Video Analysis of Newborn Resuscitations After Simulation-Based Helping Babies Breathe Training

Ingunn Anda Haug; Kari Holte; Catherine L. Chang; Carolyn Purington; Joar Eilevstjønn; Anita Yeconia; Hussein Kidanto; Hege L. Ersdal

doi:10.1016/j.ecns.2020.03.001

Video Analysis of Newborn Resuscitations After Simulation-Based Helping Babies Breathe Training

Ingunn Anda Haug, Kari Holte, Catherine L. Chang, Carolyn Purington, Joar Eilevstjønn, Anita Yeconia, Hussein Kidanto, Hege L. Ersdal

Medical College, East Africa

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

Abstract

Background: Simulation-based Helping Babies Breathe (HBB) training is currently rolled-out in around 80 low-income countries with various results. Method: Workflow was analyzed in 76 video-recorded newborn resuscitations performed by regularly HBB-trained nurse-midwives over 3 years in rural Tanzania. Results: Actual newborn resuscitation practice deviated from HBB intention/guideline: most newborns underwent prolonged suction and stimulation before ventilation; ventilation was delayed and frequently interrupted. Nurse-midwives often worked together. Conclusions: There is a gap between training intention and clinical practice. HBB trainings should focus more on urgency, ventilation skills, and team training. Combining clinical debriefing with HBB simulations could facilitate continuous learning and application.

Original language	English
Pages (from-to)	68-78
Number of pages	11
Journal	Clinical Simulation in Nursing
Volume	44
DOIs	https://doi.org/10.1016/j.ecns.2020.03.001
Publication status	Published - Jul 2020

Keywords

helping babies breathe
low-resource setting
newborn resuscitation
simulation-based training
video analysis

Access to Document

10.1016/j.ecns.2020.03.001

Cite this

@article{966188dcbe7c4e889c7df95255e76deb,

title = "Video Analysis of Newborn Resuscitations After Simulation-Based Helping Babies Breathe Training",

abstract = "Background: Simulation-based Helping Babies Breathe (HBB) training is currently rolled-out in around 80 low-income countries with various results. Method: Workflow was analyzed in 76 video-recorded newborn resuscitations performed by regularly HBB-trained nurse-midwives over 3 years in rural Tanzania. Results: Actual newborn resuscitation practice deviated from HBB intention/guideline: most newborns underwent prolonged suction and stimulation before ventilation; ventilation was delayed and frequently interrupted. Nurse-midwives often worked together. Conclusions: There is a gap between training intention and clinical practice. HBB trainings should focus more on urgency, ventilation skills, and team training. Combining clinical debriefing with HBB simulations could facilitate continuous learning and application.",

keywords = "helping babies breathe, low-resource setting, newborn resuscitation, simulation-based training, video analysis",

author = "Haug, {Ingunn Anda} and Kari Holte and Chang, {Catherine L.} and Carolyn Purington and Joar Eilevstj{\o}nn and Anita Yeconia and Hussein Kidanto and Ersdal, {Hege L.}",

note = "Publisher Copyright: {\textcopyright} 2020 International Nursing Association for Clinical Simulation and Learning",

year = "2020",

month = jul,

doi = "10.1016/j.ecns.2020.03.001",

language = "English",

volume = "44",

pages = "68--78",

journal = "Clinical Simulation in Nursing",

issn = "1876-1399",

publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Video Analysis of Newborn Resuscitations After Simulation-Based Helping Babies Breathe Training

AU - Haug, Ingunn Anda

AU - Holte, Kari

AU - Chang, Catherine L.

AU - Purington, Carolyn

AU - Eilevstjønn, Joar

AU - Yeconia, Anita

AU - Kidanto, Hussein

AU - Ersdal, Hege L.

PY - 2020/7

Y1 - 2020/7

N2 - Background: Simulation-based Helping Babies Breathe (HBB) training is currently rolled-out in around 80 low-income countries with various results. Method: Workflow was analyzed in 76 video-recorded newborn resuscitations performed by regularly HBB-trained nurse-midwives over 3 years in rural Tanzania. Results: Actual newborn resuscitation practice deviated from HBB intention/guideline: most newborns underwent prolonged suction and stimulation before ventilation; ventilation was delayed and frequently interrupted. Nurse-midwives often worked together. Conclusions: There is a gap between training intention and clinical practice. HBB trainings should focus more on urgency, ventilation skills, and team training. Combining clinical debriefing with HBB simulations could facilitate continuous learning and application.

AB - Background: Simulation-based Helping Babies Breathe (HBB) training is currently rolled-out in around 80 low-income countries with various results. Method: Workflow was analyzed in 76 video-recorded newborn resuscitations performed by regularly HBB-trained nurse-midwives over 3 years in rural Tanzania. Results: Actual newborn resuscitation practice deviated from HBB intention/guideline: most newborns underwent prolonged suction and stimulation before ventilation; ventilation was delayed and frequently interrupted. Nurse-midwives often worked together. Conclusions: There is a gap between training intention and clinical practice. HBB trainings should focus more on urgency, ventilation skills, and team training. Combining clinical debriefing with HBB simulations could facilitate continuous learning and application.

KW - helping babies breathe

KW - low-resource setting

KW - newborn resuscitation

KW - simulation-based training

KW - video analysis

UR - http://www.scopus.com/inward/record.url?scp=85084222843&partnerID=8YFLogxK

U2 - 10.1016/j.ecns.2020.03.001

DO - 10.1016/j.ecns.2020.03.001

M3 - Article

AN - SCOPUS:85084222843

SN - 1876-1399

VL - 44

SP - 68

EP - 78

JO - Clinical Simulation in Nursing

JF - Clinical Simulation in Nursing

ER -

Video Analysis of Newborn Resuscitations After Simulation-Based Helping Babies Breathe Training

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this