The Effect of Simulation-Based Training About Emergencies and Approaches to Delivery Given to Emergency Personel

Yıl 2021, Cilt: 11 Sayı: 1, 96 - 104, 31.03.2021

Zümrüt Yılar Erkek Özgür Alparslan Serap Öztürk Altınayak

https://doi.org/10.33808/clinexphealthsci.770975

Cited By: 2

Öz

Objective: This study was carried out to determine the effect of the medium level simulation-based training about “Emergencies in and Approaches to Delivery” given to the personnel working in emergency health services on the change in their current knowledge about emergency interventions in delivery.

Methods: The study used a quasi-experimental design. It was carried out with 232 personnel working in emergency health services. Data were collected using “Information Form” and “Knowledge Test for Emergencies in Delivery (ED)”. The study included the teaching of the relevant topics to the participants, administration of the knowledge test, the application of the subjects taught using a simulator in the laboratory.

Results: Of the emergency health service personnel participating in the study, 68.5% were found to not have adequate knowledge for emergencies in delivery. As a result of the training given, the mean of the total pretest score obtained from the ED was 37.17±10.36, and the mean of the total posttest score was 70.14±11.33, and the post-training difference was found to be statistically significant.

Conclusion: According to the findings, it can be said that the training given to the emergency health service personnel increased their knowledge about emergencies in and approaches to delivery significantly and that the education was effective.

Anahtar Kelimeler

delivery, emergencies during delivery, emergency health service personnel, midwifery, simulation training, management of delivery emergencies

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Kaynakça

• REFERENCES [1]. T. R. Ministry of Health, General Directorate of AÇSAP. Management guide for Emergency Obstetric Care, Ankara. 2009.
• [2]. Soysal S, Karcıoğlu Ö, Topaçoğlu H. Emergency medical, prehospital care. Cerrahpaşa J Med. 2003;34: 51-57.
• [3]. Ülger H, Deniz T, Saygun M, Çiftçi N, Karakuş A, Kandiş H. Evaluation of the effectiveness of the training given to ambulance personnel. TAF Preventive Medicine Bulletin 2013;12(2): 151-156.
• [4]. Levels & Trends in Child Mortality. UNICEF Report 2019. https://www.unicef.org/media/60561/file/UN-IGME-child-mortality-report-2019.pdf
• [5]. Gabrysch S, Campbell OMR. Still too far to walk: Literature review of the determinants of delivery services use. BMC Pregnancy Childbirth 2009;9 (34):1-18. doi:10.1186/1471-2393-9-34.
• 6]. Artıran İğde FA, Gül R, Yalçın M, Karadenizli D. Maternal deaths and emergency obstetric care, General Medical Journal 2008; 18: 47-53.
• [7]. Paxton A, Maine D, Freedman D. Fry D. Lobis S. The evidence for emergency obstetric care. Internal Journal of Gynecology Obstetric 2005; 88: 181-193. doi: 10.1016/j.ijgo.2004.11.026.
• [8]. Maine D. Rosenfield A. The AMDD program: History, focus and structure. Internal Journal of Gynecology Obstetric 2001; 74: 99-103. Doi: https://doi.org/10.1016/S0020-7292(01)00428-3.
• [9]. T. R. Public Health Agency of Turkey Ministry of Health and Women's Reproductive Health Department, Midwife / Nurse Participant Book for Emergency Obstetric Care. Ankara.2015.
• [10]. Başaran M. Başaran A, Adıgüzel O, Başaran A, Küçükaydın Z.. Developing high performance organizations in obstetric emergency management of Konya province: creating a sustainable model. International Journal of Social Research 2015;8: 835-851.
• [11]. Çalışkan C, Koçak H, Yavuz Ö. Evaluation of the basic module training given to 112 personnel of a province in 2012, Gümüşhane University Journal of Health Sciences 2016;5 (1): 50-63.
• [12]. World Health Organization. Managing complications in pregnancy and childbirth: a guide for midwives and doctors. 2nd ed. ISBN 978-92-4-156549-3. 2017. http://apps.who.int/iris/bitstream/10665/255760/1/97.
• [13]. World Health Organization (WHO). Management of Complications in Pregnancy and Delivery: A Guide for Midwives and Doctors. Reproductive Health and Research Department, Family and Community Health, World Health Organization, Geneva, 1st edit. 2003. https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/Gebelik%20%20ve%20%20Do%C4%9Fu mda%20Komplikasyonlar%C4%B1n%20Y%C3%B6netimi.pdf
• [14]. Berry NS. Kaqchikel midwives, home births, and emergency obstetric referrals in Guatemala: Contextualizing the choice to stay at home. Social Science & Medicin, 2006;62:1958–1969. https://doi.org/10.1016/j.socscimed.2005.09.005
• [15]. WHO. Monitoring Emergency Obstetric Care, World Health Organization, Geneva. 2009
• [16]. T. R. Ministry of Health. Notification on the Application Procedures and Principles of Emergency Services in Inpatient Health Services. Official Gazette, Issue: 27378. Date: October 16, 2009.
• [17]. Taşkın L. Follow-up and care in labor. In: Taşkın L. (Ed). Maternity and Women's Health Nursing. Ankara: Reaksiyon Printing, Academician Medical Bookstore; 2016; pp. 342-536. (Turkish).
• [18]. Hacker N, Gambone J, Hobel C. Hacker&Moore's Essentials of Obstetrics& Gynecology. 6th Edition. Philadephia: Elsevier; 2016; pp.116-285.
• [19]. Hughes C, Anderson G, Patterson D, O'Prey M. Introducing an obstetric emergency training strategy into a simulated environment. British Journal of Midwifery 2014;22(3): 201-207.
• [20]. 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. Journal of Midwifery & Women's Health 2015; 60(6), 735-743.
• [21]. Çam MO, Arabacı L. Qualitative and Quantitative Steps in Preparing an Attitude Scale. Turkish Journal of Research & Development in Nursing 2010;12 (2): 1-9.
• [22]. Aksoy F, Ergün A. The place of the ambulance in emergency health services. National Journal of Trauma 2002; (8):160-163.
• [23]. Calvert KL, Mcgurgan PM, Debenham E, Gratwick FJ, Maouris P. Emergency obstetric simulation training: How do we know where we are going, if we don’t know where we have been?. Australian and New Zealand Journal of Obstetrics and Gynaecology 2013;53:509–516. https://doi.org/10.1111/ajo.12120
• [24]. Eryılmaz M, Çavuş T, Kurtipek A, Doğrucan C, Durusu M, Güleç MA, et al. Ankara Basic Life Support Module within the Scope of the Ministry of Health Emergency Medicine Certification Program: One-Year Outcome and Efficiency Evaluation. Turkey Journal of Medical Sciences 2007;27: 744–752.
• [25]. Kavalcı C, Güzel A, Çevik Y, Durukan P. Edirne basic education module: outcomes and efficiency evaluation of three years. Academic Emergency Medical Journal 2009;8 (3): 29-32.
• [26]. Merien AER, Van de Ven J, Mol BW, Houterman S. Multidisciplinary team training in a simulation setting for acute obstetric emergencies. Obstetrics and Gynecology 2010;115 (5):1021-1025. doi: 10.1097/AOG.0b013e3181d9f4cd.
• [27]. Walker D, Cohen S, Fritz J, Olvela M, Figueroa H, Cowan J, et al. Team training in obstetric and neonatal emergencies using highly realistic simulation in Mexico: impact on process indicators. BMC Pregnancy and Childbirth 2014;14(367):1-11. doi: 10.1186/s12884-014-0367-1.
• [28]. Draycott T, Broad G, Chidley K. The development of an eclampsia box and fire drill. British Journal of Midwifery 2000;8(1): 26–30. doi: https://doi.org/10.12968/bjom.2000.8.1.8195.
• [29]. Dayal AK, Fisher N, Magrane D, Goffman D, Bernstein PS, Katz NT. Simulation training improves medical students’ learning experiences when performing real vaginal deliveries. Simulation in Healthcare 2009;4(3):155-159.
• [30]. 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. International Journal of Research in Medical Sciences 2018;6(5):1554–1558. http://dx.doi.org/10.18203/2320-6012.ijrms20181467.
• [31]. Söğüt Ö, Kamaz A, Kose R, Güven G. Evaluation of the success levels after the 4 basic modules training practitioner course for the assistant health personnel in Kahramanmaraş and the affecting factors. 1st Eurasian Congress on Emergency Medicine 2008; 5-9, S-012, 49 pp, Antalya, Turkey.
• [32]. İldan Çalım S, Öztürk E. Simulation use in midwifery skill training: A Systematic Review, JACSD 2018;12:143-168. doi:10.17367/JACSD.2018.1.3
• [33]. Crofts JF, 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. Obstetrics & Gynecology 2006;108 (6):1477-1485.
• [34]. Tuygar ŞF. Examination of the views of the students of the Paramedic program about their summer internship. Düzce University, Journal of Health Sciences Institute 2016;6(2): 92-100.
• [35]. Göllüce A, Avan H, Karsu F. The paramedic profession through the eyes of the student. Pre-Hospital Journal 2017;2 (1):1-9.