The Science Journal of the American Association for Respiratory Care

2008 OPEN FORUM Abstracts


Daniel D. Woodhead1, Robert Christensen1

Background: In 1987 the American Academy of Pediatrics and the American Heart Association released the Neonatal Resuscitation Program (NRP) to improve care provided at delivery to newborn infants. Over the past 22 years, the NRP has undergone five editions of textbooks and several revisions. The Institute of Medicine and Joint Commission recently encouraged simulation-based training, and thus a NRP simulation program was introduced in the northern region of Intermountain Healthcare in August of 2007. The present study was undertaken as a comparative evaluation of the standard NRP class vs. the NRP simulation class.

NRP simulation classes, extending over an eight-month period, were taught to seventy-seven health care professionals, who had previously been instructed in a standard NRP class. The students included respiratory therapists (n=14), NICU nurses (n=41), L&D nurses (n=12), NICU nurse practitioners (n=1), neonatalogists (n=1), and third year Family Medicine Residents (n=8). At the end of the classes, an evaluation form with a Likert Scale (1 through 5, with 5 indicating excellent and 1 indicating poor), was completed by each student. The evaluation form contained paired questions comparing the standard NRP class with the simulation NRP class, plus questions relating to their preference of recertifying in NRP and their overall experience with the simulation class. Responses were evaluated using paired T-tests. The study was approved by the Intermountain Healthcare IRB.

The mean and SD of scores are shown in the table below, along with P values using two-sided tests. All 77 health care professionals responded that they preferred recertifying using a NRP simulation class and rated the overall NRP simulation class with a score of 5.

Health care professionals in our system prefer NRP simulation classes to the previously taught standard NRP classes, and maintain that simulation better develops behavior, technical, and cognitive NRP performance.