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• W3204203870 abstract "<h3>Background</h3> Holistic and multi-disciplinary care within paediatrics & child health is widely valued, and neonatal medicine is no exception. During a baby’s journey in neonatal intensive care, the role of the neonatal nurse is vast and crucial to their wellbeing, offering a blend of skill, knowledge, and compassion to a vulnerable population of patients. As junior paediatricians, the focus of learning mostly revolves around medical diagnoses, resuscitation, and procedural skills. However, rarely do trainees get exposed to the untapped reservoir of knowledge that exists amongst our allied healthcare professionals, notably the neonatal nurses; even rarer is a formal, structured way to access this. <h3>Objectives</h3> The benefits of shadowing experienced NICU nurses could be invaluable for paediatric trainees at the start of their career. The primary aim of this pilot study was to launch a new programme involving all senior house officers (SHO) in one 6-month rotation in secondary (Level 2) & tertiary (Level 3) neonatal intensive care. The goals were to add a new dimension to their neonatal education, improve their confidence in troubleshooting bedside problems, improve team cohesion and eventually improve patient care overall. <h3>Methods</h3> During the 6-month rotation, every neonatal SHO had at least one day pre-allocated on the rota for ‘Nurse Shadowing’. A specific timetable, devised in combination with Neonatal Nurse Educators, allowed supervised experience in caring for premature and term infants on NICU, assisting in drug/trolley checks, and attending nursing meetings. SHOs were given an optional list of skills to observe (e.g. nasogastric feeding). Every trainee was also allocated a nurse mentor on the day. The impact of the pilot programme was analysed using anonymised questionnaires with Likert scale questions (1 = not confident, 5 = very confident), assessing their confidence in the 22 suggested skills before and after the shadowing days – a mean improvement in score for each skill was then calculated. The nursing team members also completed a tailored questionnaire to evaluate their experience of the days. <h3>Results</h3> Fourteen SHOs were enrolled in the programme. 14/14 (100%) of doctors would recommend the programme to future trainees, and 13/14 (93%) felt it improved their team-working and relationship with the nursing team. The three most valuable skills for trainees were setting-up a transport incubator (+2.9), using infusion pumps (+2.5) and ventilator/CPAP set-up (+2.2). In every skill assessed, the SHOs felt on average more confident after their experience. Certain skills however, such as iNO use (+0.3) and PN administration (+1.5), were less frequently observed. Seventeen neonatal nurses were involved, and 17/17 (100%) agreed or strongly agreed that participation was enjoyable, improved their rapport with paediatricians and that the programme would improve overall NICU patient care. <h3>Conclusions</h3> The <i>Neonatal Nurse Shadowing</i> pilot programme has shown that nurse shadowing on an ICU can have promising impacts on paediatric education, as well as team cohesion and patient care, based on our staff’s experiences. There has been interest from our local neonatal network to trial the programme elsewhere, with an ambition to expand it to paediatric/cardiac ICUs and Emergency Departments going forward." @default.
• W3204203870 created "2021-10-11" @default.
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• W3204203870 date "2021-09-30" @default.
• W3204203870 modified "2023-09-25" @default.
• W3204203870 title "1552 Neonatal nurse shadowing programme: exploring new ways of learning in paediatrics & intensive care (a pilot study)" @default.
• W3204203870 doi "https://doi.org/10.1136/archdischild-2021-rcpch.713" @default.
• W3204203870 hasPublicationYear "2021" @default.
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