title: An interdisciplinary, family-focused approach to relational learning in neonatal intensive care.
abstract: OBJECTIVE
  The aim of this study is to show the efficacy of the Program to Enhance Relational and Communication Skills-Neonatal Intensive Care Unit (PERCS-NICU).
  
  
  METHODS
  In this study, 74 practitioners attended workshops and completed baseline, post-training and follow-up questionnaires.
  
  
  RESULTS
  On yes/no questions, 93 to 100% reported improved preparation, communication skills and confidence post-training and follow-up. A total of 94 and 83% improved their ability to establish relationships, and 76 and 83% reported reduced anxiety post-training and follow-up, respectively. On Likert items, 59 and 64% improved preparation, 45 and 60% improved communication skills and confidence, 25 and 53% decreased anxiety and 16 and 32% improved relationships post-training and follow-up, respectively. Qualitative themes included integrating new communication and relational abilities, honoring the family perspective, appreciating interdisciplinary collaboration, personal/human connection and valuing the learning. In total, 93% applied skills learned, three-quarters transformed practice and 100% recommended PERCS-NICU.
  
  
  CONCLUSIONS
  After PERCS-NICU, clinicians improved preparation, communication and relational abilities, confidence and reduced anxiety when holding difficult neonatal conversations.
authors: Division of Critical Care Medicine, Children's Hospital Boston, Boston, MA, USA. elaine.meyer@childrens.harvard.edu
authors: E C
authors: EC
authors: Meyer
authors: D
authors: D
authors: Brodsky
authors: A R
authors: AR
authors: Hansen
authors: G
authors: G
authors: Lamiani
authors: D E
authors: DE
authors: Sellers
authors: D M
authors: DM
authors: Browning
mesh_terms: D003142:Communication; D005260:Female; D006801:Humans; D015931:Intensive Care, Neonatal / Q000523:psychology*; D008297:Male; D011368:Professional-Family Relations; D011795:Surveys and Questionnaires