Impact of a Multifactorial Educational Training on the Management of Preterm Infants in the Central-Eastern European Region

Abstract

Background: Differences in management and outcomes of extremely preterm infants have been reported across European countries. Implementation of standardized guidelines and interventions within existing neonatal care facilities can improve outcomes of extremely preterm infants. This study evaluated whether a multifactorial educational training (MET) course in Vienna focusing on the management of extremely preterm infants had an impact on the management of extremely preterm infants in Central-Eastern European (CEE) countries.Methods: Physicians and nurses from different hospitals in CEE countries participated in a two-day MET in Vienna, Austria with theoretical lectures, bedside teaching, and simulation trainings. In order to evaluate the benefit of the workshops, participants had to complete pre- and post-workshop questionnaires, as well as follow-up questionnaires three and twelve months after the MET.Results: 162 participants from 15 CEE countries completed the two-day MET at our department. Less invasive surfactant administration (LISA) was only used by 39% (63/162) of the participants. After the MET, 80% (122/152) were planning to introduce LISA, and 66% (101/152) were planning to introduce regular simulation training, which was statistically significantly increased three and twelve months after the MET. Thirty-six percent and 57% of the participants self-reported improved outcomes three and twelve months after the MET, respectively.Conclusion: Our standardized training in Vienna promoted the implementation of different perinatal concepts including postnatal respiratory management using LISA as well as regular simulation trainings at the participants' home departments. Moreover, our MET contributed to dissemination of guidelines, promoted best-practice, and improved self-reported outcomes.

Neonatal Simulation Program: A 5 Years Educational Journey From Qatar

“…Despite the ongoing effort of enhancing the realism, psychological, physical, conceptual and environmental fidelity, the appearance, texture, and function of the manikins are still different enough from the real patients. This might be contributed to the confounders and stressors usually present in the clinical environment leading to a performance gap between the simulation and real patients ( 33 , 34 ).…”

“…Other institutions reported 49, 50, 60, and 64% as first attempts success rates. It is highly operator dependent ( 8 , 22 , 33 ). It is important to mention that most of our tracheal intubations are performed by neonatal-perinatal fellows and advanced neonatal providers e.g., specialists and consultants rather than the trainee paediatric residents.…”

“…This procedural time difference might be explained by the slipperiness, secretions, and softer textures of babies compared to the mannequins. Moreover, the interprofessional nature and stressors of the NICU clinical environment play a role in creating this procedural time difference ( 33 ). One of our program goals is to narrow the performance gap between simulation and practise.…”

Less Invasive Surfactant Administration for the Treatment of Neonatal Respiratory Distress Syndrome Combined With Noninvasive Ventilation in Anhui Province, China: A Retrospective Cohort Study

“…Austrian researchers standardized training to promote the implementation of different perinatal concepts, including postnatal respiratory management using LISA, as well as regular simulation trainings at the participant home department. 4 This study aimed to investigate the clinical efficacy of LISA combined with noninvasive ventilation (NIV) treatment in premature infants with RDS.…”