A survey of team culture and learning organization in the resuscitation of neonates with congenital anomalies: A single center experience
Aim: Delivery room resuscitation of neonates with congenital anomalies is complex. This study aimed to assess survey psychometrics and measure learning organization culture among resuscitation team members in a pediatric hospital delivery room dedicated to neonates with congenital anomalies. Methods...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Resuscitation Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520425000141 |
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| author | Anna Bostwick Anne Ades Carolina Rodriguez-Paras Madeline Dombroski Charis Lim Maria Ordoñez Paredes Lauren Heimall Leane Soorikian Sara C. Handley Heidi M. Herrick |
| author_facet | Anna Bostwick Anne Ades Carolina Rodriguez-Paras Madeline Dombroski Charis Lim Maria Ordoñez Paredes Lauren Heimall Leane Soorikian Sara C. Handley Heidi M. Herrick |
| author_sort | Anna Bostwick |
| collection | DOAJ |
| description | Aim: Delivery room resuscitation of neonates with congenital anomalies is complex. This study aimed to assess survey psychometrics and measure learning organization culture among resuscitation team members in a pediatric hospital delivery room dedicated to neonates with congenital anomalies. Methods: We administered the Short-Form Learning Organization Survey with the addition of an open-ended question to all delivery room resuscitation team members from 5/2023 to 7/2023. Psychometric properties were assessed to confirm the survey’s reliability and validity in the delivery room context. Total and subscale scores were calculated, and differences were assessed by clinical role. The open-ended qualitative data were analyzed using an inductive approach and coded for theme and valence (positive, negative, neutral). Results: The response rate was 52% (159/307) with all roles represented. Psychometric assessment produced a 25-item survey with high reliability and validity. There were no differences in total scores across roles. Nurses had higher scores compared to attending physicians (p < 0.01) and advanced practice providers (p < 0.05) for the supportive learning environment subscale, and advanced practice providers (p < 0.05) for the training subscale after multiple comparisons adjustment. Qualitative analysis revealed seven themes: time constraint, environment, adequate staffing, different opinions, care deviations, leadership, and training. Valence analysis showed variation by role, with more positive nursing responses. Conclusion: The refined 25-item Short-Form Learning Organization Survey is a reliable and valid measure of learning organization culture for neonatal resuscitation teams. Differences in subscale scores and qualitative valence across roles highlight opportunities to improve interprofessional learning organization and team culture. |
| format | Article |
| id | doaj-art-fca50490808b498e81668178d6836d84 |
| institution | Kabale University |
| issn | 2666-5204 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-fca50490808b498e81668178d6836d842025-02-05T04:32:41ZengElsevierResuscitation Plus2666-52042025-03-0122100877A survey of team culture and learning organization in the resuscitation of neonates with congenital anomalies: A single center experienceAnna Bostwick0Anne Ades1Carolina Rodriguez-Paras2Madeline Dombroski3Charis Lim4Maria Ordoñez Paredes5Lauren Heimall6Leane Soorikian7Sara C. Handley8Heidi M. Herrick9Center for Fetal Diagnosis and Treatment, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United States; Corresponding author at: Children’s Hospital of Philadelphia, The Hub for Clinical Collaboration, cube 2540-08, 3500 Civic Center Blvd, Philadelphia, PA 19104, United States.Division of Neonatology, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United States; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104, United StatesCenter for Healthcare Quality and Analytics, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United StatesCenter for Fetal Diagnosis and Treatment, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United StatesDivision of Neonatology, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United StatesCenter for Fetal Diagnosis and Treatment, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United StatesDivision of Neonatology, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United StatesDivision of Neonatology, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United StatesDivision of Neonatology, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United States; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104, United States; Leonard Davis Institute of Health Economics, University of Pennsylvania, 3641 Locust Walk # 210, Philadelphia, PA 19104, United StatesDivision of Neonatology, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United States; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104, United StatesAim: Delivery room resuscitation of neonates with congenital anomalies is complex. This study aimed to assess survey psychometrics and measure learning organization culture among resuscitation team members in a pediatric hospital delivery room dedicated to neonates with congenital anomalies. Methods: We administered the Short-Form Learning Organization Survey with the addition of an open-ended question to all delivery room resuscitation team members from 5/2023 to 7/2023. Psychometric properties were assessed to confirm the survey’s reliability and validity in the delivery room context. Total and subscale scores were calculated, and differences were assessed by clinical role. The open-ended qualitative data were analyzed using an inductive approach and coded for theme and valence (positive, negative, neutral). Results: The response rate was 52% (159/307) with all roles represented. Psychometric assessment produced a 25-item survey with high reliability and validity. There were no differences in total scores across roles. Nurses had higher scores compared to attending physicians (p < 0.01) and advanced practice providers (p < 0.05) for the supportive learning environment subscale, and advanced practice providers (p < 0.05) for the training subscale after multiple comparisons adjustment. Qualitative analysis revealed seven themes: time constraint, environment, adequate staffing, different opinions, care deviations, leadership, and training. Valence analysis showed variation by role, with more positive nursing responses. Conclusion: The refined 25-item Short-Form Learning Organization Survey is a reliable and valid measure of learning organization culture for neonatal resuscitation teams. Differences in subscale scores and qualitative valence across roles highlight opportunities to improve interprofessional learning organization and team culture.http://www.sciencedirect.com/science/article/pii/S2666520425000141Delivery Room resuscitationNeonatal resuscitationCongenital anomaliesLearning organization cultureLearning organization survey |
| spellingShingle | Anna Bostwick Anne Ades Carolina Rodriguez-Paras Madeline Dombroski Charis Lim Maria Ordoñez Paredes Lauren Heimall Leane Soorikian Sara C. Handley Heidi M. Herrick A survey of team culture and learning organization in the resuscitation of neonates with congenital anomalies: A single center experience Resuscitation Plus Delivery Room resuscitation Neonatal resuscitation Congenital anomalies Learning organization culture Learning organization survey |
| title | A survey of team culture and learning organization in the resuscitation of neonates with congenital anomalies: A single center experience |
| title_full | A survey of team culture and learning organization in the resuscitation of neonates with congenital anomalies: A single center experience |
| title_fullStr | A survey of team culture and learning organization in the resuscitation of neonates with congenital anomalies: A single center experience |
| title_full_unstemmed | A survey of team culture and learning organization in the resuscitation of neonates with congenital anomalies: A single center experience |
| title_short | A survey of team culture and learning organization in the resuscitation of neonates with congenital anomalies: A single center experience |
| title_sort | survey of team culture and learning organization in the resuscitation of neonates with congenital anomalies a single center experience |
| topic | Delivery Room resuscitation Neonatal resuscitation Congenital anomalies Learning organization culture Learning organization survey |
| url | http://www.sciencedirect.com/science/article/pii/S2666520425000141 |
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