Purpose: To assess the impact of a quality improvement (QI) project to increase nursing staff confidence in responding to neonatal emergencies.
Design: Mandatory neonatal emergency in situ scenarios done quarterly.
Sample: Bedside NICU nursing staff and the subset of NICU nurses that attend all high-risk deliveries and neonatal emergencies on the obstetrics unit.
Outcome Measures: Confidence levels in responding to neonatal emergencies, demonstrating neonatal resuscitation skills, and communicating effectively during an emergency.
Results: Sixty-eight NICU nurses completed the pre- and postintervention surveys. Self-reported confidence levels increased in all areas measured. Overall, the percentage of nursing staff that reported confidence in being able to participate in a neonatal emergency increased from 48 percent to 77 percent.
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