The perceived workload of first-line healthcare professionals during neonatal resuscitation
Background: Neonatal resuscitation is stressful for healthcare professionals as measured using the National Aeronautics and Space Administration-Task Load Index (NASA-TLX). Little is known regarding the perceived workload and associated factors among healthcare professionals including medical doctor...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Resuscitation Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520425000037 |
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| author | Hai-Bo Huang Kui Sang Ming Zhou Lin Yi Jiang-Qin Liu Chuan-Zhong Yang Brenda H.Y. Law Georg M. Schmölzer Po-Yin Cheung |
| author_facet | Hai-Bo Huang Kui Sang Ming Zhou Lin Yi Jiang-Qin Liu Chuan-Zhong Yang Brenda H.Y. Law Georg M. Schmölzer Po-Yin Cheung |
| author_sort | Hai-Bo Huang |
| collection | DOAJ |
| description | Background: Neonatal resuscitation is stressful for healthcare professionals as measured using the National Aeronautics and Space Administration-Task Load Index (NASA-TLX). Little is known regarding the perceived workload and associated factors among healthcare professionals including medical doctors (MDs) and nurses/midwives who have differences in training and experiences. We aimed to characterize and compare the perceived workload between MDs and nurses/midwives who provided neonatal resuscitation. Methods: In a prospectively designed, cellphone-based surveillance, perceived workload and stress of MDs and nurses/midwives during neonatal resuscitation was evaluated using a modified multi-dimensional NASA-TLX survey in three tertiary Neonatal Intensive Care Units in China. The NASA-TLX data on mental, physical, temporal demand, performance, effort, and frustration were independently rated by participants and collated to a composite score of all dimensions. Demographics of participants and deliveries were also collected for statistical analyses using univariate comparison and multiple linear regression. Results: From 410 valid surveys (187 (46%) MDs; 223 (54%) nurses/midwives), significant differences were noted between MDs and nurses/midwives including working years and dimensional and overall NASA-TLX scores. While MDs had lower overall NASA-TLX scores than nurses, their scores were inversely related with simulation-based training. More team members presence during resuscitation was associated with higher NASA-TLX scores. Other independent factors associated with NASA-TLX scores included gestational age, Apgar score at 1 min, year of practice for MDs and all resuscitation questions asked by nurses/midwives. Conclusions: MDs and nurses/midwives attending deliveries had different perceptions in workload and stress which could be lowered from simulation-based training in neonatal resuscitation. |
| format | Article |
| id | doaj-art-70c89ac4dd8c4273b2c00e3e8ebbb6b6 |
| institution | Kabale University |
| issn | 2666-5204 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-70c89ac4dd8c4273b2c00e3e8ebbb6b62025-01-18T05:05:17ZengElsevierResuscitation Plus2666-52042025-01-0121100866The perceived workload of first-line healthcare professionals during neonatal resuscitationHai-Bo Huang0Kui Sang1Ming Zhou2Lin Yi3Jiang-Qin Liu4Chuan-Zhong Yang5Brenda H.Y. Law6Georg M. Schmölzer7Po-Yin Cheung8Department of Neonatology University of Hong Kong-Shenzhen Hospital Shenzhen ChinaDepartment of Neonatology University of Hong Kong-Shenzhen Hospital Shenzhen ChinaDepartment of Neonatology Shanghai First Maternity and Infant Hospital School of Medicine Tongji University Shanghai ChinaDepartment of Neonatology Maternal and Child Health Hospital of Shenzhen Affiliated to South Medical University Shenzhen ChinaDepartment of Neonatology Shanghai First Maternity and Infant Hospital School of Medicine Tongji University Shanghai ChinaDepartment of Neonatology Maternal and Child Health Hospital of Shenzhen Affiliated to South Medical University Shenzhen ChinaDepartment of Pediatrics University of Alberta Edmonton Canada; Centre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital Edmonton Alberta CanadaDepartment of Pediatrics University of Alberta Edmonton Canada; Centre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital Edmonton Alberta CanadaDepartment of Neonatology University of Hong Kong-Shenzhen Hospital Shenzhen China; Department of Pediatrics University of Alberta Edmonton Canada; Centre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital Edmonton Alberta Canada; Corresponding author at: Stollery Philip C. Etches NICU at the Royal Alexandra Hospital, 10240 Kingsway Avenue NW, Edmonton, AB T5H 3V9, Canada.Background: Neonatal resuscitation is stressful for healthcare professionals as measured using the National Aeronautics and Space Administration-Task Load Index (NASA-TLX). Little is known regarding the perceived workload and associated factors among healthcare professionals including medical doctors (MDs) and nurses/midwives who have differences in training and experiences. We aimed to characterize and compare the perceived workload between MDs and nurses/midwives who provided neonatal resuscitation. Methods: In a prospectively designed, cellphone-based surveillance, perceived workload and stress of MDs and nurses/midwives during neonatal resuscitation was evaluated using a modified multi-dimensional NASA-TLX survey in three tertiary Neonatal Intensive Care Units in China. The NASA-TLX data on mental, physical, temporal demand, performance, effort, and frustration were independently rated by participants and collated to a composite score of all dimensions. Demographics of participants and deliveries were also collected for statistical analyses using univariate comparison and multiple linear regression. Results: From 410 valid surveys (187 (46%) MDs; 223 (54%) nurses/midwives), significant differences were noted between MDs and nurses/midwives including working years and dimensional and overall NASA-TLX scores. While MDs had lower overall NASA-TLX scores than nurses, their scores were inversely related with simulation-based training. More team members presence during resuscitation was associated with higher NASA-TLX scores. Other independent factors associated with NASA-TLX scores included gestational age, Apgar score at 1 min, year of practice for MDs and all resuscitation questions asked by nurses/midwives. Conclusions: MDs and nurses/midwives attending deliveries had different perceptions in workload and stress which could be lowered from simulation-based training in neonatal resuscitation.http://www.sciencedirect.com/science/article/pii/S2666520425000037WorkloadTrainingSimulationNeonatal resuscitation |
| spellingShingle | Hai-Bo Huang Kui Sang Ming Zhou Lin Yi Jiang-Qin Liu Chuan-Zhong Yang Brenda H.Y. Law Georg M. Schmölzer Po-Yin Cheung The perceived workload of first-line healthcare professionals during neonatal resuscitation Resuscitation Plus Workload Training Simulation Neonatal resuscitation |
| title | The perceived workload of first-line healthcare professionals during neonatal resuscitation |
| title_full | The perceived workload of first-line healthcare professionals during neonatal resuscitation |
| title_fullStr | The perceived workload of first-line healthcare professionals during neonatal resuscitation |
| title_full_unstemmed | The perceived workload of first-line healthcare professionals during neonatal resuscitation |
| title_short | The perceived workload of first-line healthcare professionals during neonatal resuscitation |
| title_sort | perceived workload of first line healthcare professionals during neonatal resuscitation |
| topic | Workload Training Simulation Neonatal resuscitation |
| url | http://www.sciencedirect.com/science/article/pii/S2666520425000037 |
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