Traditional Poster Round
Is There a Role for Simulation in Improving Parent Confidence and Family Integrated Care on NNU
Tuesday, May 15
09:45 - 10:45
Location: The Gate, Atrium Level
Abstract : Background
The benefits of family integrated care for babies and parents on neonatal units are well recognised. Evidence based methods, such as kangaroo care (skin to skin), improve physiological stability and overall development and growth in preterm babies. It is the responsibility of health professionals on neonatal units to enable parents to be involved in as much care of their baby as possible. Often barriers to providing optimal kangaroo care are health care professionals’ inconsistent knowledge and training. Hendricks-Munoz et al. describe a comprehensive simulation training programme on kangaroo care for nursing staff which significantly improved their competency in this area.
The Research Question
Is there a role for simulation in not only building confidence for healthcare professionals but integrating the parents in the training process too? And are there other areas that parents feel they would benefit from simulating? For example, we propose simulating transfer of an intubated and ventilated baby for kangaroo care with nursing staff and parents, giving both the opportunity to practise and gain confidence.
In order to explore this concept, we have developed a parent questionnaire which examines their experiences of caring for their baby, for example, opportunity to change nappies or provide kangaroo care. The questionnaire then explores their level of confidence when doing these tasks for the first time using a five point Likert Scale. Finally, we ask whether they would be interested in trying simulation of these tasks at the start of their neonatal journey. Following the results of the questionnaire we will evaluate whether this is a concept parents are interested in engaging with and if so, develop a programme working with the neonatal education and developmental care team. We feel this could be an innovative use of simulation to build parent confidence in the handling and caring of their baby, alongside providing healthcare professional training and subsequently improve family integrated care.
1. Bera A, Ghosh J, Singh AK, et al. Effect of kangaroo mother care on growth and development of low birthweight babies up to 12 months of age: a controlled clinical trial. Acta Paediatr. 2014 Jun;103(6):643-50
2. Chan G, Labar A, Wall S et al. Kangaroo mother care: a systematic review of barriers and enablers. Bulletin of the World Health Organization 2016; 94:130-141J.
3. Hendricks-Munoz KD, Mayers RM A neonatal nurse training program in kangaroo mother care (KMC) decreases barriers to KMC utilization in the NICU. Am J Perinatol. 2014 Nov;31(11):987-92
Lennox Huang, MD
Chief Medical Officer, VP Medical & Academic Affairs
The Hospital for Sick Children, ON, Canada