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Preparedness of urban, general emergency department staff for neonatal resuscitation in a Canadian setting

Published online by Cambridge University Press:  04 March 2015

Nicole Kester-Greene  and
Jacques S. Lee
Nicole Kester-Greene*
Affiliation:
Department of Emergency Services, Sunnybrook Health Sciences Centre, Toronto, ON
Jacques S. Lee
Affiliation:
Department of Emergency Services, Sunnybrook Health Sciences Centre, Toronto, ON
*
Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON M4N 3M5, Nicole. [email protected]

Abstract

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Objectives:

The level of expertise and degree of training in neonatal resuscitation (NNR) of emergency physicians is not standardized and has not been measured. We sought to determine the self-reported comfort with, knowledge of, and experience with NNR of emergency department (ED) staff in a general ED prior to the opening of a new neonatal intensive care unit (NICU) and to explore factors associated with NNR comfort.

Methods:

Using Dillman methodology, we electronically surveyed full-time emergency physicians and nurses. Participants rated knowledge, comfort, and experience on 5-point Likert scales. We used logistic regression to explore factors associated with NNR comfort.

Results:

The response rate was 67.3% (n = 107). Only 4.2% of staff reported ever participating in a NNR, and only 38.7% reported any previous NNR training. Between 75 and 85% of participants rated their comfort level in caring for neonates, sense of preparedness, and knowledge of managing a sick neonate as poor or very poor. A recent neonatal clinical encounter was the strongest predictor of perceived comfort in NNR (OR = 22.2, 95% CI 5.0-98.7), as was completion of the Neonatal Resuscitation Provider (NRP) course (OR = 3.1, 95% CI 1.4-7.0).

Conclusions:

Perceived comfort with, knowledge of, and preparedness for NNR were poor in an urban, general ED prior to the opening of an NICU. Recent neonatal clinical encounter and participation in the NRP course were the strongest predictors of improved NNR comfort. In future work, we intend to assess the impact of simulation-based training on comfort with NNR among ED staff who primarily treat adults.

Keywords

emergency departmentneonatal resuscitationpreparedness
Type
Education • Enseignement
Information
Canadian Journal of Emergency Medicine , Volume 16 , Issue 5 , September 2014 , pp. 414 - 420
Copyright
Copyright © Canadian Association of Emergency Physicians 2014

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