Optimization of competency in obstetrical emergencies: a role for simulation training
| Autor: | Martina Gisin, Irene Hoesli, Cora Voekt, Stefan Gisin, Cécile Monod |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Adult
Attitude of Health Personnel Resuscitation education Manikins Midwifery Maternal-Fetal Medicine Simulation training Pre-Eclampsia Obstetrical emergencies Pregnancy Team communication Surveys and Questionnaires Obstetrics and Gynaecology medicine Humans Shoulder Joint business.industry Postpartum Hemorrhage Obstetrics and Gynecology Extraction Obstetrical General Medicine medicine.disease Dystocia Emergency situations Optimal management Obstetrics Life Support Care Female Clinical Competence Medical emergency Emergencies Clinical competence business Switzerland |
| Zdroj: | Archives of Gynecology and Obstetrics |
| ISSN: | 0932-0067 |
| DOI: | 10.1007/s00404-013-3111-6 |
| Popis: | Purpose In obstetrical emergency situations, optimal management requires the immediate coordinated actions of a multi-disciplinary and multi-professional team. This study investigated the influence of simulation training on four specific skills: self-confidence, handling of emergency situation, knowledge of algorithms and team communication. Methods Clinical algorithms were first presented to the participants. Training for six emergency situations (shoulder dystocia, postpartum haemorrhage, pre-eclampsia, maternal basic life support, neonatal resuscitation and operative vaginal birth) was performed using high- and low-fidelity simulation mannequins. General impression of the simulation training and the four above-mentioned skills were evaluated anonymously through a self-assessment questionnaire with a five-point Likert scale immediately after the training and 3 months later. Results From November 2010 to March 2012, 168 participants, distributed over six one-day courses, took part in the training. 156 participants returned the questionnaire directly after the course (92.9 %). The questionnaire return rate after 3 months was 36.3 %. The participants gave higher Likert scale answers for the questions on the four specific skills after 3 months compared to immediately after the course. The improvement was statistically significant (p ≤ 0.05) except for the question regarding team communication. Conclusion Implementation of simulation training strengthens the professional competency. |
| Databáze: | OpenAIRE |
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