Table 1 Responses to the survey questions on attitudes to the neurological examination in an unwell neonate

How often do you perform a neurological examination in an unwell neonate?

Scale 0–6, where 0 = never; 3 = about half the time; 6 = all the time

4 (IQR 3–6; range 0–6)

3 (IQR 2–4; range 0–6)

4 (IQR 3–6; range 0–6)

5 (IQR 3–6; range 1–6)

3.5 (IQR 3–5.25; range 2–6)

5 (IQR 3.25–6; range 1–6)

4 (IQR 3–6; range 0–6)

3 (IQR 2–5.75; range 1–6)

How confident do you feel performing a neonatal neurological examination?

Scale 0–6, where 0 = not at all confident; 3 = somewhat confident; 6 = completely confident

4 (IQR 3–5; range 0–6)

3 (IQR 2–4; range 0–5)

4 (IQR 3–5; range 0–6)

5 (IQR 4–5; range 2–6)

3.5 (IQR 2–4; range 1–5)

4 (IQR 4–5; range 1–6)

4 (IQR 3–5; range 0–6)

5 (IQR 4–5; range 3–6)

How confident do you feel interpreting the results of a neonatal neurological examination i.e. establishing whether normal or abnormal; determining anatomical site of any abnormality

4 (IQR 3–5; range 0–6)

2 (IQR 1–3.25; range 0–5)

3 (IQR 3–4; range 0–6)

4.5 (IQR 4–5; range 2–6)

3 (IQR 1.75–4.25; range 0–5)

4 (IQR 3–5; range 0–6)

3 (IQR 3–5; range 0–6)

5 (IQR 4–5; range 2–6)

How confident do you feel using results of neonatal neurological examination to make a management plan

4 (IQR 3–5; range 0–6)

2 (IQR 1–3.25; range 0–6)

4 (IQR 2.75–5; range 1–6)

5 (IQR 4–5; range 2–6)

3 (IQR 2.75–4.25; range 0–5)

4 (IQR 4–5; range 0–6)

4 (IQR 2–5; range 0–6)

5 (IQR 4–5; range 2–6)

How confident do you feel using results of neonatal neurological to form a prognosis

3 (IQR 2–4; range 0–6)

2 (IQR 0.75–3; range 0–5)

3 (IQR 2–4; range 0–5)

4 (IQR 3–5; range 0–6)

2.5 (IQR 1.5–3.25; range 0–5)

4 (IQR 2.5–5; range 0–6)

3 (IQR 2–4; range 0–6)

4 (IQR 3–4; range 2–6)

How often do you find a detailed, good quality neurological examination in the notes of a baby with a condition like encephalopathy or weakness?

Scale 0–6, where 0 = never; 3 = about half the time; 6 = every time

3 (IQR 2–4; range 0–6)

2 (IQR 1–3.25; range 0–6)

3 (IQR 1.75–4; range 0–6)

3 (IQR 2–4; range 1–6)

2 (IQR 1–2.25; range 0–5)

3 (IQR 2–4; range 0–6)

3 (IQR 2–4; range 0–6)

1.5 (IQR 1–2; range 1–4)

How well do you think the trainees in your department perform the neonatal neurological examination in an unwell baby?

Scale 0–6, where 0 = not at all well; 3 = somewhat well; 6 = completely well

3 (IQR 2–3; range 0–6)

2.5 (IQR 2–3; range 0–6)

3 (IQR 2–4; range 0–5)

3 (IQR 2–3; range 0–5)

2.5 (IQR 1–3.25; range 0–4)

3 (IQR 2–4; range 0–5)

3 (IQR 2–3; range 0–6)

3 (IQR 2–3; range 1–5)

How often do you use the classical paediatric neurological examination, adapted for neonates

I have never used it in a neonate

30/168 (17.9%)

6/22 (27.3%)

9/58 (15.5%)

14/83 (16.9%)

1/5 (20%)

6/52 (11.5%)

23/101 (22.8%)

1/15 (6.7%)

I used this in the past, but I do not use it routinely now

20/168 (11.9%)

3/22 (13.6%)

8/58 (13.8%)

9/83 (10.8%)

0/5 (0%)

11/52 (21.2%)

9/101 (8.9%)

0/15 (0%)

I use this in specific cases only

33/168 (19.6%)

5/22 (22.7%)

10/58 (17.2%)

18/83 (21.7)

0/5 (0%)

8/52 (15.4%)

22/101 (21.8%)

3/15 (20.0%)

I use this routinely in most neonates

85/168 (50.6%)

8/22 (36.4%)

31/58 (53.5%)

42/83 (50.6%)

4/5 (80%)

27/52 (51.9%)

47/101 (46.5%)

11/15 (73.3%)

Hammersmith Neonatal Neurological Examination

I have never used it in a neonate

102/168 (60.7%)

18/22 (81.8%)

37/59 (62.7%)

44/82 (53.7%)

3/5 (60.0%)

25/52 (48.1%)

71/100 (71.0%)

6/16 (37.5%)

I used this in the past, but I do not use it routinely now

27/168 (16.1%)

2/22 (9.1%)

7/59 (11.9%)

17/82 (20.7%)

1/5 (20.0%)

8/52 (15.4%)

16/100 (16.0%)

3/16 (18.8%)

I use this in specific cases only

32/168 (19.0%)

2/22 (9.1%)

13/59 (22.0%)

16/82 (19.5%)

1/5 (20.0%)

16/52 (30.7%)

10/100 (10.0%)

6/16 (37.5%)

I use this routinely in most neonates

7/168 (4.2%)

0/22 (0%)

2/59 (3.4%)

5/82 (6.1%)

0/5 (0%)

3/52 (5.8%)

3/100 (3.0%)

1/16 (6.2%)

Adapted (i.e. you add or omit certain bits) Hammersmith Neonatal Neurological Examination

I have never used it in a neonate

101/165 (61.2%)

15/22 (68.2%)

40/59 (67.8%)

43/79 (54.4%)

3/5 (60.0%)

25/52 (48.1%)

71/99 (71.7%)

5/14 (35.7%)

I used this in the past, but I do not use it routinely now

14/165 (8.5%)

1/22 (4.5%)

4/59 (6.8%)

9/79 (11.4%)

0/5 (0%)

3/52 (5.8%)

10/99 (10.1%)

1/14 (7.2%)

I use this in specific cases only

35/165 (21.2%)

5/22 (22.8%)

9/59 (15.3%)

20/79 (25.3%)

1/5 (20.0%)

19/52 (36.5%)

11/99 (11.1%)

5/14 (35.7%)

I use this routinely in most neonates

15/165 (9.1%)

1/22 (4.5%)

6/59 (10.1%)

7/79 (8.9%)

1/5 (20.0%)

5/52 (9.6%)

7/99 (7.1%)

3/14 (21.4%)

Brazelton Neonatal Behavioural Assessment Scale

I have never used it in a neonate

148/163 (90.8%)

22/22 (100%)

54/59 (91.5%)

67/77 (87.0%)

5/5 (100%)

46/52 (88.5%)

89/97 (91.8%)

13/14 (92.9%)

I used this in the past, but I do not use it routinely now

7/163 (4.3%)

0/22 (0%)

1/59 (1.7%)

6/77 (7.8%)

0/5 (0%)

3/52 (5.8%)

4/97 (4.1%)

0/14 (0%)

I use this in specific cases only

6/163 (3.7%0

0/22 (0%)

3/59 (5.1%)

3/77 (3.9%)

0/5 (0%)

2/52 (3.8%)

3/97 (3.1%)

1/14 (7.1%)

I use this routinely in most neonates

2/163 (1.2%)

0/22 (0%)

1/59 (1.7%)

1/77 (1.3%)

0/5 (0%)

1/52 (1.9%)

1/97 (1.0%)

0/14 (0%)

Amiel-Tison Neurologic Assessment

I have never used it in a neonate

140/164 (85.3%)

22/22 (100%)

52/59 (88.1%)

64/78 (82.1%)

2/5 (40.0%)

42/52 (80.8%)

86/97 (88.6%)

12/15 (80.0%)

I used this in the past, but I do not use it routinely now

8/164 (4.9%)

0/22 (0%)

3/59 (5.1%)

5/78 (6.4%)

0/5 (0%)

2/52 (40.0%)

5/97 (5.2%)

1/15 (6.7%)

I use this in specific cases only

10/164 (6.1%)

0/22 (0%)

2/59 (3.4%)

6/78 (7.7%)

2/5 (40.0%)

5/52 (9.6%)

3/97 (3.1%)

2/15 (13.3%)

I use this routinely in most neonates

6/164 (3.7%)

0/22 (0%)

2/59 (3.4%)

3/78 (3.8%)

1/5 (20.0%)

3/52 (5.8%)

3/97 (3.1%)

0/15 (0%)