Study protocol training for life
| Autor: | Peter Ntuyo, Annettee Nakimuli, M.B. van der Hout-van der Jagt, S.G. Oei, A.A.C. van Tetering, A van Meurs, B Nolens, I Namagambe, Josaphat Byamugisha, L G M Mulders |
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| Přispěvatelé: | Signal Processing Systems, Eindhoven MedTech Innovation Center, Center for Care & Cure Technology Eindhoven, Biomedical Diagnostics Lab |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Medical education
medicine.medical_specialty Emergency Medical Services media_common.quotation_subject education Reproductive medicine Crew resource management SDG 3 – Goede gezondheid en welzijn Training (civil) lcsh:Gynecology and obstetrics 03 medical and health sciences Study Protocol 0302 clinical medicine SDG 3 - Good Health and Well-being Pregnancy Infant Mortality Simulation training Medicine Humans Uganda 030212 general & internal medicine Cluster randomised controlled trial lcsh:RG1-991 Perinatal Mortality media_common Protocol (science) Patient Care Team Teamwork 030219 obstetrics & reproductive medicine Low- and middle-income countries business.industry Instructional design Mortality rate Infant Newborn Obstetrics and Gynecology Infant medicine.disease Patient outcome Obstetrics Maternal Mortality Gynecology Female Medical emergency Emergencies business |
| Zdroj: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 20, Iss 1, Pp 1-10 (2020) BMC Pregnancy and Childbirth, 20(1):429. BioMed Central |
| ISSN: | 1471-2393 |
| Popis: | Background Globally perinatal and maternal mortality rates remain unacceptably high. There is increasing evidence that simulation-based training in obstetric emergencies is associated with improvement in clinical outcomes. However, the results are not entirely consistent. The need for continued research in a wide variety of clinical settings to establish what works, where and why was recommended. The aim of this study is to investigate the effectiveness of an emergency obstetric simulation-based training program with medical technical and teamwork skills on maternal and perinatal mortality in a low-income country. Methods A stepped wedge cluster randomized trial will be conducted at the medium to high-risk labour ward at Mulago Hospital, Kampala, Uganda, with an annual delivery rate of over 23,000. The training will be performed using a train-the-trainers model in which training is cascaded down from master trainers to local facilitators (gynaecologists) to learners (senior house officers). Local facilitators will be trained during a four-day train-the-trainers course with an annual repetition. The senior house officers will be naturally divided in seven clusters and randomized for the moment of training. The training consists of a one-day, monodisciplinary, simulation-based training followed by repetition training sessions. Scenarios are based on the main local causes of maternal and neonatal mortality and focus on both medical technical and crew resource management skills. Kirkpatrick’s classification will be used to evaluate the training program. Primary outcome will be the composite of maternal and neonatal mortality ratios. Secondary outcome will comprise course perception, evaluation of the instructional design of the training, knowledge, technical skills, team performance, percentage of ventouse deliveries, percentage of caesarean sections, and a Weighted Adverse Outcome Score. Discussion This stepped wedge cluster randomized trial will investigate the effect of a monodisciplinary simulation-based obstetric training in a low-income country, focusing on both medical technical skills and crew resource management skills, on patient outcome at one of the largest labour wards worldwide. We will use a robust study design which will allow us to better understand the training effects, and difficulties in evaluating training programs in low-income countries. Trial registration ISRCTN98617255, retrospectively registered July 23, 2018. |
| Databáze: | OpenAIRE |
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