Paper
Friday, July 13, 2007
This presentation is part of : Informatics and Technology Innovations
Evidence Based Transdisciplinary Simulation Technology Training in Neonatal Resuscitation
Mary E. Bowen, CRNP, DNS, JD, CNAA, Nursing, Thomas Jefferson University, Philadelphia, PA, USA and Ksenia G. Zukowsky, PhD, CRNP, Jefferson School of Nursing, Thomas Jefferson University, Philadelphia, PA, USA.
Learning Objective #1: Identify one evidence based simulation technology strategy that promotoes transdisciplinary teaching-learning.
Learning Objective #2: Discuss one external driving force that lead to this transdisciplinary simulation technology based education strategy.

Purpose:  Infant mortality in the U.S. has declined in the past but has continued to be high for industrialized nations. The U.S. ranks 28th in world infant mortality. The advanced procedural skills needed by the Neonatal Nurse Practitioner (NNP) students and pediatric medical residents were not taught in collaborative transdisciplinary environments in many NNP programs.  The Transdisciplinary Simulation Technology Education (TSTE) case study described here was utilized to investigate technology interventions and team training based on evidence in aviation industry demonstrating improved safety outcomes through debriefings, simulator training, checklists, and competency reviews.

Methodology:  Simulation technology utilized in neonatal resuscitation training allows for practice of emergency care.  It helps student NNPs and pediatric doctors to practice working together as team.  Communication, coordination of skills and roles improves effective team treatment.  Transdisciplinary Simulation technology and team training is the educational intervention.  Case study methodology allowed the researchers to examine a small number of professionals utilizing the variables of simulation, transdisciplinary team training, and patient outcomes. Change theory was the theoretical framework utilized to analyze the systems, structures, processes, simulation teaching methods.

 Data Collection: Data collected during this innovative TSTE case study were achieved through observation, inter-rater reliability of certified trainers, and debriefing sessions.  Skills simulated utilizing mannequins were intubations, ventilation, assessment skills, communication skills.  Checklists were compiled for accuracy, written tests were administered for cognitive knowledge assessment, and team trainers independently validated psychomotor skill success in training.

Outcomes: The TSTE model maximized faculty resources, increased effectiveness of teams. TSTE improves marketability of the NNP graduates, prevents complications in the neonatal care setting, improves neonatal outcomes, and enhances the skill set of new graduate NNPs.  Educational outcomes were measured in terms of passing the written test, and passing psychomotor performance in a simulated team resuscitation of an infant for certification in neonatal resuscitation.