Reviewing recordings of neonatal resuscitation with parents

Boer, Maria C den; Houtlosser, Mirjam; Witlox, Ruben S G M; Stap, Roosmarijn van der; Vries, Martine C. de; Lopriore, Enrico; Pas, Arjan B Te

doi:10.1136/archdischild-2020-320059

Cited by 14 publications

(13 citation statements)

References 34 publications

(23 reference statements)

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“…The evidence so far shows that using the RFM in the delivery room has raised clinically important research questions and provided insights into scientific knowledge gaps. 17,18 Our exploratory survey had several limitations. The training and review strategies and the total number of resuscitations performed using the RFM differed by centre.…”

Section: Discussionmentioning

confidence: 99%

Resuscitators' opinions on using a respiratory function monitor during neonatal resuscitation

et al. 2022

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Aim The aim of this study was to assess the resuscitators' opinions of the usefulness and clinical value of using a respiratory function monitor (RFM) when resuscitating extremely preterm infants with positive pressure ventilation. Methods The link to an online survey was sent to 106 resuscitators from six countries who were involved in a multicentre trial that compared the percentage of inflations within a predefined target range with and without the RFM. The resuscitators were asked to assess the usefulness and clinical value of the RFM. The survey was online for 4 months after the trial ended in May 2019. Results The survey was completed by 74 (70%) resuscitators of which 99% considered the RFM to be helpful during neonatal resuscitation and 92% indicated that it influenced their decision‐making. The majority (76%) indicated that using the RFM improved their practice and made resuscitation more effective, even when the RFM was not available. Inadequate training was the key issue that limited the effectiveness of the RFM: 45% felt insufficiently trained, and 78% felt more training in using and interpreting the RFM would have been beneficial. Conclusion Resuscitators considered the RFM to be helpful to guide neonatal resuscitation, but sufficient training was required to achieve the maximum benefit.

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Section: Discussionmentioning

confidence: 99%

Resuscitators' opinions on using a respiratory function monitor during neonatal resuscitation

et al. 2022

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“…All parents that were invited to watch the recordings of their very or extremely preterm infant in the period from February 2018 to October 2019 were approached to participate in our study on ethical dilemmas of recording and reviewing neonatal resuscitation. Parental perspectives on reviewing recordings of neonatal resuscitation, as well as further information about recruitment, are described elsewhere [12]. Interviews were conducted between February 2018 and October 2019.…”

Section: Methodsmentioning

confidence: 99%

“…As part of a research project studying ethical aspects of recording and reviewing neonatal resuscitation [9][10][11][12], we conducted interviews with parents of very and extremely premature infants. One of the objectives for the study was to provide insight into parental perceptions of consent for using recordings of neonatal resuscitation for various purposes, including DR studies.…”

Section: Introductionmentioning

confidence: 99%

Consent for Delivery Room Studies: What Can Be Learned from Perceptions of Parents

et al. 2022

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Background: Obtaining ethically valid consent to participate in delivery room (DR) studies from parents facing an imminent premature birth can be challenging. This study aims to provide insight into parental experiences with and perceptions of consent for DR studies. Methods: Semistructured interviews were conducted with parents of very and extreme preterm infants. Interviews were audio-recorded, transcribed, and analyzed using the qualitative data analysis software Atlas. ti V.8.4. Results: Twenty-five parents were interviewed. Despite being in an emotional and stressful situation, most parents considered being approached for DR studies as valuable. According to parents, this was mostly due to appropriate timing and communication, compassion, and investigators not being obtrusive. Interviewed parents generally decided to accept or decline study participation based on perceived risk. Parents differed widely in how risk of specific study interventions was perceived, but agreed on the fact that parental consent is needed for DR studies that involve risk. There was no consensus among parents on deferred consent for DR studies running at our NICU. However, parents considered deferred consent appropriate for observational studies. Furthermore, it became clear that parental misunderstanding of various aspects of DR studies, including aims, the concept of randomization, and risk associated with specific interventions, was common. Conclusions: Insight into parental perceptions of consent for DR studies allowed us to determine areas where the validity of parental consent can be improved. Further research on parental perspectives for consent for DR studies will allow us to establish consent procedures that are considered both valid and valuable.

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“…Reviewing of neonatal interventions has become part of standard care in our department in the last 8 years and caregivers are used to recording their practice and to reflect on it on a regular basis. Recordings of neonatal stabilization are even reviewed with parents, who consider this to be valuable and reported positive experiences ( 65 ). Currently, caregivers even ask for recordings of their interventions to be reviewed.…”

Section: Putting It Into Practice: a Case-study Of The Neonatal Inten...mentioning

confidence: 99%

Video recording emergency care and video-reflection to improve patient care; a narrative review and case-study of a neonatal intensive care unit

et al. 2022

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As the complexity of emergency care increases, current research methods to improve care are often unable to capture all aspects of everyday clinical practice. Video recordings can visualize clinical care in an objective way. They can be used as a tool to assess care and to reflect on care with the caregivers themselves. Although the use of video recordings to reflect on medical interventions (video-reflection) has increased over the years, it is still not used on a regular basis. However, video-reflection proved to be of educational value and can improve teams’ management and performance. It has a positive effect on guideline adherence, documentation, clinical care and teamwork. Recordings can also be used for video-reflexivity. Here, caregivers review recordings together to reflect on their everyday practice from new perspectives with regard to context and conduct in general. Although video-reflection in emergency care has proven to be valuable, certain preconditions have to be met and obstacles need to be overcome. These include gaining trust of the caregivers, having a proper consent-procedure, maintaining confidentiality and adequate use of technical equipment. To implement the lessons learned from video-reflection in a sustainable way and to continuously improve care, it should be integrated in regular simulation training or education. This narrative review will describe the development of video recording in emergency care and how video-reflection can improve patient care and safety in new ways. On our own department, the NICU at the LUMC, video-reflection has already been implemented and we want to further expand this. We will describe the use of video-reflection in our own unit. Based on the results of this narrative review we will propose options for future research to increase the value of video-reflection.

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Reviewing recordings of neonatal resuscitation with parents

Cited by 14 publications

References 34 publications

Resuscitators' opinions on using a respiratory function monitor during neonatal resuscitation

Resuscitators' opinions on using a respiratory function monitor during neonatal resuscitation

Consent for Delivery Room Studies: What Can Be Learned from Perceptions of Parents

Video recording emergency care and video-reflection to improve patient care; a narrative review and case-study of a neonatal intensive care unit

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