Xu Chenguang, Zhang Qianshen, Lin Fang, Chen Yihua, Xue Yin, Yan Wenjie, Zhou Rong, Yang Yuqian, Cheung Po-Yin
NICU The University of Hong Kong-Shenzhen Hospital Shenzhen China.
Centre for the Studies of Asphyxia and Resuscitation Neonatal Research Unit Royal Alexandra Hospital University of Alberta Edmonton Canada.
Resusc Plus. 2025 Jan 21;22:100875. doi: 10.1016/j.resplu.2025.100875. eCollection 2025 Mar.
Simulation-based neonatal resuscitation training has been implemented worldwide with good educational and clinical results. Simulation-based competition (SBC), as an innovative derivative of neonatal resuscitation training, has been practiced recently but its potential effectiveness and challenges of competition are rarely studied. We tested the hypothesis that after SBC, participants could improve compliance with NRP® algorithm and teamwork, achieve lower stress and higher confidence in neonatal resuscitation.
In February 2023, 108 health care providers in 27 teams from different regional centres participated in provincial SBC. Each team consisted of 4 members (NICU physician [lead], NICU nurse, midwife and obstetrician). The teams were to complete a resuscitation scenario (16 min) and their performance was evaluated. All participants were encouraged to take part in a post-resuscitation questionnaire survey voluntarily immediately after the scenarios finished. Demographic characteristics and questionnaire results of participants were collected, including the confidence and perceived stress levels before and after the competition.
Ninety-eight (90.7%) participants completed the survey with 114 post-resuscitation questionnaire surveys. Participants perceived top benefits of SBC including improved compliance with NRP® algorithm, technical skills and teamwork, with the least benefit in improving self-confidence (vs. other benefits, < 0.001). The confidence level did not change before and after the competition, whereas stress was reduced after the competition.
Participants in SBC might be benefited with improved compliance with NRP® algorithm, technical skills and teamwork. However, the impact, influence and sustainability of these benefits are uncertain. Further research is needed to explore ways to improve self-confidence and decrease stress in neonatal resuscitation.
基于模拟的新生儿复苏培训已在全球范围内实施，取得了良好的教育和临床效果。基于模拟的竞赛（SBC）作为新生儿复苏培训的一种创新衍生形式，最近已得到实践，但关于其潜在效果和竞赛挑战的研究却很少。我们检验了这样一个假设：在参加SBC后，参与者能够提高对NRP®算法的依从性和团队协作能力，在新生儿复苏中实现更低的压力水平和更高的信心。
2023年2月，来自不同地区中心的27个团队中的108名医疗保健提供者参加了省级SBC。每个团队由4名成员组成（新生儿重症监护室医生[组长]、新生儿重症监护室护士、助产士和产科医生）。各团队要完成一个复苏场景（16分钟），并对其表现进行评估。所有参与者在场景结束后立即被鼓励自愿参加复苏后问卷调查。收集了参与者的人口统计学特征和问卷调查结果，包括竞赛前后的信心和感知压力水平。
98名（90.7%）参与者完成了调查，共收到114份复苏后问卷调查。参与者认为SBC的主要益处包括提高对NRP®算法的依从性、技术技能和团队协作能力，而在提高自信心方面益处最小（与其他益处相比，P<0.001）。竞赛前后信心水平没有变化，而竞赛后压力有所降低。
参加SBC的参与者可能会在提高对NRP®算法的依从性、技术技能和团队协作能力方面受益。然而，这些益处的影响、作用和可持续性尚不确定。需要进一步研究以探索提高新生儿复苏自信心和减轻压力的方法。
