Public Defence: Dana Niles

M.Sc. Dana Niles at Institute of Clinical Medicine will be defending the thesis “Development of the Rolling Refresher Training Model to Improve Resuscitation Performance for In-hospital Bedside Providers” for the degree of Dr.Philos. (Doctor Philosophiae).

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Due to copyright issues, an electronic copy of the thesis must be ordered from the faculty. For the faculty to have time to process the order, the order must be received by the faculty at the latest 2 days before the public defence. Orders received later than 2 days before the defence will not be processed. After the public defence, please address any inquiries regarding the thesis to the candidate.

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Adjudication committee

  • First opponent: Head of Department and Senior Consultant Morten Breindahl, Rigshospitalet Copenhagen, Denmark
  • Second opponent: Professor Siren Irene Rettedal, University of Stavanger, Norway
  • Third member and chair of the evaluation committee: Professor Pål Aksel Næss, University of Oslo

Chair of the Defence

Professor Emeritus Trond Buanes, University of Oslo

Summary

Resuscitation events are high‐acuity, low‐frequency events that require quick response and optimal care. Yet healthcare providers are seldom required to deliver basic resuscitation care in their daily duties. As such, lack of confidence, and decay in provider knowledge and skills have been shown to delay and diminish resuscitation care that can ultimately impact patient outcomes. Unfortunately, efforts to improve resuscitative performance with conventional training methods have not always been successful.

The overall aim of this thesis was to develop and evaluate a novel and pragmatic training intervention, featuring in‐situ, high‐frequency, short‐duration, deliberate practice psychomotor skill training, Rolling Refreshers, to improve resuscitation performance among in‐hospital front‐line providers. This thesis addresses questions related to novel educational interventions to improve resuscitation performance. The studies were designed as prospective observational clinical studies and interventional simulation educational trials.

With this training model adapted to specific, critical, basic resuscitation skills, we were able to demonstrate improved psychomotor skills on manikins among bedside providers that participated in the Rolling Refresher programs. Additionally, we were able to successfully translate this training model for other high‐risk populations to ensure optimal care for patients requiring life‐saving resuscitation skills. The improved resuscitation performance on manikins has great potential to translate to optimize clinical care during resuscitation and impact neurologic outcomes in real patients. Our results were able to provide additional evidence to the benefit of short, repeat training on skills acquisition and retention.

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Published Mar. 8, 2024 3:47 PM - Last modified Mar. 20, 2024 2:49 PM