0149 Nuneosim-2 survey – a triple blind study of nursing perception to simulation training in a tertiary neonatal intensive care setting. (2nd November 2015)

• Record Type: Journal Article
• Authors: Sharma, Anushma; Sharma, Alok
• Is Part Of: BMJ simulation & technology enhanced learning. Volume 1(2015)Supplement 2
• Page Start: A58
• Page End: A58
• Publication Date: 2015-11-02
• Subjects: Medicine -- Simulation methods -- Periodicals; Medical innovations -- Periodicals; 610.113
• DOI: 10.1136/bmjstel-2015-000075.143
• Languages: English
• ISSNs: 2056-6697

Abstract

Abstract : Background: Simulation was endorsed by the National Patient Safety Agency as a valuable tool for training the medical workforce in the UK. 1 Multidisciplinary simulation in neonatology increases participant's confidence in neonatal emergencies 2 and may improve patient outcome. 3 Method: Multiprofessional neonatal simulation programme was established in the Tertiary Neonatal unit at, Southampton in 2012. A double blind cross-sectional questionnaire study was conducted within the first year to explore nursing perception to simulation. 4 Simulation was reported to bedaunting. Despite their concerns, 88% of nurses wished to continue gaining simulation experience in multidisciplinary setting. Changes implemented after this survey included among others, having multidisciplinary facilitators (a doctor and a nurse for each session).18 months after introducing the changes the survey was repeated in similar settings. Triple blinding was ensured by using an independent analyst from outside the programme. Results: 71% of participating nursing staff answered. Both surveys included similar spread of nursing experience but there were 13 new recruits in the recent survey who had previous experience of hi-fidelity simulation in training. Also, substantially more staff had attended >5 sessions (21% vs 7%) and multidisciplinary sessions with doctors (62.5% vs 45.5%). As in the previous survey, they mostly found these multidisciplinary sessions very useful but daunting however, 85% comments in free text were positive including excellent, exciting, enjoyable, great learning opportunity, daunting improves with practice. Though more nurses opted to have simulation sessions separate from doctors (25% vs 12.5%) a lot of them suggested they should be only for some nursing relevant topics. Potential impact: Regular multidisciplinary simulation sessions reap benefits in terms of greater buy-in/uptake especially if changes are introduced to practice, based on feedbacks. This survey reveals that professionals value the benefits of simulation in a non-multidisciplinary setting as well, especially in less diverse scenarios. This may be taken as an opportunity to expand the simulation experience of trainers and the trained. References: National Patient Safety Agency-NPSA. Review of patient safety for children and young people (June 2009) Davidson SK, Hassell et al . Neonatal simulation training improves paediatric trainees' confidence in emergency scenarios. Arch Dis Child 2014;99 (Suppl 1):A64 Sharma A, Gunda R. Cascading risk through multiprofessional neonatal simulation. Arch Dis Child 2014;99 (Suppl 1):A35–A36 Ball J, Gunda RK, Awoseyila A, Sharma A. 0149 Nuneosim Survey – a triple blind study of nursing perception to simulation training in a tertiary neonatal intensive care setting. BMJ STEL 2014;1 :A67