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Maenhout G, Billiet V, Sijmons M, Beeckman D. The effect of repeated high-fidelity in situ simulation-based training on self-efficacy, self-perceived leadership qualities and team performance: A quasi-experimental study in a NICU-setting. NURSE EDUCATION TODAY 2021; 100:104849. [PMID: 33711585 DOI: 10.1016/j.nedt.2021.104849] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2020] [Revised: 02/11/2021] [Accepted: 02/24/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND Simulation-based training has been widely used in various disciplines and has increasingly been recognized as useful in healthcare education during the past decade. In nursing schools, simulation-based training was initially used to train nursing students. However, there is a growing trend to use simulation-based training for continuing education and lifelong learning among professional healthcare workers. OBJECTIVES To investigate if simulation-based training has an effect on self-efficacy, self-perceived leadership qualities and team performance in a neonatal intensive care unit. DESIGN Time series design. SETTING One referral neonatal intensive care unit in a general hospital in Flanders, Belgium. PARTICIPANTS Convenience sample of 71 nurses and midwives. METHODS Participants were involved in a series of three simulation-based training sessions. Before and after these series, a set of validated questionnaires was completed to measure the self-efficacy and self-perceived leadership qualities of the participants. Each session was videotaped and assessed for team performance (n = 8). RESULTS Participating in repeated high-fidelity in situ simulation-based training resulted in a significant increase in self-efficacy (p < 0.001) and self-perceived leadership qualities (p < 0.001). The intervention did not lead to a significant improved team performance (p = 0.209). CONCLUSION Repeated high-fidelity in situ simulation-based training in the NICU had a positive effect on self-efficacy and self-perceived leadership abilities in registered nurses and midwives in acute care situations. Repeated participation in simulation-based training had a positive effect on these outcomes, regardless of the number of years of NICU experience. The effect on team performance could not be confirmed in this study.
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Affiliation(s)
- Gudrun Maenhout
- Department of Neonatology, AZ Sint-Jan Brugge-Oostende AV, Bruges, Belgium
| | - Valerie Billiet
- Department of Neonatology, AZ Sint-Jan Brugge-Oostende AV, Bruges, Belgium; Vives University College, Department of Nursing and Midwifery, Bruges, Belgium
| | - Marit Sijmons
- Department of Neonatology, AZ Sint-Jan Brugge-Oostende AV, Bruges, Belgium
| | - Dimitri Beeckman
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery (UCVV), Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Swedish Centre for Skin and Wound Research, School of Health Sciences, Örebro University, Örebro, Sweden; Research Unit of Plastic Surgery, Department of Clinical Research, Faculty of Health Sciences, Odense, Denmark.
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Khen-Dunlop N, Chalouhi G, Lecler A, Bouchouicha A, Millischer AE, Tavitian B, Siauve N, Balvay D, Salomon LJ. Assessment of BOLD response in the fetal lung. Eur Radiol 2020; 31:3090-3097. [PMID: 33123792 DOI: 10.1007/s00330-020-07272-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2020] [Revised: 07/08/2020] [Accepted: 09/08/2020] [Indexed: 12/24/2022]
Abstract
OBJECTIVE Assessment of lung development and maturity is of utmost importance in prenatal counseling. Blood oxygen level-dependent (BOLD) effect MRI was developed for functional evaluations of organs. To date, no data are available in fetal lungs and nothing is known about the existence of a BOLD effect in the lungs. The aim of our study was to evaluate if a BOLD response could be detected in fetal lungs. MATERIALS AND METHODS From January 2014 to December 2016, 38 healthy pregnant women were prospectively enrolled. After a routine scan on a 1.5-T MRI device (normoxic period), maternal hyperoxia was induced for 5 min before the BOLD sequence (hyperoxic period). R2* was evaluated by fitting average intensity of the signal, both for normoxic (norm) and hyperoxic (hyper) periods. RESULTS A significant BOLD response was observed after maternal hyperoxia in the lungs with a mean R2* decrease of 12.1 ± 2.5% (p < 0.001), in line with the placenta response with a mean R2* decrease of 19.2 ± 5.9% (p < 0.0001), confirming appropriate oxygen uptake. Conversely, no significant BOLD effect was observed for the brain nor the liver with a mean ∆R2* of 3.6 ± 3.1% (p = 0.64) and 2.8 ± 3.7% (p = 0.23). CONCLUSION This study shows for the first time in human that a BOLD response can be observed in the normal fetal lung despite its prenatal "non-functional status." If confirmed in congenital lung and chest malformations, this property could be used in addition to the lung volume for a better prediction of postnatal respiratory status. KEY POINTS • Blood oxygen level-dependent (BOLD) effect MRI was developed for functional evaluations of organs and could have interesting implications for the fetal organs. • Assessment of lung development is of utmost importance in prenatal counseling, but to date no data are available in fetal lungs. • BOLD response can be observed in the normal fetal lung opening the way to studies on fetus with pathological lungs.
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Affiliation(s)
- Naziha Khen-Dunlop
- EA FETUS and LUMIERE PLATEFORM - Faculte Paris Descartes, Paris, France. .,Laboratoire de Recherche en Imagerie (LRI), INSERM U970, Equipe 2, Paris Cardiovascular Research Center - PARCC, 56 Rue Leblanc, 75015, Paris, France. .,Department of Pediatric Surgery, Necker-Enfants Malades Hospital, 149 Rue de Sevres, 75105, Paris, France.
| | - Gihad Chalouhi
- Laboratoire de Recherche en Imagerie (LRI), INSERM U970, Equipe 2, Paris Cardiovascular Research Center - PARCC, 56 Rue Leblanc, 75015, Paris, France
| | - Augustin Lecler
- Laboratoire de Recherche en Imagerie (LRI), INSERM U970, Equipe 2, Paris Cardiovascular Research Center - PARCC, 56 Rue Leblanc, 75015, Paris, France
| | - Afef Bouchouicha
- Laboratoire de Recherche en Imagerie (LRI), INSERM U970, Equipe 2, Paris Cardiovascular Research Center - PARCC, 56 Rue Leblanc, 75015, Paris, France
| | - Anne-Elodie Millischer
- EA FETUS and LUMIERE PLATEFORM - Faculte Paris Descartes, Paris, France.,Department of Pediatric Radiology, Necker-Enfants Malades Hospital, Paris, France
| | - Bertrand Tavitian
- Laboratoire de Recherche en Imagerie (LRI), INSERM U970, Equipe 2, Paris Cardiovascular Research Center - PARCC, 56 Rue Leblanc, 75015, Paris, France.,Department of Radiology, Georges Pompidou European Hospital, Paris Descartes Medical University, Paris, France
| | - Nathalie Siauve
- EA FETUS and LUMIERE PLATEFORM - Faculte Paris Descartes, Paris, France.,Laboratoire de Recherche en Imagerie (LRI), INSERM U970, Equipe 2, Paris Cardiovascular Research Center - PARCC, 56 Rue Leblanc, 75015, Paris, France.,Department of Radiology, Louis Mourier Hospital, Colombes, France
| | - Daniel Balvay
- Laboratoire de Recherche en Imagerie (LRI), INSERM U970, Equipe 2, Paris Cardiovascular Research Center - PARCC, 56 Rue Leblanc, 75015, Paris, France
| | - Laurent J Salomon
- EA FETUS and LUMIERE PLATEFORM - Faculte Paris Descartes, Paris, France.,Department of Obstetrics, Necker-Enfants Malades Hospital, Paris, France
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Magnani JE, Donn SM. Persistent Respiratory Distress in the Term Neonate: Genetic Surfactant Deficiency Diseases. Curr Pediatr Rev 2020; 16:17-25. [PMID: 31544695 DOI: 10.2174/1573396315666190723112916] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Revised: 05/17/2019] [Accepted: 05/19/2019] [Indexed: 12/12/2022]
Abstract
Respiratory distress is one of the most common clinical presentations in newborns requiring admission to a Neonatal Intensive Care Unit (NICU). Many of these infants develop respiratory distress secondary to surfactant deficiency, which causes an interstitial lung disease that can occur in both preterm and term infants. Pulmonary surfactant is a protein and lipid mixture made by type II alveolar cells, which reduces alveolar surface tension and prevents atelectasis. The etiology of surfactant deficiency in preterm infants is pulmonary immaturity and inadequate production. Term infants may develop respiratory insufficiency secondary to inadequate surfactant, either from exposure to factors that delay surfactant synthesis (such as maternal diabetes) or from dysfunctional surfactant arising from a genetic mutation. The genetics of surfactant deficiencies are very complex. Some mutations are lethal in the neonatal period, while others cause a wide range of illness severity from infancy to adulthood. Genes that have been implicated in surfactant deficiency include SFTPA1, SFTPA2, SFTPB, SFTPC, and SFTPD (which encode for surfactant proteins A, B, C, and D, respectively); ABCA3 (crucial for surfactant packaging and secretion); and NKX2 (a transcription factor that regulates the expression of the surfactant proteins in lung tissue). This article discusses the interplay between the genotypes and phenotypes of newborns with surfactant deficiency to assist clinicians in determining which patients warrant a genetic evaluation.
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Affiliation(s)
- Jessie E Magnani
- Department of Pediatrics, Division of Neonatal-Perinatal Medicine, C.S. Mott Children's Hospital, Michigan Medicine, University of Michigan, Ann Arbor, MI, United States
| | - Steven M Donn
- Department of Pediatrics, Division of Neonatal-Perinatal Medicine, C.S. Mott Children's Hospital, Michigan Medicine, University of Michigan, Ann Arbor, MI, United States
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