Authors
Tavleen Sandhu, Lise DeShea, Jennifer L Fang, Rachel Umoren, Abhishek Makkar
Published in
Telemedicine journal and e-health : the official journal of the American Telemedicine Association. Pages 15305627261461861. Jun 18, 2026. Epub Jun 18, 2026.
Abstract
Approximately 50,000 neonates weighing under 1,500 grams are born annually in the United States, with 15-20% delivered in smaller community hospitals without a neonatal intensive care unit. These "outborn" infants face higher risks of adverse outcomes due to limited resources. Implementing tele-resuscitation services with targeted training workshops may enhance providers' technical skills, confidence, and perceptions of feasibility and acceptability.
In January 2023, Oklahoma Children's Hospital launched a tele-resuscitation program offering real-time, audio-video support to community hospital staff. This service targeted neonates ≤32 weeks' gestation, <1,500 g, and those >32 weeks requiring advanced resuscitation. Workshops were hosted to give community hospital providers a first hand experience with the technology, and it included background on tele-resuscitation, technical skills training, and neonatal resuscitation simulations incorporating telemedicine. Pre- and postworkshop surveys with Likert scale questions assessed attendees' confidence in advanced resuscitation and feasibility of integrating tele-resuscitation into practice.
Briefly, 20 community providers attended two interprofessional workshops, including 5 physicians (25%), 11 nurses (55%), and 4 respiratory therapists (20%). One-quarter of attendees reported prior experience with telemedicine, and one attendee reported prior experience with tele-resuscitation. Following the workshops, participant confidence in performing tasks such as intubation, umbilical line placement, needle thoracentesis, and debriefing increased significantly (p < 0.001 for all procedures). While ratings for the appeal and applicability of telemedicine to their practice showed no significant changes (p = 0.267 and p = 0.056, respectively), the perceived feasibility of tele-resuscitation significantly improved after the workshop (p = 0.029).
Neonatal tele-resuscitation workshops improved providers' perceptions of this service and increased their acceptance of such a program. Additionally, the skill sessions and simulated resuscitations increased their confidence with procedures commonly performed during advanced neonatal resuscitation.
PMID:
42313572
Bibliographic data and abstract were imported from PubMed on 19 Jun 2026.
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