Shaw, Meredith and Young, Marjorie and Cooper, Sharla and Vari, Patti Neonatal Delivery Resuscitation Training Utilizing TeamSTEPPS to Implement a Pre-Delivery Checklist and Measurement of its Effects. 2021. Radford University, Dissertation. Radford University Scholars' Repository.
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Abstract
Abstract Full neonatal cardiopulmonary resuscitation at delivery is infrequent and often unpredictable, which may lead tounpreparedness amongst the neonatal team, thereby having the potential to impact neonatal outcomes. Checklists can increase preparedness of the team; however, evidence supporting checklist content is lacking. The purpose of this project was to develop and implement pre-delivery checklists (PDCs)along with utilization of Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) briefing prior to all deliveries attended by the neonatal team. Perceptions of readiness and teamwork were measured with a readiness survey developed for this project and the TeamSTEPPS Team Perceptions Questionnaire (TTPQ). Participants took the surveys before and after implementation of PDCs and TeamSTEPPS briefing. The participants included a convenience sample of 78 members of the neonatal team. Neonatal outcomes were measured by the 5-minute APGAR scores before and after implementation. Surveys and 5-minute APGAR scores were analyzed using t tests and Pearson Correlation. Implementation of PDCs with TeamSTEPPS briefing significantly improved the readiness scores (25.429, 22.895, p=<.000). The post-implementation TTPQ scores improved (66, 59.3, p=0.087); however, the results were not significant. In the pre-implementation neonatal group, 34.2% were delivered at 32 weeks gestation or younger compared to 50% of the post-implementation neonates who were delivered at 32 weeks or younger. The APGAR scores were lower post-implementation; however, Pearson’s Correlation showed a significant positive relationship between gestational age and APGAR scores (r=.393, p=.047). Implementation of PDCs and TeamSTEPPS briefing increased the team’s perception of readiness and teamwork and may have the potential to improve neonatal outcomes. While there was not a neonatal improvement in this intervention, the clinical implications are consistent with the literature that checklists should be considered prior to delivery attendance. Key words: newborns, neonates, infants, preterm, resuscitation, code, delivery room, TeamSTEPPS, checklists, and tools
| Item Type: | Dissertation |
|---|---|
| Subjects: | R Medicine > RT Nursing |
| Divisions: | Radford University > School of Nursing |
| Date Deposited: | 16 Nov 2021 01:36 |
| Last Modified: | 19 Apr 2023 17:09 |
| URI: | http://wagner.radford.edu/id/eprint/727 |
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