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Neonatal Guidelines U ser Survey. Dr Matt Cawsey , ST4 in Neonates, UHNS. Background. SSBCNN guidelines are edited every 2 years This is to ensure most up to date information Guidelines are in 2 sections: Actual guidelines Supporting evidence
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Neonatal Guidelines User Survey Dr Matt Cawsey, ST4 in Neonates, UHNS
Background • SSBCNN guidelines are edited every 2 years • This is to ensure most up to date information • Guidelines are in 2 sections: • Actual guidelines • Supporting evidence • User survey was sent around electronically and only 4 replies were received • This was just a survey of our unit
Method • Questionnaire taken from previous survey and edited by myself • Given out over a 10 day period to random members of staff • People encouraged to fill it in while I was there to ensure compliance • Only 1 person given a survey didn’t fill it out • Their name has been removed from my Christmas card list
Results • All 20 were aware of the guidelines! • All worked in UHNS neonatal unit • Most people didn’t follow the instruction to mark the box with an “X”, so their results were discounted • Not really
Results (n=20) • Where had you seen a copy? • Guidelines folder = 20 • Intranet = 17 • A5 Pocket book = 13 • Own copy = 12
Results (n=20) • How often do you refer to supporting information? • Once a day = 5 • Once a week = 7 • Once a month = 3 • Never = 3 • Other = 2
Results (n=20) • Did you see a copy of 2009 guidelines? • Yes = 13 • No = 7 • If yes, are they an improvement? • Yes = 13 • No = 0
Results (n=20) • Do you have your own copy? • Yes = 17 • No = 3 • This obviously should be 12 as the question has already been asked! • Where did you get your copy from? • Own hospital, network
Results (n=20) • How often do you refer to the guidelines in A5 pocket book? • Daily = 0 • Once a week = 5 • Once a month = 8 • Never = 2 • 5 put no answer
Results (n=20) • How often do you refer to the guidelines in A4 folder? • Daily = 5 • Once a week = 10 • Once a month = 3 • Never = 0 • 2 put no answer
Results (n=20) • How often do you refer to the guidelines on intranet? • Daily = 5 • Once a week = 6 • Once a month = 4 • Never = 1 • 4 put no answer
Results (n=20) • How easy do you find the guidelines to use? • Very easy = 9 • Easy = 11 • Difficult = 0 • Very difficult = 0
Results (n=20) • How easy do you find the index to the guidelines to use? • Very easy = 9 • Easy = 10 • Difficult = 1 • Very difficult = 0
Results (n=20) • How easy do you find the text in the guidelines to use? • Very easy = 5 • Easy = 15 • Difficult = 1 (spoilt ballot paper) • Very difficult = 0
Results (n=20) • How easy do you find the diagrams in the guidelines to use? • Very easy = 5 • Easy = 14 • Difficult = 0 • Very difficult = 0 • N/A = 1
Results (n=20) • What do you think about the quantity of information in the guidelines? • Too detailed = 0 • Right amount of detail = 19 • Not enough detail = 2 (again, voted for 2 options)
Results (n=20) • Have you found any errata, inaccuracies or inconsistencies in the guideline? • Yes = 2 (blood spot screening, inconsistency between enteral feeding and nutrition guidelines) • No = 16 • No answer = 2
Results (n=20) • Which format would you prefer the guidelines to be available in? • A5 pocket book = 1 • A4 folder in clinical area = 6 • Copy on intranet = 6 • All formats = 11
Additional topics • More on management of postnatal problems, less on procedural skills • Maternal thyroid disorders (what do we do with baby) • Hypothermia • Nursing procedure / care guidelines • Sepsis and infection • Volume ventilation • Combined nutrition / enteral feeding guideline
Conclusions • Well used resource • Improvement on previous guidelines • Still mainly guidelines folder; intranet catching up • Supporting information used almost as often as guidelines • Easy to use • Some interesting ideas for new guidelines