Brian Simmons (Department of Paediatrics, SPP; University of Toronto); Marion Deland (Sunnybrook Health Sciences Centre); Marilyn Hyndman (Sunnybrook Health Sciences Centre); Ann Jefferies (Department of Paediatrics, Mount Sinai Hospital; University of Toronto); Susan Wagner (Centre IPE/SLP; University of Toronto); Scott Reeves (Wilson Centre/Li Ka Shing; University of Toronto); Martina Esdaile (Sunnybrook Health Sciences Centre)
Successful neonatal resuscitation (NR) depends upon dedicated health care professionals with expertise in newborn care. While, in practice, there is often more than one health professional present during NR, the role of teamwork is only just being appreciated. This pilot will develop and validate an interprofessional competency framework and the assessment of NR teams.
A modified Delphi (anonymous consensus building) was used to determine interprofessional team competencies in NR. Representatives from four professions (physicians, registered nurses, neonatal nurse practitioners and registered respiratory therapists) within NR teams across Canada participated in two rounds of this modified Delphi.
An interprofessional objective structured clinical examinations (OSCE) was used to validate resuscitation competencies. Three OSCE scenarios were developed to reflect a range of NR team tasks. Competencies were assessed using a 5 point global rating scale (GRS). Twenty Five staff members from 2 neonatal intensive care units participated in three pilot OSCEs.
Forty three participants initially provided 177 NR team competencies. Following independent analysis by members of the research team, 14 distinct competencies were determined through group consensus. Two competencies (collaboration and expertise) were mutually exclusive and removed. The remaining competencies became the basis of the NR GRS.
Team competency outcomes in the OSCE varied with station task and the extent to which the competency reflected the team’s role in each hospital.
Initial results of this pilot suggest the strength of using a team competency framework for NR to capture team performance extends beyond the assessment of individual knowledge and skills.
No conflict of interest