Single-Day vs Longitudinal NRP Training for Neonatal Resuscitation Skills

Recruiting at 8 trial locations

Overseen By Audrey Larone Juneau, M.Sc

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Ahmed Moussa

Disqualifiers: Completed NRP training

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 10

250 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores two training methods to help nurses maintain neonatal resuscitation skills. One group will complete the current standard training in a single eight-hour day (Single-day NRP Training), while the other group will attend shorter sessions spread over a year (Longitudinal NRP Training). The researchers aim to determine which method more effectively keeps skills sharp and is more cost-efficient. Nurses hired in the last three months who haven't completed neonatal resuscitation training are ideal candidates for this trial. As an unphased trial, this study allows nurses to contribute to improving training methods that could enhance neonatal care.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this training method is safe for neonatal resuscitation skills?

Research has shown that both the Single-day and Longitudinal Neonatal Resuscitation Program (NRP) trainings effectively teach healthcare providers how to care for newborns in emergencies. Studies have found that these programs enhance skills and knowledge in neonatal care.

The Single-day NRP training, the current standard, presents no specific safety concerns. It is thorough and widely used by health professionals to prepare for newborn emergencies.

The Longitudinal NRP training, conducted over a year with nine short sessions, has been successfully implemented in various locations, including rural areas. Research indicates it helps maintain skills over time without any reported safety issues.

In summary, both training methods aim to improve knowledge and skills safely, making them excellent options for healthcare providers seeking to enhance their neonatal resuscitation skills. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores innovative approaches to training nurses in neonatal resuscitation skills. Unlike the standard single-day NRP training, which requires nurses to take a full day off work, the longitudinal NRP training is spread out over a year in nine 30-minute modules. This approach allows nurses to integrate learning into their regular work shifts, minimizing disruption to clinical duties. The trial aims to determine if this method enhances retention and application of skills compared to the traditional one-day course.

What evidence suggests that this trial's NRP training methods could be effective for maintaining neonatal resuscitation skills?

This trial will compare Single-day NRP Training with Longitudinal NRP Training. Studies have shown that both one-day and year-long Neonatal Resuscitation Program (NRP) training improve skills and knowledge in newborn resuscitation. Participants in the Single-day NRP Training arm will receive a strong, evidence-based approach to care immediately after birth, which benefits team-based care. In contrast, those in the Longitudinal NRP Training arm will experience training spread over time, aiding in longer skill retention and enhancing team performance. Initial findings suggest that dividing the training into shorter, more frequent sessions might better maintain expertise over time. Both methods aim to ensure healthcare providers are prepared for rare but critical situations in newborn care. ^{1 6 7 8 9}

Are You a Good Fit for This Trial?

This trial is for newly recruited registered nurses working in level 2 and 3 perinatal centers who have joined within the last three months. Nurses who have previously completed NRP training are not eligible to participate.

Inclusion Criteria

I am a new neonatal or delivery room nurse at a level 2 or 3 perinatal center.

Exclusion Criteria

I am a registered nurse who has completed NRP training.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Single-day NRP Training

Participants undergo a single-day NRP training course, which takes 8 hours to complete

1 day

1 visit (in-person)

Longitudinal NRP Training

Participants undergo a longitudinal NRP training course consisting of nine 30-minute modules taught every 6-8 weeks over a year

1 year

9 visits (in-person)

Follow-up

Participants are monitored for knowledge retention and cost-efficiency of the training methods

1 year

What Are the Treatments Tested in This Trial?

Interventions

• Longitudinal NRP Training
• Single-day NRP Training

Trial Overview The study is examining two methods of Neonatal Resuscitation Program (NRP) training: a traditional single-day session versus a new longitudinal approach. The goal is to determine which method better maintains nurses' resuscitation skills, considering educational outcomes and financial implications.

How Is the Trial Designed?

Group I: Single-day NRP training Experimental Treatment 1 Intervention

This group will follow the single-day NRP training course that is currently the standard. It usually takes 8 hours to complete this training course and the nurses are released from their clinical duty to attend the training course.

Group II: Longitudinal one year NRP Training Experimental Treatment 1 Intervention

This group will follow the longitudinal NRP training course. The longitudinal NRP training course will consist of nine 30-minute modules that will be taught every 6-8 weeks over a period of one year. The nurses will attend the different modules of the training course at their work place and during their work shift so they will have to be released from their clinical duty only 30 minutes at a time.

Who Is Running the Clinical Trial?

Ahmed Moussa

Lead Sponsor

Trials

2

Recruited

300+

Published Research Related to This Trial

NRP training significantly improves the resuscitation skills and knowledge of pediatric residents, with those who attended the course scoring higher on assessments compared to those who did not.

Senior residents and those trained in NRP demonstrated better performance, highlighting the importance of early training in neonatal resuscitation to enhance the quality of care for newborns.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Resuscitation skills of pediatric residents and effects of Neonatal Resuscitation Program training. Gunay, I., Agin, H., Devrim, I., et al.[2016]

In a study involving 143 healthcare providers, it was found that shorter rest periods during 30 minutes of chest compressions (CC) led to a significant decline in the quality of compressions, particularly in depth, highlighting the importance of adequate rest for maintaining CPR effectiveness.

The research suggests that a 6-minute rest period after every 2 minutes of CC is crucial, indicating that at least four personnel are needed to minimize rescuer fatigue and sustain high-quality CPR over the full duration.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The optimal number of personnel for good quality of chest compressions: A prospective randomized parallel manikin trial. Yamanaka, S., Huh, JY., Nishiyama, K., et al.[2018]

The study demonstrates an efficient method for implementing RN(n)(nu) symmetry-based pulse schemes in high magic-angle spinning frequencies, which are crucial for enhancing nuclear spin interactions in biological solid-state NMR.

By optimizing the phase-modulation profile of 180-degree RF pulses, the researchers achieved effective magnetization transfer for 13C-13C dipolar recoupling and chemical shift correlation, indicating improved performance in NMR investigations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Numerical design of RN(n)(nu) symmetry-based RF pulse schemes for recoupling and decoupling of nuclear spin interactions at high MAS frequencies. Herbst, C., Herbst, J., Leppert, J., et al.[2021]

Using 15N labeling can help determine the structure of larger proteins (over 10 kDa) by improving resonance clarity in NMR spectroscopy.

The new method based on 15N single-quantum coherence offers better resolution compared to the traditional heteronuclear multiple-quantum coherence, making it a more effective approach for studying protein structures.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improved resolution in 1H-detected 1H-15N correlation experiments. Norwood, TJ., Boyd, J., Campbell, ID.[2019]

Iraqi residents who participated in the Neonatal Resuscitation Program (NRP) course showed a significant increase in knowledge, with correct answers rising from 52% before the course to 85% after (p < 0.001).

Despite the knowledge gain, only 14% of participants passed the practical Mega code simulation exam, indicating that while theoretical understanding improved, practical performance in clinical simulations remains an area needing further development.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Knowledge and practical performance gained by Iraqi residents after participation to a neonatal resuscitation program course. Jabir, MM., Doglioni, N., Fadhil, T., et al.[2019]

A one-day neonatal resuscitation education program significantly improved both knowledge and skill performance among 190 nurses, demonstrating its efficacy in training perinatal staff.

While knowledge was retained at six months, skill performance declined, indicating a need for ongoing training strategies to maintain practical skills in neonatal resuscitation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The provision and evaluation of a neonatal resuscitation program. Dunn, S., Niday, P., Watters, NE., et al.[2022]

In a study of 50 neonatal intubation attempts, 73% were successful, but the performance varied significantly among different trained individuals, with respiratory therapists achieving a 100% success rate compared to 63% for pediatric residents and 69% for NICU fellows.

The average time for successful intubation was 51 seconds, which exceeds the recommended time by NRP and American Heart Association guidelines, indicating a need for improved training methods in neonatal intubation for pediatric residents and fellows.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Failure of pediatric and neonatal trainees to meet Canadian Neonatal Resuscitation Program standards for neonatal intubation. Bismilla, Z., Finan, E., McNamara, PJ., et al.[2022]

A study involving 42 pediatric residents showed that knowledge retention from the Neonatal Resuscitation Program (NRP) decreased significantly after 6 months and 1 year, indicating a need for regular refresher courses.

Intubation skills also declined over time, with performance worsening after 1 year, suggesting that annual training could help maintain proficiency in critical neonatal resuscitation techniques.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Proficiency and knowledge gained and retained by pediatric residents after neonatal resuscitation course. Duran, R., Aladağ, N., Vatansever, U., et al.[2022]

The authors propose a new standardized naming system for NMR experiments to address the lack of consistency in naming, which is crucial for organizing and understanding the vast array of NMR data.

This new system is based on a formal 'NMR experiment protocol' model described in the Universal Modelling Language (UML), aiming to enhance clarity and communication in the field of NMR spectroscopy.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A nomenclature and data model to describe NMR experiments. Fogh, RH., Vranken, WF., Boucher, W., et al.[2022]

In nitrogen-14 NQR experiments, the composite pulse (45)0(95)180(164)0 produced the best results for induction and echo signals, indicating its superior efficacy compared to other tested pulses.

The study utilized various published composite pulses, providing a comparative analysis of their performance, which highlights the importance of pulse selection in optimizing NQR measurements.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Comparative experimental analysis of composite pulses in 14N NQR. Mikhaltsevitch, VT., Rudakov, TN., Flexman, JH., et al.[2019]

The enhanced format of the Neonatal Resuscitation Program (NRP) course significantly improved new clinicians' comfort levels in performing neonatal resuscitation, as indicated by post-intervention surveys.

This pilot project involved a convenience sample of nurses, respiratory therapists, and physicians, and emphasized hands-on practice, which was crucial for increasing participants' confidence in using resuscitation equipment and skills.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Enhanced Neonatal Resuscitation Provider Course for Novice Learners. Copple, S.[2022]

The Neonatal Resuscitation Program (NRP) 8th edition, released in June 2021, incorporates the latest evidence-based guidelines from the American Academy of Pediatrics and the American Heart Association, ensuring that healthcare professionals are trained with the most current practices for assisting newborns at birth.

While there were no major changes in practice from previous editions, the NRP 8th edition reflects new, higher-quality evidence that supports existing recommendations, emphasizing patient safety and educational efficiency in neonatal resuscitation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The NRP 8th Edition: Innovation in Education. Zaichkin, J., Kamath-Rayne, BD., Weiner, G.[2023]

Citations

1. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/39371693/

Assessing Team Performance in a Longitudinal Neonatal ... Assessing Team Performance in a Longitudinal Neonatal Resuscitation Simulation Training Program: Comparing Validity Evidence to Select the Best ...

2. clinicaltrials.gov clinicaltrials.gov/study/NCT04572048

Longitudinal One Year Vs Single Day NRP Training. It usually takes 8 hours to complete this training course and the nurses are released from their clinical duty to attend the training course. Intervention/ ...

3. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11875418/

Effectiveness of Neonatal Resuscitation Training Programs ... Post-NRP training significantly improved mean knowledge and practical composite skills compared to pre-NRP training. Consistent with other training programs ...

4. withpower.com withpower.com/trial/phase-2021-aae9f

Single-Day vs Longitudinal NRP Training for Neonatal ... The program has been shown to enhance comfort levels in providing neonatal resuscitation and improve skill performance, although maintaining these skills over ...

5. knowledgeconnection.mainehealth.org knowledgeconnection.mainehealth.org/mmc/3808/

"Development and Evaluation of a Rural Longitudinal NRP ... CONCLUSIONS: Our results demonstrate that a TS program aimed at improving NRP® and team performance is possible to implement in a rural setting.

6. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/39326455/

Development and Evaluation of a Rural Longitudinal Neonatal ... Our results demonstrate that a TS program aimed at improving NRP and team performance is possible to implement in a rural setting. Our pilot ...

7. aap.org aap.org/en/pedialink/neonatal-resuscitation-program/?srsltid=AfmBOoo5Uknot79xuKVJQp8tRCXydaupD3jAjQDh4q67aVl1_hJc6O97

Neonatal Resuscitation Program The Neonatal Resuscitation Program (NRP) course conveys an evidence-based approach to care of the newborn at birth and facilitates effective team-based care.

8. cpr.heart.org cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/neonatal-resuscitation

Part 5: Neonatal Resuscitation The newborn chain of care provides guidance on considerations that may lead to optimal outcomes for newborn infants starting from prenatal care to recovery and ...

9. karger.com karger.com/neo/article/122/Suppl.%201/52/916454/Effectiveness-of-Neonatal-Resuscitation-Training

Effectiveness of Neonatal Resuscitation Training Programs ... NRTP effectiveness studies, evaluating both NRP and HBB training programs, reported improved knowledge- and skill-based outcomes immediately ...