Neonatal Guidelines

User SurveyDr 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:

o Actual guidelineso 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: Group Demographics

Team

Consultants (4)SpR (3)SHO (4)ANNP (2)Nurses (7)

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?

o Guidelines folder = 20o Intranet = 17o A5 Pocket book = 13o Own copy = 12

Results (n=20)• How often do you refer to supporting information?

o Once a day = 5o Once a week = 7o Once a month = 3o Never = 3o Other = 2

Results (n=20)• Did you see a copy of 2009 guidelines?

o Yes = 13o No = 7

• If yes, are they an improvement?o Yes = 13o No = 0

Results (n=20)• Do you have your own copy?

o Yes = 17o No = 3o This obviously should be 12 as the question has already been asked!

• Where did you get your copy from?o Own hospital, network

Results (n=20)• How often do you refer to the guidelines in A5

pocket book?o Daily = 0o Once a week = 5o Once a month = 8o Never = 2o 5 put no answer

Results (n=20)• How often do you refer to the guidelines in A4

folder?o Daily = 5o Once a week = 10o Once a month = 3o Never = 0o 2 put no answer

Results (n=20)• How often do you refer to the guidelines on

intranet?o Daily = 5o Once a week = 6o Once a month = 4o Never = 1o 4 put no answer

Results (n=20)• How easy do you find the guidelines to use?

o Very easy = 9o Easy = 11o Difficult = 0o Very difficult = 0

Results (n=20)• How easy do you find the index to the guidelines

to use?o Very easy = 9o Easy = 10o Difficult = 1o Very difficult = 0

Results (n=20)• How easy do you find the text in the guidelines to

use?o Very easy = 5o Easy = 15o Difficult = 1 (spoilt ballot paper)o Very difficult = 0

Results (n=20)• How easy do you find the diagrams in the

guidelines to use?o Very easy = 5o Easy = 14o Difficult = 0o Very difficult = 0o N/A = 1

Results (n=20)• What do you think about the quantity of

information in the guidelines?o Too detailed = 0o Right amount of detail = 19o Not enough detail = 2 (again, voted for 2 options)

Results (n=20)• Have you found any errata, inaccuracies or

inconsistencies in the guideline?o Yes = 2 (blood spot screening, inconsistency between enteral feeding

and nutrition guidelines)o No = 16o No answer = 2

Results (n=20)• Which format would you prefer the guidelines to

be available in?o A5 pocket book = 1o A4 folder in clinical area = 6o Copy on intranet = 6o 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