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.