Enhancing the competencies of obstetrical nurses and midwives in high-risk pregnancy management through simulation-based training in Lao people's democratic republic: A pilot study.

Autor: Sirisomboon R; Obstetrics and Gynaecological Nursing Division, Department of Nursing Siriraj Hospital, Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand., Nuampa S; Department of Obstetric and Gynaecological Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand. Electronic address: Sasitara.nua@mahidol.edu., Leetheeragul J; Obstetrics and Gynaecological Nursing Division, Department of Nursing Siriraj Hospital, Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand., Sudphet M; Obstetrics and Gynaecological Nursing Division, Department of Nursing Siriraj Hospital, Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand., Pimol K; Obstetrics and Gynaecological Nursing Division, Department of Nursing Siriraj Hospital, Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand., Sirithepmontree S; Department of Obstetric and Gynaecological Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand., Silavong L; Department of Nursing, Mahosot Hospital, Vientiane Prefecture, Laos.
Jazyk: angličtina
Zdroj: Midwifery [Midwifery] 2024 Oct; Vol. 137, pp. 104132. Date of Electronic Publication: 2024 Aug 02.
DOI: 10.1016/j.midw.2024.104132
Abstrakt: Background: Simulation-based training has been widely used as a valuable strategy for learning and evaluating clinical skills at different levels of nursing and midwifery education. The impact of simulation training on intensive management for high-risk pregnancy in a low-resource setting has been limited.
Aim: To examine the effect of simulation-based training with low-fidelity mannequins on obstetrical nurses and midwives' knowledge, attitude, and skills for high-risk pregnancy management in a low-resource setting.
Method: During September 2023, twenty-five obstetrical nurses or midwives who worked in five tertiary public hospitals in Vientiane Prefecture participated in the three-day training workshops for intensive management in high-risk pregnant women and newborns that used a simulation-based training approach integrating problem-based learning. The evaluated criteria of knowledge, attitudes, and skills pre- and post-test scores were statistically compared.
Findings: Workshop trainees demonstrated an increase significantly in knowledge for high-risk pregnancy management (p = 0.012), attitude toward high-risk pregnancy management (p = 0.000), and attitude toward simulation-based training design (p = 0.002). The clinical skills were used on the simulation performance checklist, and the pre-posttest gain in overall performance scores had a statistically significant difference (p = 0.000). The mean score of postpartum hemorrhage management skills was 11.48±2.23, which increased the highest score among all skills.
Conclusions: The simulation-based training in high-risk pregnancy management improves the knowledge, attitude, and skills of nurses and midwives in low-resource settings. Next steps include direct observation of trainees in the clinical setting to assess their competence in ensuring patient safety, achieving positive pregnancy outcomes, and enhancing satisfaction.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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