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E-learning use in the review of neonatal resuscitation program in physicians: a scoping review

Abstract

Objective

To determine if e-learning interventions are efficient to review Neonatal Resuscitation Program (NRP) and to prevent performance deterioration in neonatal resuscitation of already-certified healthcare professionals.

Study design

In this scoping review, we searched for manuscripts published until June 2020 in five databases. We included all studies on e-learning use for NRP review in already-certified healthcare providers.

Results

Among 593 abstracts retrieved, 38 full-text articles were assessed for eligibility. Five studies were included. Four studies evaluated the effectiveness of e-learning interventions immediately or months after their completion by providers. These interventions did not consistently enhance their NRP knowledge and their performance. One study showed that a growth mindset can influence positively neonatal resuscitation performance after an e-learning simulation.

Conclusion

There is not enough evidence to conclude that e-learning interventions can prevent neonatal resuscitation knowledge and performance decay in already-certified providers. More research is needed on the use of e-learning simulation-based scenarios to improve NRP retention.

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Data availability

The details of the research strategy are available in the Appendix.

References

  1. Niermeyer J. From the Neonatal Resuscitation Program to Helping Babies Breathe: global impact of educational programs in neonatal resuscitation. Semin Fetal Neonatal Med. 2015;20:300–208. https://doi.org/10.1016/j.siny.2015.06.005

    Article  PubMed  Google Scholar 

  2. Trevisanuto D, Ferrarese P, Cavicchioli P, Fasson A, Zanardo V, Zacchello F. Knowledge gained by pediatric residents after neonatal resuscitation program courses. Paediatr Anaesth. 2005;15:944–7. https://doi.org/10.1111/j.1460-9592.2005.01589.x

    Article  PubMed  Google Scholar 

  3. Patel J, Posencheg M, Ades A. Proficiency and retention of neonatal resuscitation skills by pediatric residents. Pediatrics. 2012;130:515–21. https://doi.org/10.1542/peds.2012-0149

    Article  PubMed  Google Scholar 

  4. Aziz K, Lee CHC, Escobedo MB, Hoover AV, Kamath-Rayne BD, Kapadia VS, et al. Part 5: Neonatal Resuscitation 2020 American Heart Association Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Pediatrics. 2021;147(Suppl 1):e2020038505E. https://doi.org/10.1542/peds.2020-038505E

  5. Choules AP. The use of elearning in medical education: a review of the current situation. Postgrad Med J. 2007;83:212–6. https://doi.org/10.1136/pgmj.2006.054189

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Bryan VC. The power, peril, and promise of information technology to community education. In: Bryan VC, Wang VCX, editors. Technology use and research applications for community education and professional development. Hershey, PA: IGI Global; 2013. p. 1–23.

  7. Fontaine G, Cossette S, Maheu-Cadotte MA, Mailhot T, Deschênes MF, Mathieu-Dupuis G. et al. Efficacy of adaptive e-learning for health professionals and students: a systematic review and meta-analysis. BMJ Open. 2019;9:e025252. https://doi.org/10.1136/bmjopen-2018-025252

    Article  PubMed  PubMed Central  Google Scholar 

  8. Bolan NE, Newman SD, Nemeth LS. Technology-based newborn health learning initiatives for facility-based nurses and midwives in low- and middle-income countries: a scoping review. Int J Childbirth. 2018;8:252–68. https://doi.org/10.1891/2156-5287.8.4.252

    Article  Google Scholar 

  9. Jukkala AM, Henly SJ. Provider readiness for neonatal resuscitation in rural hospitals. J Obstet Gynecol Neonatal Nurs. 2009;38:443–52. https://doi.org/10.1111/j.1552-6909.2009.01037.x

    Article  PubMed  Google Scholar 

  10. Bender J, Kennally K, Shields R, Overly F. Does simulation booster impact retention of resuscitation procedural skills and teamwork? J Perinatol. 2014;34:664–8. https://doi.org/10.1038/jp.2014.72

    Article  CAS  PubMed  Google Scholar 

  11. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D. et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169:467–73. https://doi.org/10.7326/M18-0850

    Article  PubMed  Google Scholar 

  12. Aromataris E, Munn Z, editors. Joanna Briggs Institute Reviewer’s Manual. 2017. https://reviewersmanual.joannabriggs.org/

  13. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097. https://doi.org/10.1371/journal.pmed.1000097

    Article  PubMed  PubMed Central  Google Scholar 

  14. Curran VR, Aziz K, O’Young S, Bessell C. Evaluation of the effect of a computerized training simulator (ANAKIN) on the retention of neonatal resuscitation skills. Teach Learn Med. 2004;16:157–64. https://doi.org/10.1207/s15328015tlm1602_7

    Article  PubMed  Google Scholar 

  15. Cutumisu M, Brown M, Fray C, Schmölzer GM. Growth mindset moderates the effect of the neonatal resuscitation program on performance in a computer-based game training simulation. Front Pediatr. 2018;6:195. https://doi.org/10.3389/fped.2018.00195

    Article  PubMed  PubMed Central  Google Scholar 

  16. Hawkes CP, Walsh BH, Ryan CA, Dempsey EM. Smartphone technology enhances newborn intubation knowledge and performance amongst paediatric trainees. Resuscitation. 2013;84:223–6. https://doi.org/10.1016/j.resuscitation.2012.06.025

    Article  PubMed  Google Scholar 

  17. Kaczorowski J, Levitt C, Hammond M, Outerbridge E, Grad R, Rothman A. et al. Retention of neonatal resuscitation skills and knowledge: a randomized controlled trial. Fam Med. 1998;30:705–11.

    CAS  PubMed  Google Scholar 

  18. Stephenson E, Salih Z, Cullen DL. Advanced practice nursing simulation for neonatal skill competency: a pilot study for successful continuing education. J Contin Educ Nurs. 2015;46:322–5. https://doi.org/10.3928/00220124-20150619-04

    Article  PubMed  Google Scholar 

  19. Binkhorst M, Coopmans M, Draaisma J, Bot P, Hogeveen M. Retention of knowledge and skills in pediatric basic life support amongst pediatricians. Eur J Pediatr. 2018;177:1089–99. https://doi.org/10.1007/s00431-018-3161-7

    Article  PubMed  PubMed Central  Google Scholar 

  20. Sullivan A, Elshenawy S, Ades A, Sawyer T. Acquiring and maintaining technical skills using simulation: initial, maintenance, booster, and refresher training. Cureus. 2019;11:e5729. https://doi.org/10.7759/cureus.5729

    Article  PubMed  PubMed Central  Google Scholar 

  21. Niles D, Sutton RM, Donoghue A, Kalsi MS, Roberts K, Boyle L. et al. “Rolling Refreshers”: a novel approach to maintain CPR psychomotor skill competence. Resuscitation. 2009;80:909–12. https://doi.org/10.1016/j.resuscitation.2009.04.021

    Article  PubMed  Google Scholar 

  22. Nishisaki A, Donoghue AJ, Colborn S, Watson C, Meyer A, Brown CA,III. et al. Effect of just-in-time simulation training on tracheal intubation procedure safety in the pediatric intensive care unit. Anesthesiology. 2010;113:214–23. https://doi.org/10.1097/ALN.0b013e3181e19bf2

    Article  PubMed  Google Scholar 

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Acknowledgements

We wish to thank Kristen Romme, librarian at the Health Science Library of Memorial University of Newfoundland, for writing the search strategy.

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SS designed the study, completed data collection, and wrote the manuscript. FP reviewed the manuscript. VC reviewed the study design and the manuscript.

Corresponding author

Correspondence to Sarah Spénard.

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The authors declare no competing interests.

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Spénard, S., Postolow, F. & Curran, V. E-learning use in the review of neonatal resuscitation program in physicians: a scoping review. J Perinatol 42, 1527–1532 (2022). https://doi.org/10.1038/s41372-022-01411-8

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