| Methods |
Cluster‐randomised trial, where hospitals were randomised to NRP or no intervention |
| Participants |
Neonatal nurses |
| Interventions |
Neonatal resuscitation training course based on didactics and demonstration followed by revisit after 6 months. The initial workshop was offered over an 8‐hour day. Resuscitation skills were demonstrated, practiced and evaluated on a Simulaids CPR Premie Manikin. The control group received no NRP training |
| Outcomes |
A 50‐item multiple choice examination for assessing knowledge, a performance checklist for evaluating skills and a Likert‐type 5‐point rating scales for measuring participant's perception of their competence |
| Notes |
First randomised controlled trial on NRP intervention. Although cluster‐randomised, analysis was done at the individual level. Not included in meta‐analysis in this review as ICC was not known |
| Risk of bias |
| Bias |
Authors' judgement |
Support for judgement |
| Random sequence generation (selection bias) |
Unclear risk |
Cluster‐randomisation method not stated clearly although stratification done. Not sure if recruitment to the clusters would be different if the type of cluster already known |
| Allocation concealment (selection bias) |
Unclear risk |
Not relevant as the randomisation occurs at the cluster level and at 1 time point |
| Blinding of participants and personnel (performance bias)
All outcomes |
Unclear risk |
Intervention could not be blinded |
| Blinding of outcome assessment (detection bias)
All outcomes |
High risk |
Assessors aware of group status |
| Incomplete outcome data (attrition bias)
All outcomes |
Low risk |
87% participated at 6 months |
| Selective reporting (reporting bias) |
Low risk |
All pre‐specified outcomes reported |
| Other bias |
High risk |
No loss of clusters was reported, clusters were similar with no baseline imbalance. Although cluster‐randomised, analyses were not performed at the cluster level |
