Feature ArticlesA Network Approach to Neonatal Palliative Care Education Impact on Knowledge, Efficacy, and Clinical PracticeKnighting, Katherine PhD, MA (Hons), MSc; Kirton, Jennifer MSc, BSc (Hons), PGCE; Silverio, Sergio A. MPsycholSci (Hons); Shaw, Ben N. J. MBChB, MRCP, FRCPCH, MD, MA (Clin)EdAuthor Information Faculty of Health, Social Care and Medicine (Dr Knighting and Ms Kirton), Edge Hill University, Ormskirk, Lancashire, United Kingdom (Dr Shaw); Research Department of Reproductive Health, EGA Institute for Women's Health, University College London, London, United Kingdom (Mr Silverio); and Neonatal Unit, Liverpool Women's Hospital, Liverpool, United Kingdom (Dr Shaw). Corresponding Author: Katherine Knighting, PhD, MA (Hons), MSc, Faculty of Health, Social Care and Medicine, Edge Hill University, St Helens Rd, Ormskirk, Lancashire, L39 4QP, England ([email protected]). The authors thank Debbie Webster (Neonatal Network Lead Nurse) for organizing the workshops and support to send out the evaluation information to participants in advance of the workshops. Thanks also to all of the facilitators and to all participants, especially the bereaved parents, for their participation in delivering the educational sessions of the workshop.This study was funded by Department of Health via Alder Hey Children's NHS Foundation Trust.Disclosure: The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.Each author has indicated that he or she has met the journal's requirements for Authorship.Submitted for publication: February 26, 2018; accepted for publication: January 20, 2019. The Journal of Perinatal & Neonatal Nursing: October/December 2019 - Volume 33 - Issue 4 - p 350-360 doi: 10.1097/JPN.0000000000000437 Buy Metrics Abstract More than 80 000 babies are admitted to specialist neonatal units in the United Kingdom every year, with approximately 2109 neonatal deaths a year; 98% in hospital. A common element in guidance and pathways to facilitate the provision of palliative care to infants and their families is the importance of good education and training to develop high-quality staff and services. This article presents a mixed-methods, sequential, explanatory design evaluation of 1 day palliative care education workshops delivered using a network-wide approach to multidisciplinary professionals. Workshops were delivered by healthcare professionals and bereaved parents and evaluated using questionnaires, adapted for neonatal staff from standardized measures, and follow-up interviews. The workshop content and shared learning approach resulted in significant improvements in participant's knowledge, attitude, self-beliefs and confidence in neonatal palliative care, enhanced awareness of services, and improved links between professionals. Participants cascaded their learning to their teams and provided examples of changes in their clinical practice following the workshop. Parent stories were identified as a very powerful component of the training, with lasting impact on participants. Formal, integrated palliative care education programs for perinatal and neonatal staff and longitudinal research into the impact on practice and the experience received by families are needed. © 2019 Wolters Kluwer Health, Inc. All rights reserved.