{
  "abstract": "Why did you do this work? The transition from paediatric to adult healthcare services is recognised as complex and often fragmented. Despite this, staff training on developmentally appropriate care for young people is often lacking. The 2023 report, ‘The Inbetweeners’, published by the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) 1 identified only 37/169 (22%) organisations provide such training. To improve the capability of staff within our Trust to facilitate better training, we developed an innovative young person-focused course to enhance staff skills in debriefing, feedback, and simulation-based education.What did you do? To assess local educational needs, we conducted a learning needs analysis to evaluate staff confidence in discussing key topics (sleep, eating habits, sexual health, sexual or gender identity, substance use, self-harm or mental health, abuse, confidentiality and service transition) with young people. There were responses from 60 staff members from paediatric and adult backgrounds, across 5 sites within our Trust. Thematic analysis revealed staff felt least confident in discussions on sexual health, substance use and sexual or gender identity.In response, we worked alongside Clinical Nurse Specialists for teenagers and young adults to develop a two-day course for paediatric and adult staff educators across our Trust. Day 1 focused on feedback and debriefing skills through communication scenarios, with themes aligned to the three topics staff reported lowest confidence in. Day 2 concentrated on simulation design, with all participants involved in facilitating a high-fidelity simulation followed by experienced faculty feedback. Ongoing support from the Education Academy was made available to all participants, encouraging them to implement further simulation-based education within their own departments.What did you find? Sixteen participants from a multidisciplinary background attended the course: nurse (6), physiotherapist (4), doctor (3), radiographer (2) and occupational therapist (1). Self-rated confidence in simulation and debrief (5 being most confident) increased from 1.8/5 pre course to 3.8/5 post course. Immediate feedback from all 16 (100%) participants highlighted the most valuable aspects of the course were understanding the theory and structured approach to debriefing, along with multiple opportunities to practice debriefing with feedback from an experienced faculty.11/16 (69%) completed a 3-month post-course evaluation. 8/11 (73%) participants reported using their new debriefing and simulation skills to educate others in their department since the course. This included delivery of acute mental health crisis simulations, communication simulations, on call physiotherapy scenarios, and creation of bespoke scenarios for new student nurses. Thematic analysis of the 3-month feedback identified the structured approach to debrief as the most useful learning from the course.What does it mean? This novel course successfully enhanced the confidence of both paediatric and adult educators in debriefing, feedback and simulation-based education. Participants have since applied their skills to deliver young person-focused teaching within their departments, demonstrating the course’s effectiveness in expanding training on developmentally appropriate care for young people.Reference 1 . National Confidential Enquiry into Patient Outcome and Death. The Inbetweeners: Ensuring good-quality transitional care between child and adult health services. 2023 Retrieved from https://www.ncepod.org.uk/2023transition/The%20Inbetweeners_full%20report.pdf – Last accessed 03/10/2024",
  "authors": [
    {
      "affiliations": [
        "NHS England"
      ],
      "name": "Yasmin Moore"
    },
    {
      "affiliations": [
        "Simulation Department, Education Academy, Barts Health NHS Trust"
      ],
      "name": "Angie Nunn"
    },
    {
      "affiliations": [
        "Simulation Department, Education Academy, Barts Health NHS Trust"
      ],
      "name": "Sindy Priyadarshani"
    },
    {
      "affiliations": [
        "Barts Health NHS Trust"
      ],
      "name": "Roshni Vadher"
    },
    {
      "affiliations": [
        "Barts Health NHS Trust"
      ],
      "name": "Neil Fletcher"
    },
    {
      "affiliations": [
        "Simulation Department, Education Academy, Barts Health NHS Trust"
      ],
      "name": "Amutha Anpananathar"
    }
  ],
  "title": "8210 Bridging the ’inbetweeners’ gap: a debriefing and simulation course to improve care for young people",
  "uid": "132fe6ab-5554-5071-9a9f-a42458c4a488"
}