Longitudinal One Year vs Single Day NRP Training.

Longitudinal One Year vs Single Day NRP Training: A Randomized Controlled Trial.

The Neonatal Resuscitation Program (NRP) recommends providers renew their certification every 2 years. However, many Neonatal Intensive Care Units (NICUs) in Canada face challenges of significant budget cuts in training and a large number of caregivers to train with a high turnover rate. This situation makes it difficult for managers and nurse educators to ensure up-to-date certification and competence for all clinical staff. In addition, considering that only 0.1% of newborns will require cardiac massage and/or epinephrine, health care professionals' exposure to critical events is low to insure maintenance of expertise. Furthermore, it is shown that there is a significant decrease in knowledge among learners who have undergone specific training after only 3 months. This is worrisome considering that some nurses will not renew their certification if the course is not paid for by the employer, or if they are not released from clinical duties to attend. While keeping in mind the various required components of NRP training: book reading, online exam, performance stations, Integrated Skills Station Assessment (ISSA) and simulations, we would like to assess the educational and financial impact of a new educational strategy developed as to allow more nurses to be retrained thus ensuring maintenance of their neonatal resuscitation expertise.

Study Overview

• Status: Recruiting
• Conditions: Nurse Training in Neonatal Resuscitation
• Intervention / Treatment: Other: Single-day NRP Training; Other: longitudinal NRP training

• Study Type: Interventional
• Enrollment (Estimated): 250
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Ahmed Moussa, MD; Phone Number: 3109 514-345-4931; Email: ahmed.moussa@umontreal.ca
• Study Contact Backup: Name: Audrey Larone Juneau, M.Sc; Phone Number: 4445 514-345-4931; Email: audrey.larone.juneau.hsj@ssss.gouv.qc.ca

Study Locations

• Canada
  • Montréal, Canada
    • Recruiting
    • Jewish General Hospital
    • Contact: Nina Nourayean
  • Québec, Canada
    • Recruiting
    • CHUL
    • Contact: Georges Caouette, MD
  • Repentigny, Canada
    • Not yet recruiting
    • Pierre-Legardeur
    • Contact: Ana Maria Preziosi
  • Quebec
    • Laval, Quebec, Canada
      • Not yet recruiting
      • Cité de la santé de Laval
      • Contact: Tania Giannone
    • Montreal, Quebec, Canada, H2X 3E4
      • Recruiting
      • University of Montreal Health Center
      • Contact: Wissal Ben Jmaa; Phone Number: 514-890-8000
    • Montréal, Quebec, Canada, H3T 1C5
      • Recruiting
      • CHU Sainte-Justine, Dept Neonatology
      • Contact: Ahmed Moussa, MD; Phone Number: 3109 514-345-4931; Email: ahmed-moussa@hotmail.com
      • Principal Investigator: Ahmed Moussa, MD
    • Sherbrooke, Quebec, Canada, J1H 5N4
      • Recruiting
      • Université de Sherbrooke
      • Contact: Édith Masse, MD; Phone Number: 74634 819-346-1110; Email: Edith.Masse@USherbrooke.ca

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Newly recruited ( in the last 3 months) neonatal and delivery room registered nurses from level 2 and 3 perinatal centers

Exclusion Criteria:

• Registered nurses that have already completed a NRP training in the past.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Single-day NRP training; This group will follow the single-day NRP training course that is currently the standard. It usually takes 8 hours to complete this training course and the nurses are released from their clinical duty to attend the training course.	Other: Single-day NRP Training; NRP training course completed in one single day of 8 hours
Experimental: Longitudinal one year NRP Training; This group will follow the longitudinal NRP training course. The longitudinal NRP training course will consist of nine 30-minute modules that will be taught every 6-8 weeks over a period of one year. The nurses will attend the different modules of the training course at their work place and during their work shift so they will have to be released from their clinical duty only 30 minutes at a time.	Other: longitudinal NRP training; NRP training course completed over one year by attending nine 30-minute modules.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Knowledge	Integrated Skills Stations Assessment Score. The higher the score, the better the performance. Scores range from 0 to 100 %.	1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Confidence and behavior	continuing professional development (CPD) reaction questionnaire (REACT). The higher the score, the better the outcome. Scores range from 12 to 82.	1 year
Cost-efficiency	Cost of each educational intervention (each arm).	1 year

Collaborators and Investigators

• Sponsor: Ahmed Moussa

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2021
• Primary Completion (Estimated): January 1, 2025
• Study Completion (Estimated): January 31, 2025

Study Registration Dates

• First Submitted: September 3, 2020
• First Submitted That Met QC Criteria: September 27, 2020
• First Posted (Actual): October 1, 2020

Study Record Updates

• Last Update Posted (Estimated): November 21, 2023
• Last Update Submitted That Met QC Criteria: November 20, 2023
• Last Verified: November 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: MP-21-2020-2444

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No