Neugeborenenerstversorgung in einer Kinderklinik nach Simulationstraining in Newborn Life Support

In this study we investigated short- and long-term impact on initial neonatal care after standardized simulation training. More than 80 % of the interdisciplinary personal was trained. Before and after simulation training study scenarios were recorded and evaluated. Furthermore, neonatal outcome was investigated by analysing birth protocols before and after simulation training. Simulation training had a significant effect on team performance as team members improved their communication skills, prioritized better, and anticipated and solved advancing complications. The overall teamwork was improved significantly. Moreover, there was an improvement in self-assessment after simulation training. This is particularly important as realistic self-assessment leads to better teamwork and improved performance. It can also lead to an improvement in one’s own performance through targeted training of one’s own weaknesses and the use of one’s own strengths. The presented findings imply that especially young residents with few years of work experience (between three to five years) benefit most from simulation training. This might lead to a new target group which should be particularly promoted within these trainings. Regarding the long-term impact of simulation training a significant correlation between simulation training and changes in initial neonatal treatment were not observed. Nevertheless, there is indication that previously frequent suction was declining, as well as the average length of stay could be reduced. However, this is one of the first studies that shows an impact of a simulation training on the actual outcome of neonates. There is evidence that simulation training does have an effect. Further studies are necessary.