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Integrating family values into antenatal consultations: An observational study on structured communication training
Deborah F Katurura1, Camara Van Breemen2, Nadine Lusney3
1Department of Pediatrics, University of British Columbia, Vancouver V6H 3V4, British Columbia, Canada.
Background:
Despite growing recognition of the importance of structured communication training, no formal curricula existed to equip neonatal-care providers with the skills needed to elicit and incorporate family values into antenatal consultations. A local review found that 80% of consult notes for anticipated extreme preterm births lacked documentation of family context, beliefs and values, with the absence of dedicated training identified as a key barrier.
Aim:
To develop, implement and evaluate a structured, evidence-informed training curriculum in family values elicitation and integration during antenatal neonatal consults.
Methods:
Neonatal fellows took part in this prospective, single-center observational study (June to December 2024), which was part of a larger quality improvement initiative. The curriculum incorporated established communication strategies, including structured conversation aids, decision-making frameworks and simulative role-play reflecting both decision-making and non-decision-making scenarios. The team delivered a two-hour workshop, with participants completing pre- and post-workshop surveys assessing experience and perceived confidence in communication competencies.
Results:
Of the thirteen eligible fellows, eleven and one neonatologist took part; twelve completed the pre-workshop survey; ten completed the post-workshop survey. Over 90% agreed or strongly agreed that the workshop materials were user-friendly, relevant, and reflective of real-world scenarios. Participants reported significant improvements in perceived confidence across five targeted communication domains: Eliciting family values, leading shared decision-making conversations, addressing parental concerns, documentation practices, and integrating values into actionable care plans (P < 0.0001).
Conclusion:
A contextually relevant training curriculum successfully enhanced neonatal trainees' self-reported confidence in performing communication tasks in family values elicitation and integration during antenatal neonatal consults.
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