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- W4226018977 abstract "Background: The birth of a very low birth-weight (VLBW) infant occurs infrequently, especially in the community hospital setting. It is critical that the team managing care of the infant in its first minutes of life follow evidence-based resuscitation guidelines and practices to optimize outcomes for this population. Purpose: To implement a simulation program in a community hospital setting that supports standardized evidence-based delivery room practices of the premature infant born less than 30 weeks' gestation. Methods: Two VLBW emergent delivery scenarios were developed utilizing the neonatal resuscitation program scenario template. Special care nursery interprofessional team members from a community hospital were invited to participate in the simulation program (n = 28). Participants were asked to complete a neonatal version of the Emergency Response Confidence Tool , then view a short presentation related to delivery room management of VLBW infants. Participants attended a simulation program and completed the confidence tool after simulation. The simulation facilitator and unit educator documented team actions during each simulation session. Findings/Results: Fifteen opportunities for improvement within 4 simulation sessions were identified and categorized. Fourteen paired pre- and postsurveys were analyzed. Reported confidence increased in 22 of 23 resuscitation-related items. Implications for Practice: Education and simulation programs providing opportunities to experience high-risk, low-frequency VLBW delivery situations can assist in identifying areas for improvement and may improve team member confidence. Implications for Research: Additional research is needed to assess whether results would be similar if this program were provided at all levels of neonatal care throughout the healthcare system." @default.
- W4226018977 created "2022-05-05" @default.
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- W4226018977 date "2020-06-24" @default.
- W4226018977 modified "2023-10-17" @default.
- W4226018977 title "Simulation to Support Standardization of Delivery Room Management of the Very Low Birth-Weight Infant" @default.
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- W4226018977 doi "https://doi.org/10.1097/anc.0000000000000768" @default.
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