Neonatal resuscitation knowledge and skills deteriorate significantly in the months following NRP certification¶

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 · recheck by 2027: baselines and conditions change

Subclaims¶

q2 i? Knowledge and skill levels decreased significantly at 4- and 8-month assessments after NRP certification in two included studies. → Spénard Sarah 2022

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

In the randomized pretest-posttest control group study of the ANAKIN computerized simulator (N = 60 medical students), knowledge deteriorated significantly and similarly in both groups at 4 months; skill retention also significantly decreased over the 8-month period (P < 0.05).

"Curran et al. showed that knowledge levels deteriorated significantly and similarly in the two groups 4 months after an NRP workshop."

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

In the randomized controlled trial of booster modalities (N = 44 family medicine residents), average written knowledge score fell from 223/239 (93%; SD = 10%) to 191/239 (80%; SD = 16%) at 6-8 months, with follow-up scores significantly lower (P < 0.0001) in all three groups.

"The follow-up test scores were significantly lower (P < 0.0001) in three groups, despite exposure to a video or hands-on booster in two groups."

Discussion¶

Related Claims¶

• Hands-on booster practice produced significantly fewer life-supporting skill errors than video booster or control at follow-up — related
• There is not enough evidence that e-learning interventions prevent neonatal resuscitation knowledge and performance decay in already-certified providers — related
• Just-in-time e-learning boosters immediately before procedures improved neonatal intubation knowledge and some performance measures — related
• Self-reported confidence increased after e-learning boosters but did not relate to knowledge or performance — related
• Helping Babies Breathe simulation training was associated with reduced neonatal mortality in LMIC facilities, but skills decayed within 4–6 months without maintenance — related
• Frequent brief on-site Helping Babies Breathe simulation training was associated with a significant decrease in 24-hour neonatal mortality in a Tanzanian before–after study — related
• CPR skills deteriorate within three to six months without frequent practice or retraining — 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
• Simulation-based mock code training was associated with increased pediatric resuscitation survival rates, from 33% to 50% within one year — related