Integrating family values into antenatal consultations: An observational study on structured communication training curriculum for neonatal care providers

Table 3 Challenges encountered and mitigation strategies

Challenge	Mitigation strategy
Excessive pre-workshop reading material assigned for a single week	Summarize key learning points to support quick and efficient review
Imbalanced workshop structure with disproportionate time spent on didactic content	Restructure the workshop to reduce didactic time and increase opportunities for interactive and immersive learning
Lengthy video content reduced engagement	Edit videos to focus on essential messages and assign them as pre-workshop material with a brief evaluation quiz
Inadequate emphasis on documentation expectations during the workshop	Add a scenario requiring participants to create a consult note using pre-filled structured templates and documentation prompts
Compressed two-hour schedule made participants feel rushed	Extend the workshop duration to four hours and include a 30-minute break to allow adequate time for reflection and discussion
Difficulty in trainees taking up expectant parents’ role in scenario 2 involving shared decision-making conversation	Have standardized patients’ or standardized health professional e.g. Neonatologist take on this role
Mixed experience levels made role-playing difficult for novice participants	Introduce progressive learning levels that allow participants to start at a comfortable level and advance stepwise through:1. Basic consult using medical templates2. Eliciting family context in non-decision-making scenarios3. Exploring values in decision-making scenarios4. Integrating values into care planning