title: Neonatal Resuscitation Training: Implications of Course Construct and Discipline Compartmentalization on Role Confusion and Role Ambiguity.
abstract: BACKGROUND
  The Neonatal Resuscitation Program's (NRP's) Sixth Edition introduced simulation-based training (SBT) into neonatal life support training. SBT offers neonatal emergency response teams a safe, secure environment to rehearse coordinated neonatal resuscitations. Teamwork and communication training can reduce tension and anxiety during neonatal medical emergencies.
  
  
  OBJECTIVE
  To discuss the implications of variability in number and type of simulation scenario, number and type of learners who comprise a course, and their influence upon scope of practice, role confusion, and role ambiguity.
  
  
  METHODS
  Relevant articles from MEDLINE, CINAHL, EMBASE, Google Scholar, the World Health Organization, the American Heart Association, and NRP were included in this integrative review of the literature.
  
  
  RESULTS
  Purposeful synergy of optimal SBT course construct with teamwork and communication can resist discipline compartmentalization, role confusion, and role ambiguity. Five key themes were identified and coined the "5 Rights" of NRP SBT. These "5 Rights" can guide healthcare institutions with planning, implementation, and evaluation of NRP SBT courses.
  
  
  CONCLUSIONS
  NRP SBT can facilitate optimal team function and reduce errors when teams of learners and varied scenarios are woven into the course construct. The simulated environment must be realistic and fully equipped to encourage knowledge transfer and attainment of the NRP's key behavioral outcomes.
  
  
  CONCLUSIONS
  Investigation of teamwork and communication training with NRP SBT, course construct, discipline compartmentalization, and behavioral and clinical outcomes is indicated. Investigation of outcomes of SBT using a team-teaching model, combining basic and advanced practice NRP instructors, is indicated.
authors.affiliation: Neonatal Nurse Practitioner Program, College of Nursing, East Carolina University, Greenville, North Carolina (Drs Jnah, Newberry, and Robertson and Ms Sewell); Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, Ohio (Dr Trembath); The Children's Hospital at Memorial University Medical Center, Savannah, Georgia (Ms Downing); and North Carolina Children's Hospital, Chapel Hill (Ms Greene).
authors.forename: Amy J
authors.initials: AJ
authors.lastname: Jnah
authors.forename: Desi M
authors.initials: DM
authors.lastname: Newberry
authors.forename: Andrea N
authors.initials: AN
authors.lastname: Trembath
authors.forename: Tracey
authors.initials: T
authors.lastname: Robertson
authors.forename: April
authors.initials: A
authors.lastname: Downing
authors.forename: Miriam
authors.initials: M
authors.lastname: Greene
authors.forename: Kerry
authors.initials: K
authors.lastname: Sewell
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D033183:Interdisciplinary Communication; D010348:Patient Care Team / Q000592:standards*; D024382:Professional Role; D012151:Resuscitation / Q000193:education* / Q000592:standards*; D000066908:Simulation Training