Just-in-time e-learning boosters immediately before procedures improved neonatal intubation knowledge and some performance measures¶

Claim · All claims
Evidence · 1 study (2 entries) · review r2 · q2
Currency · newest study 2022 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Knowledge increased significantly after using the NeoTube smartphone application (P < 0.001), and intubation skills improved significantly among residents but not fellows. → Spénard Sarah 2022 q2 i? LMA placement was more successful after a web-based refresher (4/5 vs 1/5) but the difference was not statistically significant. → Spénard Sarah 2022 (2)

Evidence¶

Spénard Sarah 2022¶

Spénard Sarah, Postlow Fabiana, Curran Vernon. (2022). E-learning use in the review of neonatal resuscitation program in physicians: a scoping review. Journal of Perinatology. https://doi.org/10.1038/s41372-022-01411-8

q2 · i? · review · r2

Pre-post study of the NeoTube smartphone application (N = 20 pediatric and neonatal residents and fellows): knowledge median rose from 18.5 to 31 (P < 0.001); resident skill scores improved significantly (P = 0.048) while fellows' did not (P = 0.154); intubation time fell from 39 to 31 s (P = 0.044).

"Knowledge questionnaire median score of all participants was 18.5 (range 8–28) previewing of NeoTube and 31 (range 24–35) post-viewing (P < 0.001)."

Spénard Sarah 2022 (2)¶

Spénard Sarah, Postlow Fabiana, Curran Vernon. (2022). E-learning use in the review of neonatal resuscitation program in physicians: a scoping review. Journal of Perinatology. https://doi.org/10.1038/s41372-022-01411-8

q2 · i? · review · r2

Pilot study of a web-based content refresher (N = 10 NNPs): 4/5 participants in the website-review group placed the LMA correctly versus 1/5 in the simulation-only group; the difference was not statistically significant (P = 0.058), and knowledge scores showed no statistical difference (P = 0.067).

"LMA placement was more successful in the group exposed to a web-based refresher before the procedure (4/5 participants) compared to the group not exposed to the intervention (1/5 participants). This difference was not statistically significant (P = 0.058)."

Discussion¶

Related Claims¶

• Self-reported confidence increased after e-learning boosters but did not relate to knowledge or performance — related
• There is not enough evidence that e-learning interventions prevent neonatal resuscitation knowledge and performance decay in already-certified providers — related
• Neonatal resuscitation knowledge and skills deteriorate significantly in the months following NRP certification — related
• Predictive validity of airway simulators is rarely evaluated, and the two tracheal-intubation studies assessing it found no improvement in real-world neonatal intubation outcomes after simulator training — related
• AccuTouch VR simulator training improved live fibreoptic intubation performance in inexperienced paediatric residents, reducing time to intubation from 5.15 to 0.88 minutes — related
• Airway management skills decay significantly after training in both simulation-based and non-simulation based groups, with between-group differences no longer evident at follow-up — related