Division of Neonatology, Leiden University Medical Center, Leiden, The Netherlands.
Department of Medical Ethics and Health Law, Leiden University Medical Center, Leiden, The Netherlands.
Arch Dis Child Fetal Neonatal Ed. 2019 Sep;104(5):F528-F534. doi: 10.1136/archdischild-2018-315648. Epub 2018 Dec 1.
To assess benefits of recording and reviewing neonatal resuscitation as experienced by neonatal care providers.
A qualitative study using semistructured interviews questioning neonatal care providers about their experiences with recording and reviewing neonatal resuscitation. Data were analysed using the qualitative data analysis software Atlas.ti V.7.0.
Neonatal care providers working at neonatal intensive care units (NICUs) of the Leiden University Medical Center, the Netherlands, and the University of Pennsylvania School of Medicine, USA, participated in this study.
In total, 48 NICU staff members were interviewed. Reported experiences and attitudes are broadly similar for both NICUs. All interviewed providers reported positive experiences and benefits, with special emphasis on educational benefits. Recording and reviewing neonatal resuscitation is used for various learning activities, such as plenary review meetings and as tool for objective feedback. Providers reported to learn from reviewing their own performance during resuscitation, as well as from reviewing performances of others. Improved time perception, reflection on guideline compliance and acting less invasively during resuscitations were often mentioned as learning outcomes. All providers would recommend other NICUs to implement recording and reviewing neonatal resuscitation, as it is a powerful tool for learning and improving. However, they emphasised preconditions for successful implementation, such as providing information, not being punitive and focusing on the benefits for learning and improving.
Recording and reviewing neonatal resuscitation is considered highly beneficial for learning and improving resuscitation skills and is recommended by providers participating in it.
评估记录和回顾新生儿复苏的经验对新生儿护理人员的益处。
一项使用半结构式访谈的定性研究，询问新生儿护理人员记录和回顾新生儿复苏的经验。使用定性数据分析软件 Atlas.ti V.7.0 对数据进行分析。
荷兰莱顿大学医学中心和美国宾夕法尼亚大学医学院的新生儿重症监护病房（NICU）工作的新生儿护理人员参与了这项研究。
共有 48 名 NICU 工作人员接受了采访。两所 NICU 的受访者报告的经验和态度大致相似。所有接受采访的护理人员都报告了积极的经验和益处，特别强调了教育方面的益处。记录和回顾新生儿复苏用于各种学习活动，如全体审查会议和作为客观反馈的工具。护理人员报告说，他们从回顾自己在复苏期间的表现以及回顾他人的表现中获得了学习。提高时间感知、反思指南遵守情况以及在复苏期间采取不那么侵入性的行动等，通常被认为是学习成果。所有护理人员都会建议其他 NICU 实施记录和回顾新生儿复苏，因为这是学习和提高的有力工具。然而，他们强调了成功实施的前提条件，例如提供信息、不具有惩罚性以及关注学习和提高的益处。
记录和回顾新生儿复苏被认为对学习和提高复苏技能非常有益，并得到了参与其中的护理人员的推荐。
