MPROvE Precourse Needs Assessment Pre-course Questionnaire Question Title * 1. Name (as it should appear on the certificate) Question Title * 2. Please enter your email address (correctly) to send the course work Question Title * 3. Have you any experience of neonatal simulation as an instructor? Instructor and part of an existing simulation programme Instructor but only running simulation adhoc or infrequently Instructor but never run simulation before First Instructor course Only been involved as a participant Never been involved in simulation Other Question Title * 4. What are you hoping to achieve from this course? Question Title * 5. Have you attended any previous courses? Yes No Which course Question Title * 6. How often do you use neonatal simulation as an education tool? Weekly Monthly Once every 6 months Never Other (please specify) Question Title * 7. How confident do you feel Never done and had no training Had training but never done it Had training and done it but lack confidence and will benefit from additional training Had training and confident enough to do it with support from an experienced facilitator or peer Confident to run it independently Designing a scenario Designing a scenario Never done and had no training Designing a scenario Had training but never done it Designing a scenario Had training and done it but lack confidence and will benefit from additional training Designing a scenario Had training and confident enough to do it with support from an experienced facilitator or peer Designing a scenario Confident to run it independently Running a multidisciplinary neonatal simulation Running a multidisciplinary neonatal simulation Never done and had no training Running a multidisciplinary neonatal simulation Had training but never done it Running a multidisciplinary neonatal simulation Had training and done it but lack confidence and will benefit from additional training Running a multidisciplinary neonatal simulation Had training and confident enough to do it with support from an experienced facilitator or peer Running a multidisciplinary neonatal simulation Confident to run it independently Debriefing a multidisciplinary neonatal scenario Debriefing a multidisciplinary neonatal scenario Never done and had no training Debriefing a multidisciplinary neonatal scenario Had training but never done it Debriefing a multidisciplinary neonatal scenario Had training and done it but lack confidence and will benefit from additional training Debriefing a multidisciplinary neonatal scenario Had training and confident enough to do it with support from an experienced facilitator or peer Debriefing a multidisciplinary neonatal scenario Confident to run it independently Lead and develop a neonatal simulation programme Lead and develop a neonatal simulation programme Never done and had no training Lead and develop a neonatal simulation programme Had training but never done it Lead and develop a neonatal simulation programme Had training and done it but lack confidence and will benefit from additional training Lead and develop a neonatal simulation programme Had training and confident enough to do it with support from an experienced facilitator or peer Lead and develop a neonatal simulation programme Confident to run it independently Run a scenario where the baby dies Run a scenario where the baby dies Never done and had no training Run a scenario where the baby dies Had training but never done it Run a scenario where the baby dies Had training and done it but lack confidence and will benefit from additional training Run a scenario where the baby dies Had training and confident enough to do it with support from an experienced facilitator or peer Run a scenario where the baby dies Confident to run it independently Question Title * 8. How do you intend to use the training provided? Question Title * 9. How would you describe your learning style? (More than one answer possible) I learn by 'THINKING' about what happened during an experience I learn from 'WATCHING' what happened during the experience I learn by 'DOING' what the experience taught me I learn by by how I 'FELT' about the experience I went through Done
