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.

Proposed Approach
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

Isobel Fullwood, MBChB MRCPCH

Paediatric Simulation Fellow
Birmingham Women's Hospital, Birmingham

Dr Isobel Fullwood MBChB MRCPCH, I am a Paediatrics trainee based in the West Midlands, UK and have taken an out of programme year working as a Simulation Fellow for the Birmingham Women's and Children's NHS Foundation Trust, which involves running multidisciplinary simulation sessions in a variety of clinical areas including NICU, PICU, general paediatrics and the emergency department.


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Ashley D. Holt, MBChB BMedSc MRCPCH

Paediatric Simulation Fellow
New Cross Hospital, Wolverhampton
Birmingham, England, United Kingdom

Dr Ashley Holt - MBChB, BMedsc (Healthcare Ethics and Law)
Ashley is a Paediatric Simulation Fellow working at New Cross Hospital in the West Midlands region of the United Kingdom. The post is in its third year and has been presenting work both nationally and internationally during that time. Ashley is currently in Paediatric training in the West Midlands and became interested in simulation as a candidate when seeing the benefits it brought to the team and how it combined with existing interests in education. Other areas of interest include General Paediatrics and inter-speciality working. He is undertaking a Postgraduate Certificate in Healthcare Simulation at the University of Birmingham to supplement the Simulation Fellow post.


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Gemma Holder, MBChB, MRCPCH, MSc (Paeds)

Consultant Neonatologist
Birmingham Women's Hospital


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Matthew L. Nash, MBChB MRCPCH

Consultant Neonatologist
Birmingham Women's and Children's Hospital
Birmingham, England, United Kingdom


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Lennox Huang, MD

Chief Medical Officer, VP Medical & Academic Affairs
The Hospital for Sick Children, ON, Canada

Dr. Lennox Huang is the Chief Medical Officer and Vice President for Medical and Academic Affairs at the Hospital for Sick Children in Toronto, Canada. He is a staff physician in the Pediatric Critical Care Unit at Sick Kids and holds the rank of Associate Professor in the Department of Paediatrics at the University of Toronto and Associate Clinical Professor of Pediatrics at McMaster University.

Dr. Huang’s past leadership roles include Chair of the Department of Pediatrics at McMaster University and the Chief of Pediatrics at Hamilton Health Sciences and St. Joseph's Healthcare Hamilton. Dr. Huang has held leadership roles at the regional, provincial and national level including President of the Regional Medical Associates of Hamilton, and Vice President of the Paediatric Chairs of Canada.

Dr. Huang’s interests are in the areas of simulation, patient safety, and quality improvement. He has led projects using Lean principles and in-situ simulation to guide the design and testing of clinical spaces and has incorporated simulation into hospital-wide safety initiatives.


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Is There a Role for Simulation in Improving Parent Confidence and Family Integrated Care on NNU

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