Recommendation for Practice
In neonatal resuscitation, our goal is to provide the best and safest care for newborns. Research has shown that a scripted, well-coordinated neonatal team approach provides the best opportunity for this result (Morey et al., 2002). The evidence was reviewed and is consistent in indicating the implementation of a formal teamwork program that is developed, proven, and standardized such as MedTeams and TeamSTEPPS along with a high-fidelity simulation component should be recommended and over time will show a decrease in patient errors in the delivery room.
The summary of the three RCTs and the two quasi-experimental trials indicate subjects that attended teamwork training showed an improvement in errors, were able to manage workload better, and perform critical, life saving skills faster. The two quasi-experimental studies also showed formal teamwork training to be effective in improving team behaviors and improving staff attitudes as well. The evidence showed the groups that received both a didactic component along with a high-fidelity component demonstrated more event behaviors and fewer errors than the low fidelity and control group who only received a didactic component. The high-fidelity group also exhibited more frequent information sharing, inquiry, and assertion (Thomas, Williams, Reichman, Lasky, Crandell, & Taggart, 2007). Furthermore, the high-fidelity group retained knowledge of team behaviors for a longer period of time.
One study reported voluntary debriefings; a component included in some formalized teamwork training programs had a positive effect on neonatal resuscitation teamwork behaviors (Williams, Lasky, Dannemiller, Andrei, & Thomas, 2010). Debriefing is important, and is a component of the TeamSTEPPS program, but is not recommended to be implemented independently.
Three of the articles implemented a formal teamwork program such as TeamSTEPPS or MedTeams along with...