Connecting Residents and Children with Severe Neurological Impairment Using a Novel Personal History Tool

BACKGROUND: Residents lack confidence caring for children with severe neurological impairment (SNI). The novel personal history tool, SHINE (Self, Happy, Ill, Names, and Extra), was codeveloped by families and residents to strengthen residents' confidence in connecting with children with SNI and their families. OBJECTIVES: To describe SHINE's use among residents and its impact on residents' burnout, meaningful work, and confidence in caring for children with SNI. METHODS: Residents at an academic children's hospital in the United States received small-group teaching on the use of SHINE. Participants completed baseline, one-, and three-month post-intervention surveys, which included resident demographics; self-reported tool use; and resident burnout, meaningful work, and confidence in caring for children with SNI. Data were analyzed descriptively and using Pearson's chi-square tests. RESULTS: value = 0.003). Respondents reporting higher use of the tool experienced larger gains. No significant differences were seen in burnout or meaningful work. CONCLUSION: SHINE may improve resident self-reported confidence in caring for children with SNI.