Impact of Task-Oriented Role Assignment on Neonatal Resuscitation Performance: A Simulation-Based Randomized Controlled Trial.

Objective  Task-oriented role assignment (TORA) is the assignment of a specific role, a list of tasks, and a location to stand to each resuscitation team member. We performed this study to examine the impact of TORA training during a Neonatal Resuscitation Program (NRP) course on neonatal resuscitat...

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Publicado en:American Journal of Perinatology Vol. 38; no. 9; pp. 914 - 922
Autores principales: Litke-Wager, Carrie, Delaney, Heather, Mu, Thornton, Sawyer, Taylor
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Thieme Medical Publishing Inc. 2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2021
      vid: 38
      iid: 9
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      pub: Thieme Medical Publishing Inc.
      place: New York, New York
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        10.1055/s-0039-3402751
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        atl: Impact of Task-Oriented Role Assignment on Neonatal Resuscitation Performance: A Simulation-Based Randomized Controlled Trial.
      aug:
        au:
          Litke-Wager, Carrie
          Delaney, Heather
          Mu, Thornton
          Sawyer, Taylor
        affil: Department of Simulation, Brooke Army Medical Center, San Antonio, Texas
      sug:
        subj:
          Task Performance and Analysis Education
          Curriculum
          Resuscitation Methods
          Job Performance Evaluation
          Behavior Evaluation
          Resuscitation In Infancy and Childhood
          Human
          Randomized Controlled Trials
          Patient Simulation
          Videorecording
          Physicians
          Nurses
          Descriptive Statistics
          Infant
          Infant: 1-23 months
      ab: Objective  Task-oriented role assignment (TORA) is the assignment of a specific role, a list of tasks, and a location to stand to each resuscitation team member. We performed this study to examine the impact of TORA training during a Neonatal Resuscitation Program (NRP) course on neonatal resuscitation team technical performance and behavioral skills. Study Design  Participants were cluster randomized into either a standard NRP course (control) or an NRP course with TORA training. Both technical and behavioral skills were evaluated using standardized simulations. The simulations were video recorded and then scored by two blinded reviewers using previously validated instruments. Results  A total of 65 participants (62 resident physicians and 3 nurses) participated in 108 simulations (48 controls, 60 TORA). Technical skill scores were similar between the two groups (control = 77.6% [±8.4] vs. TORA = 78.1% [±8.1]; p  = 0.74). The TORA group had higher behavior skill scores in 8 of the 10 NRP key behavioral skills and had higher overall behavioral skill scores (control = 30.1 [±7.2] vs. TORA = 34.9 [±4.8]; p  < 0.001). Conclusion  In resuscitation teams comprising mostly resident physicians, TORA training resulted in better behavioral skills during simulated neonatal resuscitation. Further study on the impact of TORA training on actual resuscitation performance in interdisciplinary teams is warranted.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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