Evidence map›Paper›PMID 36196287›Full record

ArticleCureus2022

Simulation-Based Outreach Program Improves Rural Hospitals' Team Confidence in Neonatal Resuscitation.

Allison Zanno, Misty Melendi, Anya Cutler, Benjamin Stone, Micheline Chipman, Jeffrey Holmes, Alexa Craig

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Local availability of neonatal intensive care at rural hospitals with childbirth services.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  5. Article
  6. Review
  7. Article
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  10. Article
  11. Application of multidisciplinaryWorld journal of emergency medicine · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Allison ZannoNeonatology, Maine Medical Center, Portland, USA.
Misty MelendiNeonatology, Maine Medical Center, Portland, USA.
Anya CutlerCenter for Outcomes Research and Evaluation, Maine Medical Center, Portland, USA.
Benjamin StoneSchool of Medicine, Tufts University School of Medicine, Boston, USA.
Micheline ChipmanMedical Education and Simulation, Maine Medical Center, Portland, USA.
Jeffrey HolmesEmergency Medicine, Maine Medical Center, Portland, USA.
Alexa CraigNeonatal and Pediatric Neurology, Maine Medical Center, Portland, USA.
Maine Medical Center · USMaine Medical Center · USTufts University · US

Funding

Telemedicine to Reduce Disparities in the Identification and Treatment of Neonatal EncephalopathyP20GM139745 · NIGMS · MAINEHEALTH · PI Allison Elizabeth Zanno · 2021 to 2026
$19.2M
NIGMS NIH HHS P20 GM139745
6 · The paper itself

Abstract

introductionNeonatal resuscitation is a high acuity, low occurrence event (HALO), and in rural community hospitals, low birth rates prevent providers from regular opportunities to maintain essential resuscitation skills. Simulation is an effective training modality for medical education, although resources for simulation are often limited in rural hospitals. Our primary objective was to test the hypothesis that in situ neonatal resuscitation simulation training improves rural hospitals' delivery room team confidence in performing key Neonatal Resuscitation Program

methodsWe conducted a quasi-experimental pre-training survey and post-training survey of delivery room team confidence in NRP

resultsOur data demonstrate a significant improvement in self-assessed confidence levels pre- and post-simulation training in key areas of neonatal resuscitation. Participants reported higher confidence in airway management (4 vs. 3, p=0.003), emergency intravenous access (3 vs. 2, p=0.007), and the ability to manage a code in the delivery room (4 vs. 3, p=0.013) and the operating room (4 vs. 3, p=0.028). Improvements were also noted in their team member's knowledge and skills to perform neonatal resuscitation. While improvements were appreciated in confidence, the performance of skills (NRP

conclusionsAn in situ-based neonatal resuscitation outreach simulation program improves self-confidence among rural delivery room teams. Additional research is needed to understand how to translate improved confidence into actual improved performance.

Indexed as

confidencedelivery roomneonatalresuscitationrural hospitalsimulation

Identifiers

PMID36196287
PMCPMC9525099
OpenAlexW4294074024

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.