Potential benefits and challenges of simulation-based neonatal resuscitation competition: A survey analysis of provincial competition in China
Background: 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...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Resuscitation Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520425000128 |
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| author | Chenguang Xu Qianshen Zhang Fang Lin Yihua Chen Yin Xue Wenjie Yan Rong Zhou Yuqian Yang Po-Yin Cheung |
| author_facet | Chenguang Xu Qianshen Zhang Fang Lin Yihua Chen Yin Xue Wenjie Yan Rong Zhou Yuqian Yang Po-Yin Cheung |
| author_sort | Chenguang Xu |
| collection | DOAJ |
| description | Background: 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. Methods: 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. Results: 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, P < 0.001). The confidence level did not change before and after the competition, whereas stress was reduced after the competition. Conclusions: 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. |
| format | Article |
| id | doaj-art-2805b29796384d35abcc11076c974921 |
| institution | Kabale University |
| issn | 2666-5204 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-2805b29796384d35abcc11076c9749212025-02-02T05:29:23ZengElsevierResuscitation Plus2666-52042025-03-0122100875Potential benefits and challenges of simulation-based neonatal resuscitation competition: A survey analysis of provincial competition in ChinaChenguang Xu0Qianshen Zhang1Fang Lin2Yihua Chen3Yin Xue4Wenjie Yan5Rong Zhou6Yuqian Yang7Po-Yin Cheung8NICU The University of Hong Kong-Shenzhen Hospital Shenzhen ChinaNICU The University of Hong Kong-Shenzhen Hospital Shenzhen ChinaNICU The University of Hong Kong-Shenzhen Hospital Shenzhen ChinaNICU The University of Hong Kong-Shenzhen Hospital Shenzhen ChinaNICU The University of Hong Kong-Shenzhen Hospital Shenzhen ChinaNICU The University of Hong Kong-Shenzhen Hospital Shenzhen ChinaNICU The University of Hong Kong-Shenzhen Hospital Shenzhen ChinaNICU The University of Hong Kong-Shenzhen Hospital Shenzhen ChinaNICU 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; NICU University of Alberta Edmonton Canada; Corresponding author at: Stollery Philip C. Etches NICU, Royal Alexandra Hospital, 10240 Kingsway Avenue NW, Edmonton, AB, T5H 3V9, Canada.Background: 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. Methods: 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. Results: 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, P < 0.001). The confidence level did not change before and after the competition, whereas stress was reduced after the competition. Conclusions: 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.http://www.sciencedirect.com/science/article/pii/S2666520425000128Neonatal resuscitationSimulationEducationCompetitionNRP® algorithmTeamwork |
| spellingShingle | Chenguang Xu Qianshen Zhang Fang Lin Yihua Chen Yin Xue Wenjie Yan Rong Zhou Yuqian Yang Po-Yin Cheung Potential benefits and challenges of simulation-based neonatal resuscitation competition: A survey analysis of provincial competition in China Resuscitation Plus Neonatal resuscitation Simulation Education Competition NRP® algorithm Teamwork |
| title | Potential benefits and challenges of simulation-based neonatal resuscitation competition: A survey analysis of provincial competition in China |
| title_full | Potential benefits and challenges of simulation-based neonatal resuscitation competition: A survey analysis of provincial competition in China |
| title_fullStr | Potential benefits and challenges of simulation-based neonatal resuscitation competition: A survey analysis of provincial competition in China |
| title_full_unstemmed | Potential benefits and challenges of simulation-based neonatal resuscitation competition: A survey analysis of provincial competition in China |
| title_short | Potential benefits and challenges of simulation-based neonatal resuscitation competition: A survey analysis of provincial competition in China |
| title_sort | potential benefits and challenges of simulation based neonatal resuscitation competition a survey analysis of provincial competition in china |
| topic | Neonatal resuscitation Simulation Education Competition NRP® algorithm Teamwork |
| url | http://www.sciencedirect.com/science/article/pii/S2666520425000128 |
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