Correlations between technical skills and behavioral skills in simulated neonatal resuscitations.
OBJECTIVE
Neonatal resuscitation requires both technical and behavioral skills. Key behavioral skills in neonatal resuscitation have been identified by the Neonatal Resuscitation Program. Correlations and interactions between technical skills and behavioral skills in neonatal resuscitation were investigated.


METHODS
Behavioral skills were evaluated via blinded video review of 45 simulated neonatal resuscitations using a validated assessment tool. These were statistically correlated with previously obtained technical skill performance data.


RESULTS
Technical skills and behavioral skills were strongly correlated (ρ=0.48; P=0.001). The strongest correlations were seen in distribution of workload (ρ=0.60; P=0.01), utilization of information (ρ=0.55; P=0.03) and utilization of resources (ρ=0.61; P=0.01). Teams with superior behavioral skills also demonstrated superior technical skills, and vice versa.


CONCLUSIONS
Technical and behavioral skills were highly correlated during simulated neonatal resuscitations. Individual behavioral skill correlations are likely dependent on both intrinsic and extrinsic factors.
Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA.
T
T
Sawyer
Sacred Heart Medical Center, Eugene, OR, USA.
D
D
Leonard
Department of Pediatrics, National Naval Medical Center, Bethesda, MD, USA.
A
A
Sierocka-Castaneda
Department of Pediatrics, Tripler Army Medical Center, Honolulu, HI, USA.
D
D
Chan
Department of Pediatrics, Tripler Army Medical Center, Honolulu, HI, USA.
M
M
Thompson
D000223:Adaptation, Psychological; D000328:Adult; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D001519:Behavior; D002983:Clinical Competence; D015331:Cohort Studies; D003198:Computer Simulation; D004503:Education, Medical, Graduate / Q000379:methods*; D005194:Family Practice; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D007396:Internship and Residency; D008297:Male; D008348:Manikins; D010372:Pediatrics; D010817:Physician-Patient Relations; D012151:Resuscitation / Q000193:education* / Q000379:methods* / Q000523:psychology; D012189:Retrospective Studies; D014741:Video Recording