Date of Conferral



Doctor of Nursing Practice (DNP)




Mary Verklan


Teamwork and communication in clinical practice improves with simulation using the TeamSTEPPS program. However, there is limited research about simulation efficacy for improving neonatal resuscitation through enhanced communication. Based on a needs assessment and literature review specific to quality improvement strategies for neonatal resuscitation, an enhanced neonatal resuscitation provider (NRP) course was infused with TeamSTEPPS communication strategies, and an NRP case was adopted for simulation training. Also, utilizing clinician feedback, the flow of the resuscitation documentation was revised. The purpose of this project was to evaluate the perceived level of confidence, satisfaction, and communication skills in nurses performing neonatal resuscitation following the implementation of simulation into NRP training. The simulation exercise was guided by the National League for Nursing / Jeffries Simulation Framework (NLN/JFS). A purposeful sample of nurses (N=61) in a tertiary hospital volunteered to participate in the training and simulation exercise. Demographic information was collected and the Student Satisfaction and Self-Confidence in Learning Scale was used in a nonrandomized descriptive evaluation with a posttest one-group design. The analysis found 49% of the nurses were confident in their resuscitation skills, 50% were satisfied with the simulation experience, and 47% reported communication needed to be improved for an effective resuscitation process. This project contributes to social change by demonstrating enhanced NRP training within a simulated environment results in the integration of communication and teamwork skills essential to improve the process of neonatal resuscitation.