on video were executed. A checklist was applied for the evaluation, administered by a reviewer blinded to the assignment of the type of debriefing. The two debriefing strategies increased the technical and behavioral neonatal resuscitation skills of the participants, without one being superior to the other. The coefficient of the difference in the compliance percentage between the two types of debriefing was - 3.6% (95% CI - 13.77% to 6.47%). When comparing the development of technical and behavioral skills among the professionals evaluated, no significant differences were found between the types of debriefing. The two debriefing strategies increase compliance percentages, reaching or approaching 100%. Trial Registration ClinicalTrials.gov NCT03606278. July 30, 2018. Retrospectively registered.
评估两种汇报策略对一所高复杂性大学医院中负责危重新生儿护理的卫生专业人员新生儿复苏技能发展的影响。
开展了一项简单的盲法随机临床试验。24名专业人员（儿科医生、护士和呼吸治疗师）被随机分配接受两种干预措施；一组接受口头汇报，另一组接受视频辅助口头汇报。执行了三个录制在视频中的标准化临床场景。由一名对汇报类型分配不知情的评审员使用一份清单进行评估。两种汇报策略均提高了参与者的新生儿复苏技术和行为技能，且一种并不优于另一种。两种汇报类型之间依从率差异的系数为-3.6%（95%置信区间为-13.77%至6.47%）。在比较所评估专业人员的技术和行为技能发展情况时，两种汇报类型之间未发现显著差异。两种汇报策略均提高了依从率，达到或接近100%。试验注册ClinicalTrials.gov NCT03606278。2018年7月30日。回顾性注册。
