Vuckovich K, Satinover B, Smith L. Transition to rapid-cycle deliberate practice (RCDP) neonatal resuscitation program (NRP): Improved experience and stewardship. Quality Improvement podium presentation at Nursing Passion: Re-Igniting the Art & Science, Advocate Aurora Health Nursing & Research Conference 2022; November 9, 2022; virtual.
Quality Improvement podium presentation at Nursing Passion: Re-Igniting the Art & Science, Advocate Aurora Health Nursing & Research Conference 2022; November 9, 2022; virtual.
Background: During a role transition, the Neonatal Resuscitation Program (NRP) Administrator and Simulation team performed an assessment on the current state of the NRP Program at Advocate Children’s Hospital (ACH).
Local Problem: The overall rating of the course was low; participants expressed they were intimidated; dissatisfied with the traditional simulation and debriefing experience; and did not feel supported in the learning environment. Participants felt their expectations were met yet identified there were opportunities for improvement.
Method: ACH used Rapid Cycle Deliberate Practice (RCDP) simulation to replace traditional simulation. RCDP focuses on scaffolding neonatal resuscitation into segments, offering participants opportunities to practice skills while providing directive feedback on performance to facilitate creating muscle-memory.
Results/Conclusions: Data collected 12-months prior to the transition from traditional simulation compared to 12-months RCDP simulation reflected improvement in all areas. Course rating increased from 78% to 88% as well as participant expectations/objectives being met from 88% to 92%. Participants responded that their simulation and debriefing experience improved from 78% to 94% and that providing a safe and supportive learning environment increased from 88% to 100%
Implications for Practice: Simulation based technique that provides meaningful feedback in a safe manner. That allows the learner to make practice changes in real time. By utilizing this method, we were able to not only streamline our simulation, but also the pre-simulation activities beforehand. Our time spent in NRP decreased from four hours to two hours per learner. This saved the organization approximately $15,000 while improving confidence of learners with no increase in safety events noted in resuscitation events (227 learners x $35/hr. x 2 hours=