The Development of Neurocritical eLearning Modules for NICU Nurses and Neonatal Nurse Practitioners

Problem: Infants in the neonatal intensive care unit (NICU) are at increased risk for varying degrees of neurological injury that can ultimately result in morbidities. NICU registered nurses (RNs) and neonatal nurse practitioners (NNPs) are key stakeholders in providing neonates with appropriate neurological care. The implementation of NeuroNICU healthcare teams could improve the outcomes of neurologically ill neonates. However, the impact of NeuroNICU teams has been understudied. Purpose: The purpose of this DNP project was to identify knowledge gaps and improve NICU RN's and NNP's knowledge of how to perform a complete neonatal neurological physical exam (PE) and how to use and interpret the amplitude-integrated electroencephalography (aEEG) monitor. Methods: A pilot group of neonatal RNs and NNPs completed pre-assessments: a survey of participants' perceptions of how to use and interpret the aEEG monitor, a neonatal neurological PE knowledge test and an aEEG knowledge test. Two eLearning modules were created based on knowledge gaps and were then completed by the pilot group. After completion of the eLearning modules, the pilot group completed post-assessments (same as the pre-assessments). Results: The eLearning modules did not influence the participants' perceptions regarding the difficulty, interpretation, and function of the aEEG monitor, but did positively influence their perceived knowledge of and ability to use the aEEG monitor. There was a 27% increase in measured knowledge for neonatal neurological PE and a 135% increase in measured knowledge for aEEG use and interpretation. Knowledge gaps remain. Conclusion: Future versions of these modules can provide more information to address continued knowledge gaps and/or improve the delivery of the information. Identification of NICU NEUROCRITICAL ELEARNING MODULES 3 knowledge gaps and providing education to neonatal healthcare providers serves as a catalyst in the building of a NeuroNICU. This project lays the groundwork for future longitudinal studies evaluating the impact of NeuroNICU teams on outcomes of neurologically ill neonates.