The Effect of Simulation-Based Vaginal Birth and Obstetrical Emergency Training for Emergency Health Professionals: A Quasi Experimental Study

Year 2021, , 137 - 148, 20.09.2021

Songül Aktaş , Ruveyde Aydın , Mehmet Armağan Osmanağaoğlu , Elif Burma Büşra Biryeşil , Özlem Ece Turhan Aran , Abdulkadir Gündüz

https://doi.org/10.30621/jbachs.949842

Cited By: 2

Abstract

Aim: The aim of the study is to determine the effect of simulation-based vaginal birth and obstetric emergencies training given to health professionals (physicians and nurses) working in emergency department on their knowledge level, active learning, team collaboration, and satisfaction with learning.
Material and Method: This study is a semi-experimental study consisting of pre-test and post-test. The sample of the study consists of health professionals working in the emergency department. It was carried out in the obstetric unit of Medical Simulation Center in a university hospital. Health professional were given training 8 hours on vaginal birth and obstetric emergencies with simulation-based technique with high fidelity simulator with a guided scenario by trainers. The data were collected using 5 forms as follow: Descriptive Form, Survey Questionnaire, Student Satisfaction and Self-Confidence in Simulation Learning Scale, Simulation Design Scale and Educational Practices Questionnaire. Percentage, minimum-maksimun value, average score, and Mc Nemar test were used in the analysis of the data.
Results: Compared to pre-training, the post-training percentage of health professionals' correct answers to the questions about “vaginal birth” and “shoulder dystocia”, one of the obstetric emergencies, increased (p <0.05). Post-training percentage of correct answers to the question about what should be done when prolapse develops, one of the questions about the umbilical cord, also increased (p <0.05). After simulation-based training of health professionals, the mean scores of accessing information and objectives, active learning, team collaboration and satisfaction in learning was found to be close to the maximum score (4.53 ± 0.39, 4.84 ± 0.76, 4.64 ± 0.41 respectively).
Conclusion: Simulation-based training for vaginal birth and obstetric emergencies increases knowledge about vaginal birth and obstetric emergencies. This training may contribute to their high average score for active learning, team collaboration, and satisfaction.
KEYWORDS: Emergency unit, health professionals, obstetric emergencies, high fidelity simulator, simulation training, vaginal birth

Keywords

Health professionals, simülation, obstetric, birth, emergency, high fidelity simulator, emergency clinic

Thanks

We would like to thank all the health professionals who participated to our research, and all team members of simülation center.

References

• 1. Karadaş MM, Terzioğlu F. Simulation education in obstetric emergencies and ınterdisciplinary approach. Gümüşhane University Journal of Health Sciences 2019; 8 (2): 62 -71.
• 2. Strother C, Okuda Y, Wong N, McLaughlin S (Eds). Comprehensive Healthcare Simulation: Emergency Medicine Springer, Cham. https://doi.org/10.1007/978-3-030-57367-6 Available 06.06.2021.
• 3. Zhang C, Miller C, Volkman K, Meza J, Jones, K. Evaluation of the team performance observation tool with targeted behavioral markers in simulation-based interprofessional education. J Interprof Care 2015; 29: 202-208.
• 4. The Ministry of Health of Turkey Health Statistics Yearbook 2019 Publication No : 1186 Avaliable: 1.06.2021 https://ohsad.org/wp-content/uploads/2021/04/health-statistics-yearbook-2019_eng.pdf
• 5. Fransen AF, Banga FR, van de Ven J, Mol BWJ, Oei SG. Multi‐professional simulation‐based team training in obstetric emergencies for improving patient outcomes and trainees' performance. Cochrane Database of Systematic Reviews 2015; 2.
• 6. Erkek ZY, Altınayak SÖ. The effect of simulation teaching technique on the ımprovement of episiotomy performance skills and state anxiety of midwifery students in Turkey: RCT. Clinical Simulation in Nursing, 54, 62-69.
• 7. Morey JC, Simon R, Jay GD, Wears RL, Salisbury M, Dukes KA, Berns SD. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res 2002; 37: 1553-1581.
• 8. Guise JM, Segel S. Teamwork in obstetric critical care. Best Pract Res Cl Ob 2008; 22:937-951.
• 9. Bush K. Obstetrical patients in the emergency care setting. Int Emerg Nurs 2018; 44:71-73.
• 10. Shaw‐Battista J, Belew C, Anderson D, van Schaik S. Successes and challenges of ınterprofessional physiologic birth and obstetric emergency simulations in a nurse‐midwifery education program. J Midwifery Women's Health 2015; 60: 735-743.
• 11. Everett EN, Forstein DA, Bliss S, Buery-Joyner SD, Craig LB, Graziano S.C, ... & Pradhan, A. To the Point: The expanding role of simulation in obstetrics and gynecology medical student education. Am J Obstet Gynecol 2019; 220:129-141.
• 12. Merién AER, Van de Ven J, Mol BW, Houterman S, Oei SG. Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. Obstet Gynecol Sci 2010; 115:1021-1031.
• 13. Crofts J. F, Bartlett C, Ellis D, Hunt LP, Fox R, Draycott TJ. Training for shoulder dystocia: a trial of simulation using low-fidelity and high-fidelity mannequins. Obstet Gynecol Sci 2006; 108:1477-1485.
• 14. Dayal AK, Fisher N, Magrane D, Goffman D, Bernstein PS, Katz NT. Simulation training improves medical students’ learning experiences when performing real vaginal deliveries. Sımul Healthc 2009; 4:155-159.
• 15. Hughes C, Anderson G, Patterson D, O'Prey M. Introducing an obstetric emergency training strategy into a simulated environment. Br J Midwifery 2014; 22: 201-207.
• 16. DeStephano CC, Chou B, Patel S, Slattery R, Hueppchen N. (2015). A randomized controlled trial of birth simulation for medical students. Am J Obstet Gynecol 2015; 213: 91-e1.
• 17. Ishaku Mohammed S, Ahonsi B, Oginni AB, Tukur J, Adoyi G. Obstetric knowledge of nurse-educators in Nigeria: Levels, regional differentials and their implications for maternal health delivery. Health Education Journal 2016; 75(2): 198-207.
• 18. The Agency for Healthcare Resarch and Quality (AHRQ) https://www.ahrq.gov/programs/index.html Available: 06.06.2021.
• 19. Jeffries PR, Jeffries PR. Simulation in nursing education: From conceptualization to evaluation. National League for Nursing 2012.https://www.amazon.com/Simulation-Nursing-Education-Conceptualization-Evaluation/dp/1934758159 Available: 11.05.2021.
• 20. Jeffries PR, Rizzolo MA. Designing and implementing models for the innovative use of using simulation to teach nursing care of Ill adults and children: A national, multi-site, multi-method study. New York, NY: National League for Nursing, 2016.
• 21. Unver V, Basak T, Watts P, Gaioso V, Moss J, Tastan S, Tosun N. (2017). The reliability and validity of three questionnaires: the student satisfaction and self-confidence in learning scale, simulation design scale, and educational practices questionnaire. Contemp Nurse 2017; 53:60-74.
• 22. WHO (2018). Recommendations Non-Clinical İnterventions to Reduce Unnecessary Caesarean Sections. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/275377/9789241550338. Available: 13.05.2021
• 23. DeStephano CC, Chou B, Patel S, Slattery R, Hueppchen N. (2015). A randomized controlled trial of birth simulation for medical students. Am J Obstet Gynecol 2015; 213: 91-e1.
• 24. Arias T, Tran A, Breaud J, Fournier JP, Bongain A, Delotte J. A prospective study into the benefits of simulation training in teaching obstetric vaginal examination. Int J Gynecol Obstet 2016; 133: 380-384.
• 25. Prasad D, Nishat H, Tiwary B, Nisha S, Sinha A, Goel N. Review of obstetrical emergencies and fetal out come in a tertiary care centre. Int J Res Med Sci 2018; 6:1554–1558.
• 26. Walker D, Cohen S, Fritz J, Olvera M, Lamadrid-Figueroa H, Cowan J. G, Fahey J O, et al. Team training in obstetric and neonatal emergencies using highly realistic simulation in Mexico: Impact on process indicators. BMC Pregnancy Chıldb 2014; 14:367.
• 27. Crofts JF, Ellis D, Draycott TJ, Winter C, Hunt LP, Akande VA. Change in knowledge of midwives and obstetricians following obstetric emergency training: a randomised controlled trial of local hospital, simulation centre and teamwork training. Int J Gynecol Obstet 2007; 114:1534-1541.
• 28. Gray B, Cavner J. Using simulation to enhance education in an obstetrical nursing course. Nurs Educat Perspec 2017; 38:40-41.
• 29. Mert Karadas M, Terzioglu F. (2019). The impact of the using high-fidelity simulation and standardized patients to management of postpartum hemorrhage in undergraduate nursing students: A randomized controlled study in Turkey. Health Care for Women Int 2019;40:597-612.
• 30. Birch L, Jones N, Doyle PM, Green P, McLaughlin A, Champney C, Taylor K, et al. Obstetric skills drills: evaluation of teaching methods. Nurse Educ Today 2007; 27:915-922.
• 31. WHO (2012). Recommendations for the Prevention and Treatment of Postpartum Haemorrhage. Retrieved from: http://apps.who.int/iris/bitstream/10665/75411/1/9789241 548502_eng.p. Available 12.02.2021.
• 32. Erkek ZY, Alparslan Ö, Altınayak, SÖ. The effect of simulation-based training about emergencies and approaches to delivery given to emergency personel. Clinical and Experimental Health Sciences 2021; 11(1): 96-104.
• 33. Onturk ZK, Ugur E, Kocatepe V, Ates E, Ocaktan N, Unver V, Karabacak U. Use of simulation from high fidelity to low fidelity in teaching of safe-medication practices. JPMA 2019; 69:195-200.
• 34. Terzioğlu F, Yücel Ç, Koç G, Şimşek Ş, Yaşar BN, Şahan FU, Mert M, et al. A new strategy in nursing education: From hybrid simulation toclinical practice. Nurs Educ Today 2016;39:104-108.
• 35. Fransen AF, van de Ven J, Schuit E, van Tetering AA, Mol B, Oei SG. Simulation‐based team training for multi‐professional obstetric care teams to improve patient outcome: a multicentre, cluster randomised controlled trial. BJOG: Int J Gynecol Obstet 2017; 124: 641-650.