Ghoman Simran K, Cutumisu Maria, Schmölzer Georg M
Neonatal Research Unit, Center for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, AB, Canada.
Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Front Pediatr. 2020 Nov 5;8:569776. doi: 10.3389/fped.2020.569776. eCollection 2020.
Frequent and objective summative assessment of neonatal healthcare providers is important to ensure high-quality care to patients during neonatal resuscitation. Currently, neonatal resuscitation providers are only individually assessed using an at-home online multiple-choice questionnaire. While simulation-based assessment is preferred, resource constraints limit its widespread uptake. An alternative approach to simulation-based summative assessment is needed. Simulation-based serious games may provide a solution. The aim of this study was to examine if individual performance on the RETAIN (REsuscitation TrAINing for healthcare professionals) tabletop simulator can be used as a summative assessment of neonatal resuscitation providers, regardless of their prior board game experience. Neonatal healthcare providers were recruited from a tertiary perinatal center to complete a (1) demographic pre-survey, (2) neonatal resuscitation scenario using an open-answer written pre-test, (3) neonatal resuscitation scenario using the RETAIN tabletop simulator, and (4) post-survey measuring usage and attitudes toward board games. Multiple linear regression analyses using the Johnson-Neyman technique were conducted in R to probe the moderation effect of on the relationship between and . Twenty Neonatal Resuscitation Program-trained healthcare providers (nurses, nurse practitioners, respiratory therapists, and fellows) were recruited for this study ( = 19 females). Participants' mean (standard deviation) pre-test score was 8.35 (1.81) out of a total 16 possible points (52%) and a score of 18 (4.41) out of a total of 40 possible points (45%) using RETAIN. Overall board game experience was 22.5 (12.6) years. Finally, years of board game moderated significantly the relation between the pre-test and game performance ( = -0.13, SE = 0.05, beta = -0.48, = -2.77, < 0.05; 95% CI [-0.24, -0.03]). Thus, participants' performance on the two tests (written and simulator) was significantly positively associated, but only for those who reported fewer than 21.5 years of board game experience. This study reports the preliminary results of a pilot study, indicating that the RETAIN tabletop simulator could be used as a simulation-based summative assessment, an enjoyable, low-cost alternative to traditional assessment approaches. RETAIN offers a solution to the need for more frequent and continued assessment of neonatal resuscitation providers.
对新生儿医疗服务提供者进行频繁且客观的总结性评估，对于确保新生儿复苏期间为患者提供高质量护理至关重要。目前，新生儿复苏服务提供者仅通过在家中进行的在线多项选择题问卷进行个体评估。虽然基于模拟的评估更受青睐，但资源限制阻碍了其广泛应用。因此需要一种基于模拟的总结性评估的替代方法。基于模拟的严肃游戏可能提供一种解决方案。本研究的目的是检验在RETAIN（医疗专业人员复苏培训）桌面模拟器上的个人表现是否可用于对新生儿复苏服务提供者进行总结性评估，无论其之前是否有棋盘游戏经验。从一家三级围产期中心招募新生儿医疗服务提供者，以完成：(1) 人口统计学预调查；(2) 使用开放式书面预测试的新生儿复苏场景；(3) 使用RETAIN桌面模拟器的新生儿复苏场景；以及(4) 测量对棋盘游戏的使用情况和态度的后调查。在R中使用约翰逊 - 内曼技术进行多元线性回归分析，以探究[此处原文缺失相关变量]对[此处原文缺失相关变量]与[此处原文缺失相关变量]之间关系的调节作用。本研究招募了20名接受过新生儿复苏项目培训的医疗服务提供者（护士、执业护士、呼吸治疗师和研究员）（19名女性）。参与者预测试的平均（标准差）分数在满分16分中为8.35（1.81）分（52%），使用RETAIN在满分40分中为18（4.41）分（45%）。总体棋盘游戏经验为22.5（12.6）年。最后，棋盘游戏年限显著调节了预测试与游戏表现之间的关系（[此处原文缺失相关变量]= -0.13，标准误 = 0.05，β = -0.48，[此处原文缺失相关变量]= -2.77，[此处原文缺失相关变量]<0.05；95%置信区间[-0.24, -0.03]）。因此，参与者在两项测试（书面和模拟器）上的表现显著正相关，但仅适用于那些报告棋盘游戏经验少于21.5年的人。本研究报告了一项试点研究的初步结果，表明RETAIN桌面模拟器可作为基于模拟的总结性评估，是一种有趣且低成本的传统评估方法的替代方案。RETAIN为满足对新生儿复苏服务提供者进行更频繁且持续评估的需求提供了一种解决方案。
