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Neonatal Healthcare Professionals' Experiences When Implementing a Simulation and Debriefing Program in Neonatal

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Simulation-based training (SBT) and debriefing programs in neonatal intensive care units (NICUs) require receptive unit context and leadership support for successful implementation. Further research is needed to overcome barriers and determine optimal training frequency.

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Area of Science:

  • Healthcare simulation
  • Patient safety training
  • Neonatal intensive care

Background:

  • Simulation-based training (SBT) and debriefing are increasingly used for interprofessional team training in realistic healthcare settings.
  • These methods offer a controlled environment to practice complex procedures and teamwork.

Purpose of the Study:

  • To explore the experiences of neonatal healthcare professionals implementing a patient safety simulation and debriefing program.
  • To identify key themes and challenges in the adoption of such programs within neonatal intensive care units (NICUs).

Main Methods:

  • A qualitative study involving 14 NICUs in California and Oregon over 15 months.
  • Focus group interviews were conducted twice with participants during the implementation collaborative.
  • Content analysis was used to identify emerging themes related to program implementation.

Main Results:

  • Six key implementation themes emerged: receptive context, leadership support, culture change, simulation scenarios, debriefing methodology, and sustainability.
  • Unit-level receptiveness (resources, time) and multidisciplinary leadership support were critical facilitators and barriers.
  • 234 participants contributed to the findings through focus group interviews.

Conclusions:

  • Successful implementation of simulation and debriefing programs in NICUs depends on environmental context and leadership support.
  • Further research should address implementation barriers, optimal training frequency, and the impact on patient outcomes.
  • Understanding and addressing unit-specific factors is crucial for enhancing program effectiveness.