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Updated: Dec 26, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
A simulation based difficult conversations intervention for neonatal intensive care unit nurse practitioners: A
Roberta Bowen1, Kate M Lally2,3, Francine R Pingitore3,4
1Department of Neonatology, Women & Infants Hospital, Providence, RI, United States of America.
A Difficult Conversations Workshop improved communication skills and empathy for neonatal nurse practitioners. This simulation-based training helps healthcare providers deliver unexpected news more effectively.
Area of Science:
- Medical Education
- Neonatal Intensive Care
- Communication Skills Training
Background:
- Neonatal nurse practitioners frequently deliver unexpected news to parents.
- Effective communication is crucial in neonatal intensive care units (NICUs).
- There is a need to enhance healthcare providers' skills in managing difficult conversations.
Purpose of the Study:
- To evaluate the effectiveness of a simulation-based Difficult Conversations Workshop.
- To determine if the workshop improves communication skills and empathy in neonatal nurse practitioners.
- To assess the impact of the intervention on handling sensitive discussions with parents.
Main Methods:
- A randomized controlled study was conducted with 13 neonatal nurse practitioners.
- Participants were assigned to either an intervention group (workshop) or a control group.
- Communication skills and empathy were assessed using simulated conversations and expert scoring.
Main Results:
- The intervention group showed significant improvements in empathy scores (p = 0.015).
- Participants in the workshop demonstrated enhanced use of communication skills (p = 0.013).
- The simulation-based training positively impacted objective communication performance.
Conclusions:
- A Difficult Conversations Workshop, incorporating simulation, effectively enhances communication skills.
- The training improves empathy among neonatal nurse practitioners.
- This intervention offers a valuable method for professional development in sensitive communication.
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