Simulation training in neonatology: A literature review
DOI:
https://doi.org/10.37800/RM.2.2023.9-16Keywords:
simulation technologies, neonatology, newborn, neonatal resuscitation, improving the quality of medical care, work in a multidisciplinary team, simulation trainingAbstract
Relevance: Various technologies for modeling the situation in neonatology have been used for a long time with a training purpose for young professionals and to improve the competence of doctors and nurses. Every year, the importance and value of using high-quality, safe, and reliable systems in clinical settings in practice are growing.
The study aimed to describe the relevance of using and encouraging simulation technologies in neonatology as an effective tool for improving the quality of medical care and patient treatment outcomes and forming a well-coordinated team and risk management.
Materials and methods: We systematically reviewed and analyzed literary sources published by scientists in neonatology and perinatology, practical healthcare professionals, and professional associations. The literature search was carried out in the PubMed, CrossRef, and Google Scholar databases over the last decade by the study keywords. A total of 50 sources were included in the analysis.
Results: The analysis of literature data shows the variety of simulations to improve the professional competencies of medical workers, which contributes to improving the quality of medical care for newborns. It has been suggested that the use of expensive mannequins and simple technologies that do not require significant financial resources could help practice the practical skills of both doctors and neonatal nurses.
Conclusion: Modeling the situation in medicine, particularly in neonatology, is a promising tool for patient safety, for the effectiveness of teamwork, and ultimately for improving treatment outcomes. At the same time, more monitoring of the clinically relevant outcomes of this type of training is needed to assess its actual impact. Integrating simulation training into clinical reality to create high-quality, safe, and reliable systems to improve patient safety and treatment outcomes should be a priority. Therefore, cost-effectiveness studies are necessary to gain support from decision-makers and stakeholders.
References
Abass O.A., Samuel B.O., Odufeko G.T. Medical simulation a tool yet untapped in most developing nations in Africa // Int. J. Comput Appl. – 2014. – Vol. 97. No. 5. – Р. 1-4. https://doi.org/10.5120/17000-7136
Dol J., Campbell-Yeo M., Murphy G.T., Аston M., McMillan D., Richardson B. The impact of the Helping Babies Survive program on neonatal outcomes and health provider skills: a systematic review // JBI Database Syst. Rev. Implement Rep. – 2018. – Vol. 16(3). – Р. 701-737. https://doi.org/10.11124/JBISRIR-2017-003535
Kohn L.T., Corrigan J.M., Donaldson M.S. To err is human: Building a Safer Health Syst // Washington (DC): National. Academies Press (US). – 2000. – Bookshelf ID: NBK225182. https://doi.org/10.17226/9728
Bicht R., Simulation and its components // Int. J. Curr. Pharm. Res. – 2022. – Vol. 14(4). – Р. 1-4. https://innovareacademics.in/journals/index.php/ijcpr/article/view/45878/26747
Halamek L.P. Simulation and debriefing in neonatology. // Semin. Perinatol. – 2016. – Vol. 40. – Р. 489-493. https://doi.org/10.1053/j.semperi.2016.08.010
Garvey A.A., Dempsey E.M. Simulation in neonatal resuscitation // Front. Pediatr. – 2020. – Vol. 8 – Р. 1-10. https://doi.org/10.3389/fped.2020.00059
Sawyer Т., Stavroudis T.A., Ades А., Dadiz R., Dammann Ch.E.L., Halamek L.P., Moussa А., Soghier L., Gupta A., Aliaga S., Umoren R., French H. Organization of Neonatal-Perinatal Training Program Directors Task Force on Simulation // Simulation in neonatal-perinatal medicine fellowship programs // Am. J. Perinatol. – 2020. – Vol. 37(12). – Р. 1258-1263. https://doi.org/10.1055/s-0039-1693465.
Dempsey E., Pammi M., Ryan A.C., Barrington K.J. Standardized formal resuscitation training programs for reducing mortality and morbidity in newborn infants // Cochrane Database of Systematic Reviews. – 2015. – Vol. 9. https://doi.org/10.1002/14651858.CD009106.pub2
Greif R., Lockey A., Breckwoldt J., Carmona F., Conaghan P., Kuzovlev A., Pflanzl-Knizacek L., Sari F., Shammet S., Scapigliati A., Turner N., Yeung J., Monsieurs K.G. European Resuscitation Council Guidelines // Education for resuscitation. – 2021. – Vol. 161. – Р. 388-407. https://doi.org/10.1016/j.resuscitation.2021.02.016
Sorensen J.L., Ostergaard D., LeBlanc V., Ottesen B., Konge L., Dieckmann P., Der Vleuten C. Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation // BMC Med. Educ. – 2017. – Vol. 17. – Р. 20. https://doi.org/10.1186/s12909-016-0838-3
Ghoman S.K., Patel S.D., Cutumisu M., Hauff P., Jeffery T., Brown M.R.G., Schmölzer G.M. Serious games, a game changer in teaching neonatal resuscitation? A review // Arch. Dis Child Fetal Neonatal Ed. – 2020. – Vol. 105. – Р. 98-107. https://doi.org/10.1136/archdischild-2019-317011
Barsuk J.H., Cohen E.R., Williams M.V., Scher J., Jones S.F., Feinglass J., McGaghie W.C., O’Hara K., Wayne D.B. Simulation-Based Mastery Learning for Thoracentesis Skills Improves Patient Outcomes: A Randomized Trial // Acad. Med. – 2018. – Vol. 93. – Р. 729-735. https://doi.org/10.1097/ACM.0000000000001965
Johnston L., Oldenburg G. Simulation for neonatal extracorporeal membrane oxygenation teams // Semin. Perinatol. – 2016. – Vol. 40. – Р. 421-429. https://doi.org/10.1053/j.semperi.2016.08.002
Soghier L, Robin B. Neonatal simulation: a practical guide / Edited by Lamia Soghier. USA: American Academy of Pediatrics. First edition published. ISBN: 978-1-61002-260-6. – 2021. – Р. 477. https://doi.org/10.1542/9781610022613.
Mileder L.P., Bereiter M., Wegscheider T. Telesimulation as a modality for neonatal resuscitation training / Med. Educ. Online. – 2021. – Vol. 26(1). – Article: 1892017. https://doi.org/10.1080/10872981.2021.1892017
Lioce L. Lopreiato J. Downing D., Chang T.P., Robertson J.M., Anderson M., Diaz D.A., Spain A.E. Healthcare Simulation Dictionary – Second Edition. Rockville, MD: Agency for Healthcare Research and Quality. – 2020. – AHRQ Publication No. 20-0019. https://doi.org/10.23970/simulationv2.
Kurup V., Matei V., Ray J. Role of in-situ simulation for training in healthcare: opportunities and challenges // Curr Opin Anaesthesiol. – 2017. – Vol. 30(6). – Р. 755-760. https://doi.org/10.1097/ACO.0000000000000514
Johnston L.C, Campbell D., Manhas D. Simulation for neonatal care / In: Grant V.J., Cheng A., editors. Comprehensive healthcare simulation: pediatrics. Cham: Springer International Publishing. – 2016. – Р. 231-244.
Goldshtein D., Krensky C., Doshi S., Perelman V.S. In situ simulation and its effects on patient outcomes: a systematic review // BMJ Simul Technol Enhanc Learn. – 2020. – Vol. 6. – Р. 3-9. https://doi.org/10.1136/bmjstel-2018-000387
Kjaergaard-Andersen G., Ibsgaard P., Paltved C., Jensen H.I. An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences // International Journal for Quality Health Care. – 2021. – Vol. 33(1). – P. 148. https://doi.org/10.1093/intqhc/mzaa148
Auerbach M., Stone K.P., Patterson M.D. The role of simulation in improving patient safety / In: Grant V.J., Cheng A. editors. Comprehensive Healthcare Simulation: Pediatrics. Cham: Springer International Publishing. – 2016. – Р. 55-65. https://doi.org/10.1007/978-3-319-24187-6_5
Bruno C.J., Glass K.M. Cost-effective and low-technology options for simulation and training in neonatology // Semin. Perinatol. – 2016. – Vol.40. – Р. 473–479. https://doi.org/10.1053/j.semperi.2016.08.008
Sawyer T., Eppich W., Brett-Fleegler M. More than one way to debrief: a critical review of healthcare simulation debriefing methods // Simul Healthc J. Soc. Simul Healthc. – 2016. – Vol.11. Р. 209–217. https://doi.org/10.1097/SIH.0000000000000148
Grant V.J., Cheng A. Comprehensive healthcare simulation: pediatrics / Cham: Springer International Publishing. – 1st ed. – Book ISBN 978-3-319-24187-6. – 2016. – Р. 417. https://doi.org/10.1007/978-3-319-24187-6
Bauchat J., Seropian M. Essentials of debriefing in simulation-based education / In: Comprehensive health care simulation: anesthesiology. – Springer Nature, Switzerland. – 2020. – Р. 37-46. https://doi.org/10.1007/978-3-030-26849-7_4
Gardner R. Introduction to debriefing // Semin. Perinatol. – 2013. – Vol.37. – Р. 166-174. https://doi.org/10.1053/j.semperi.2013.02.008
Eppich W., Cheng A. Promoting Excellence and Reflective Learning in Simulation (PEARLS): development and rationale for a blended approach to health care simulation debriefing // Simu.l Healthc. J. Soc. Simul. Healthc. – 2015. – Vol. 10. – Р. 106-115. https://doi.org/10.1097/SIH.0000000000000072
Wyckoff M.H., Aziz K., Escobedo M.B. Part 13: Neonatal resuscitation. 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care // Circulation. – 2015. – Vol. 132. № 18. – P. S543–S560. https://doi.org/10.1161/CIR.0000000000000267
Sawyer T., Gray M.M. Procedural training and assessment of competency utilizing simulation // Semin Perinatol. – 2016. – Vol. 40. – Р. 438–446. https://doi.org/10.1053/j.semperi.2016.08.004
Matterson H.H., Szyld D., Green B.R. Neonatal resuscitation experience curves: simulation based mastery learning booster sessions and skill decay patterns among pediatric residents // J Perinat Med. – 2018. – Vol.46. – Р. 934-941. https://doi.org/10.1515/jpm-2017-0330
Yeung J., Djarv T., Hsieh M.J. Spaced learning versus massed learning in resuscitation - a systematic review // Resuscitation. – 2020. – Vol. 156. – Р. 61-71. https://doi.org/10.1016/j.resuscitation.2020.08.132
Donoghue A., Navarro K., Diederich E. Deliberate practice and mastery learning in resuscitation education: a scoping review. // Resusc Plus. – 2021. – Vol. 6. – Р. 1-9. https://doi.org/10.1016/j.resplu.2021.100137
Raffaeli G., Ghirardello S., Vanzati M. Start a neonatal extracorporeal membrane oxygenation program: a multistep team training // Front Pediatr. – 2018. – Vol. 6. – Р. 151. https://doi.org/10.3389/fped.2018.00151
Johnston L.C., Su L. Comprehensive healthcare simulation: ECMO simulation: a theoretical and practical guide / Cham: Springer International Publishing. 2021. – P. 299. https://doi.org/10.1007/978-3-030-53844-6
Di N. M., David P., Francesca S., Roberto L., Massimiliano R., Antonio A., Corrado C., Yigit G., Fabio S. T. The introduction of a high-fidelity simulation program for training pediatric critical care personnel reduces the times to manage extracorporeal membrane oxygenation emergencies and improves teamwork // Journal of Thoracic. – 2018. – Vol. 10 (6). – Р. 3409-3417. https://doi.org/10.21037/jtd.2018.05.77
Su L., Spaeder M.C., Jones M.B. Implementation of an extracorporeal cardiopulmonary resuscitation simulation program reduces extracorporeal cardiopulmonary resuscitation times in real patients // Pediatric Critical Care Medicine. – 2014. – Vol. 15. – Р. 856–860. https://doi.org/10.1097/PCC.0000000000000234
Maya-Enero S., Botet-Mussons F., Figueras-Aloy J. Izquierdo-Renau M., Thio M., Iriondo-Sanz M. Adherence to the neonatal resuscitation algorithm for preterm infants in a tertiary hospital in Spain // BMC Pediatr. – 2018. – Vol. 18(1). – Р. 319. https://doi.org/10.1186/s12887-018-1288-3
Madar J, Roehr CC, Ainsworth S, Ersdal H, Morley C, Rüdiger M, Skåre C, Szczapa T, Te Pas A, Trevisanuto D, Urlesberger B, Wilkinson D, Wyllie JP. European Resuscitation Council Guidelines 2021: newborn resuscitation and support of transition of infants at birth // Resuscitation. – 2021. – Vol. 161. – Р. 291-326. https://doi.org/10.1016/j.resuscitation.2021.02.014.
Ediger K, Rashid M, Law BHY. What Is Teamwork? A Mixed Methods Study on the Perception of Teamwork in a Specialized Neonatal Resuscitation Team // Frontieres Pediatrics. – 2022. – Vol. 10. – No. 845671. – Р. 1-11. https://doi.org/10.3389/fped.2022.845671.
Lindhard M.S., Thim S., Laursen H.S. Simulation-based neonatal resuscitation team training: a systematic review // Pediatrics. – 2021. – Vol. 147. – №4. – Р. 1-12. https://doi.org/10.1542/peds.2020-042010
Brazil V. Translational simulation: not ‘where?’ but ‘why?’ A functional view of in situ simulation. // Brazil Advances in Simulation. – 2017. – Vol. 2 – №20. https://doi.org/10.1186/s41077-017-0052-3
Morris S.M., Fratt E.M., Rodriguez J. Implementation of the helping babies breathe training program: a systematic review // Pediatrics. – 2020. – Vol. 146. – P. e20193938. https://doi.org/10.1542/peds.2019-3938
Steiner M., Langgartner M., Cardona F. Significant reduction of catheter-associated blood stream infections in preterm neonates after implementation of a care bundle focusing on simulation training of central line insertion // Pediatr. Infect. Dis. J. – 2015. – Vol. 34. – P. 1193–1196. https://doi.org/10.1097/INF.0000000000000841
Barsuk J.H., Cohen E.R., Potts S. Dissemination of a simulation-based mastery learning intervention reduces central line-associated bloodstream infections // BMJ Qual. Saf. –2014. – Vol. 23. – P. 749–756. https://doi.org/10.1136/bmjqs-2013-002665
Gibbs K., DeMaria S., McKinsey S. A novel in situ simulation intervention used to mitigate an outbreak of methicillin resistant Staphylococcus aureus in a neonatal intensive care unit // J. Pediatr. – 2018. – Vol. 194. – P. 22-27. https://doi.org/10.1016/j.jpeds.2017.10.040
Yousef N., Moreau R., Soghier L. Simulation in neonatal care: towards a change in traditional training? // Eur. J. Pediatr. – 2022. – Vol. 181(4). – P. 1429-1436. https://doi.org/10.1007/s00431-022-04373-3.
Wagner S.M., Bell C.S., Gupta M. Interventions to decrease complications after shoulder dystocia: a systematic review and Bayesian meta-analysis // Am. J. Obstet. Gynecol. – 2021. – Vol. 225 (5). – P. 484. https://doi.org/10.1016/j.ajog.2021.05.008
Budhathoki S.S., Gurung R., Ewald U. Does the Helping Babies Breathe Programme impact on neonatal resuscitation care practices? Results from systematic review and meta-analysis // Acta. Paediatr. – 2019. – Vol. 108. – P. 806-813. https://doi.org/10.1111/apa.14706
Vossius C., Lotto E., Lyanga S. Cost-effectiveness of the “helping babies breathe” program in a missionary hospital in rural Tanzania // PLOS ONE. – 2014. – Vol. 9. – E. 102080. https://doi.org/10.1371/journal.pone.0102080
Zendejas B., Wang A.T., Brydges R. Cost: the missing outcome in simulation-based medical education research: a systematic review // Surgery. – 2013. – Vol. 153. – P. 160-176. https://doi.org/10.1016/j.surg.2012.06.025
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