van den Hoogen A, Johnston L, Roehr CC, Panas M, Gözen D, Mannix T, Kühn T, Petty J, Schlembach D, Simeone N, Stoniene D, Tency I
Click on the image to read the standard in brief.
Target group
Infants, parents, and families
User group
Healthcare professionals, neonatal units, hospitals, and health services
Statement of standard
Every healthcare professional is given access to and undertakes regular neonatal resuscitation training.
Rationale
Research suggests that in institutions in Europe where Neonatal Resuscitation Program (NRP) training has taken place, the incidence of significant morbidities in the immediate newborn period may be reduced, even in countries where a severe shortage of equipment and supplies exists. (1)
Healthcare professionals formally trained in resuscitation require additional input to maintain their competence in neonatal resuscitation. (1–3) To ensure infants in need of resuscitation have access to appropriate and qualified care, physicians, nurses and midwives should be routinely certified in neonatal basic life support.
Benefits
Short-term benefits
Reduced mortality and morbidity (1)
Long-term benefits
Improved long-term outcomes with timely and effective resuscitation (2)
Components of the standard
Component
Grading of evidence
Indicator of meeting the standard
For parents and family
Parents and families are informed by healthcare professionals about neonatal resuscitation training and have an opportunity for resuscitation training before discharge.
B (High quality)
Patient information sheet1, training documentation
Parents are supported to stay with their infant during resuscitation if they wish. (4,5)
A (Moderate quality) B (Low quality)
Clinical record, parent feedback
For healthcare professionals
Training in resuscitation using the European guidelines is attended by all responsible physicians, nurses and midwifes. (1)
A (High quality) B (High quality)
Training documentation
For neonatal unit
Recertification evidence is regularly audited. (3)
A (High quality)
Audit report2, training documentation
For hospital
Training in resuscitation is ensured.
B (High quality)
Training documentation
For health service
N/A
1The indicator “patient information sheet” is an example for written, detailed information, in which digital solutions are included, such as web-based systems, apps, brochures, information leaflets, and booklets.
2The indicator “audit report” can also be defined as a benchmarking report.
Where to go
Further development
Grading of evidence
For parents and family
N/A
For healthcare professionals
N/A
For neonatal unit
N/A
For hospital
N/A
For health service
N/A
Getting started
Initial steps
For parents and family
Parents and families are informed by healthcare professionals about neonatal resuscitation and training options.
Parents and families have an opportunity for resuscitation training at time of discharge. (6)
For healthcare professionals
Attend training in resuscitation.
Access E-learning modules regarding newborn life support (NLS and advanced NLS).
For neonatal unit
Provide in-house training using European guidelines. (1)
Provide easy access to E-learning modules regarding newborn life support (NLS and advanced NLS).
For hospital
Support healthcare professionals to participate in training in resuscitation.
Provide in-house training using European guidelines. (1)
For health service
N/A
Wyllie J, Bruinenberg J, Roehr CC, Rüdiger M, Trevisanuto D, Urlesberger B. European Resuscitation Council Guidelines for Resuscitation 2015 Section 7. Resuscitation and support of transition of babies at birth. Resuscitation. 2015;95:249–63.
Duran R, Görker I, Küçükuğurluoğlu Y, Çiftdemir NA, Vatansever Özbek U, Acunaş B. Effect of neonatal resuscitation courses on long-term neurodevelopmental outcomes of newborn infants with perinatal asphyxia. Pediatr Int Off J Jpn Pediatr Soc. 2012 Feb;54(1):56–9.
Cusack J, Fawke J. Neonatal resuscitation: are your trainees performing as you think they are? A retrospective review of a structured resuscitation assessment for neonatal medical trainees over an 8-year period. Arch Dis Child Fetal Neonatal Ed. 2012 Jul;97(4):F246-248.
McAlvin SS, Carew-Lyons A. Family presence during resuscitation and invasive procedures in pediatric critical care: a systematic review. Am J Crit Care Off Publ Am Assoc Crit-Care Nurses. 2014 Nov;23(6):477–484; quiz 485.
Powers KA. Educational Interventions to Improve Support for Family Presence During Resuscitation: A Systematic Review of the Literature. Dimens Crit Care Nurs DCCN. 2017 Apr;36(2):125–38.
