Evidence map›Paper›PMID 39741207›Full record

ArticleMaternal and child health journal2025

A Needs Assessment of Labor and Delivery Nurses Performing NRP in the Delivery Room.

Michael Zujkowski, Shelley Ehrlich, Chunyan Liu, Qin Sun, Matthew Zackoff, Jennifer M Brady, Beth Ann Johnson, Shanmukha Mukthapuram

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Article in Maternal and child health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Michael ZujkowskiDepartment of Pediatrics, Division of Newborn Medicine, Tufts Medical Center, 800 Washington Street, Box 44, Boston, MA, 02111, USA. michael.zujkowski@tuftsmedicalcenter.org.ORCID http://orcid.org/0009-0000-5048-980X
Shelley EhrlichDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Chunyan LiuDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Qin SunDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Matthew ZackoffDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Jennifer M BradyDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Beth Ann JohnsonDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Shanmukha MukthapuramEnvision Health Neonatology, Wellington, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLabor and delivery (L&D) nurses are often responsible for initiating the critical first steps of the Neonatal Resuscitation Program (NRP). Identification of knowledge gaps and underlying reasons for NRP non-adherence is crucial for designing educational interventions.

methodsA convenience sample of 37 L&D nurses from two delivery hospitals were enrolled. Participants completed a Likert scale survey capturing years of experience and comfort level in performing neonatal resuscitation followed by a video recorded standardized manikin-based simulation of a neonatal resuscitation. NRP adherence was assessed using an Observed Structured Clinical Examination (OSCE) assessment tool with prior validity evidence. Percentage of correctly completed OSCE items, median time to initiation of positive pressure ventilation (PPV), and achievement of effective PPV were analyzed using descriptive statistics.

resultsParticipants reported a median of 2.5 years of L&D experience, and a 4/6 confidence level for performing NRP. Fifty-seven percent of items (12/21) items were correctly completed. Participants took 55 s to initiate PPV with 57% initiating PPV within the target of 60 s. The time to effective PPV was 109 s, with 32% of participants achieving this within 60 s. Years of L&D experience had a strong correlation with percentage of correctly completed OSCE items (r = 0.63). DISCUSSION: Despite high self-perceived confidence, initiating and achieving effective PPV within the 60 s time window mandated by NRP remains an area for significant improvement for L&D nurses. Next steps include the design and implementation of targeted training to address performance gaps and longer-term tracking for retention of knowledge.

Indexed as

Clinical CompetenceNeeds AssessmentResuscitationAdultDelivery RoomsFemaleHumansInfant, NewbornMalePositive-Pressure RespirationPregnancySurveys and QuestionnairesLabor and delivery nurseNeeds assessmentNeonatal resuscitationSimulation

Identifiers

PMID39741207

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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.