Integrating a Dedicated Neuroprotector Role Through Interprofessional Education to Support Extremely Preterm and Extremely Low Birth Weight Infants During Golden Hour

Extremely preterm and extremely low birth weight infants are vulnerable to brain injury due to physiological immaturity and environmental stressors during the critical first hour after birth, known as the "Golden Hour." A multiphase, interprofessional education and in situ simulation program was designed to introduce a dedicated neuroprotector role to mitigate noxious stimuli and prioritize neuroprotective strategies during resuscitation and stabilization of vulnerable infants. Grounded in adult learning theory, this educational program prepared existing staff members for this role through presimulation education and in situ simulation in perioperative settings. Outcomes after the education program included improved interprofessional team collaboration and prioritized integration of the neuroprotector role. Through education and simulation, implementation of role-specific interventions closed a key care gap and advanced alignment with evidence-based practices, enhancing both immediate and long-term neurodevelopmental outcomes for extremely preterm and extremely low birth weight infants.