title: Simulation-based team training improved the self-assessed ability of physicians, nurses and midwives to perform neonatal resuscitation.
abstract: OBJECTIVE
  The use of simulation-based team training in neonatal resuscitation has increased in Sweden during the last decade, but no formal evaluation of this training method has been performed. This study evaluated the effect of simulation-based team training on the self-assessed ability of personnel to perform neonatal resuscitation.
  
  
  METHODS
  We evaluated a full-day simulation-based team training course in neonatal resuscitation, by administering a questionnaire to 110 physicians, nurses and midwives before and after the training period. The questionnaire focused on four important domains: communication, leadership, confidence and technical skills. The study was carried out in Sweden from 2005 to 2007.
  
  
  RESULTS
  The response rate was 84%. Improvements in the participants' self-assessed ability to perform neonatal resuscitation were seen in all four domains after training (p < 0.001). Professionally inexperienced personnel showed a significant improvement in the technical skills domain compared to experienced personnel (p = 0.001). No differences were seen between professions or time since training in any of the four domains. Personnel with less previous experience with neonatal resuscitation showed improved confidence (p = 0.007) and technical skills (p = 0.003).
  
  
  CONCLUSIONS
  A full-day course on simulation-based team training with video-supported debriefing improved the participants' self-assessed ability to perform neonatal resuscitation.
authors.affiliation: Centre for Clinical Research, Västmanland County Hospital, Uppsala University, Västerås, Sweden.|Department of Paediatrics, Västmanland County Hospital, Västerås, Sweden.
authors.forename: B
authors.initials: B
authors.lastname: Malmström
authors.affiliation: Centre for Clinical Research, Västmanland County Hospital, Uppsala University, Västerås, Sweden.
authors.forename: E
authors.initials: E
authors.lastname: Nohlert
authors.affiliation: Department of Women's and Children's Health, International Maternal and Child Health, Uppsala University, Uppsala, Sweden.
authors.forename: U
authors.initials: U
authors.lastname: Ewald
authors.affiliation: Centre for Clinical Research, Västmanland County Hospital, Uppsala University, Västerås, Sweden.|Department of Paediatrics, Västmanland County Hospital, Västerås, Sweden.|School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
authors.forename: M
authors.initials: M
authors.lastname: Widarsson
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D018743:Perinatal Care / Q000379:methods*; D012151:Resuscitation / Q000193:education*; D000066908:Simulation Training / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
keywords: Behavioural skills; Multiprofessional team training; Neonatal resuscitation program; Simulation-based training; Video-assisted debriefing