Longitudinal One Year vs Single Day NRP Training.

Study Overview
=================
Brief Summary
-----------------
The Neonatal Resuscitation Program (NRP) recommends providers renew their certification every 2 years. However, many Neonatal Intensive Care Units (NICUs) in Canada face challenges of significant budget cuts in training and a large number of caregivers to train with a high turnover rate. This situation makes it difficult for managers and nurse educators to ensure up-to-date certification and competence for all clinical staff. In addition, considering that only 0.1% of newborns will require cardiac massage and/or epinephrine, health care professionals' exposure to critical events is low to insure maintenance of expertise. Furthermore, it is shown that there is a significant decrease in knowledge among learners who have undergone specific training after only 3 months. This is worrisome considering that some nurses will not renew their certification if the course is not paid for by the employer, or if they are not released from clinical duties to attend. While keeping in mind the various required components of NRP training: book reading, online exam, performance stations, Integrated Skills Station Assessment (ISSA) and simulations, we would like to assess the educational and financial impact of a new educational strategy developed as to allow more nurses to be retrained thus ensuring maintenance of their neonatal resuscitation expertise.

Official Title
-----------------
Longitudinal One Year vs Single Day NRP Training: A Randomized Controlled Trial.

Conditions
-----------------
Nurse Training in Neonatal Resuscitation

Intervention / Treatment
-----------------
* Other: Single-day NRP Training
* Other: longitudinal NRP training


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Newly recruited ( in the last 3 months) neonatal and delivery room registered nurses from level 2 and 3 perinatal centers Exclusion Criteria: Registered nurses that have already completed a NRP training in the past.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Single-day NRP training<br>This group will follow the single-day NRP training course that is currently the standard. It usually takes 8 hours to complete this training course and the nurses are released from their clinical duty to attend the training course. | Other: Single-day NRP Training<br>* NRP training course completed in one single day of 8 hours<br>|
| Experimental: Longitudinal one year NRP Training<br>This group will follow the longitudinal NRP training course. The longitudinal NRP training course will consist of nine 30-minute modules that will be taught every 6-8 weeks over a period of one year. The nurses will attend the different modules of the training course at their work place and during their work shift so they will have to be released from their clinical duty only 30 minutes at a time. | Other: longitudinal NRP training<br>* NRP training course completed over one year by attending nine 30-minute modules.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Knowledge | Integrated Skills Stations Assessment Score. The higher the score, the better the performance. Scores range from 0 to 100 %. | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Confidence and behavior | continuing professional development (CPD) reaction questionnaire (REACT). The higher the score, the better the outcome. Scores range from 12 to 82. | 1 year | 
| Cost-efficiency | Cost of each educational intervention (each arm). | 1 year |