Highlights
- •Simulation-based training has a positive impact in improving nurse's knowledge and skills on Active management of third stage of labor management.
- •Use of low fidelity simulation mannikins have impact on improving nurses’ knowledge and skills on Active management of third stage of labor.
Abstract
Background
Simulation-based training on obstetric management has demonstrated promising results.
However, its impact has not been well documented particularly in low and middle income
countries. Therefore, this study aimed to test the effectiveness of a low fidelity
simulation-based training intervention in improving knowledge and skills of nurses
on Active management of third stage of labor (AMTSL).
Methods
A quasi experimental study including 172 randomly selected nurses using low fidelity
simulation-based training was conducted. Baseline, immediate and retention assessments
were done.
Findings
Overall knowledge and skills on AMTSL were significantly improved after simulation
training, skills retained even after six months.
Conclusions
A low fidelity simulation intervention showed positive change in knowledge and skills
immediately after intervention and skills were highly retained even after six months
of training.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical Simulation In NursingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Using interprofessional Simulation-based training to improve management of obstetric emergencies: a systematic review.Clinical Simulation in Nursing. 2018; 14: 45-53https://doi.org/10.1016/j.ecns.2017.10.014
Ameh, C. A., Kerr, R., Madaj, B., Mdegela, M., Kana, T., Jones, S., … Broek (2016). Knowledge and skills of healthcare providers in Sub-Saharan africa and asia before and after Competency-Based training in emergency obstetric and early newborn care, 1–14 https://doi.org/10.1371/journal.pone.0167270
- The effectiveness of training in emergency obstetric care: A systematic literature review.Health Policy and Planning. 2019; 34: 257-270https://doi.org/10.1093/heapol/czz028
- Efecto del momento de ingreso sobre el pronóstico de los pacientes en la Unidad de Cuidados Intensivoson-hours vs. off-hours.Dialnet. 2016; 40 (Retrieved from ISSN-e 1578-6749)
Atesok, Kivanc; Satava, Richard M.; Van Heest, Ann; Hogan, MaCalus V.; Pedowitz, Robert A.; Fu, Freddie H.; Sitnikov, Irena (2016). Retention of skills after Simulation-based training in orthopaedic surgery, 24(8), 505–514.
Auriane, L. (2020). A systematic review on the effect of misoprostol in the prevention of postpartum hemorrhage in Sub-Saharan african women of reproductive age.
- Countdown to 2030: tracking progress towards universal coverage for reproductive, maternal, newborn, and child health.The Lancet. 2018; 391: 1538-1548https://doi.org/10.1016/S0140-6736(18)30104-1
- Impact of the helping mothers survive bleeding after birth learning programme on care provider skills and maternal health outcomes in low-income countries — An integrative review.Women and Birth. 2020; https://doi.org/10.1016/j.wombi.2020.09.008
- Too few staff, too many patients: A qualitative study of the impact on obstetric care providers and on quality of care in Malawi.BMC Pregnancy and Childbirth. 2015; 15: 1-10https://doi.org/10.1186/s12884-015-0492-5
- Ultrasound-Guided regional anesthesia simulation training: A systematic review.Regional Anesthesia and Pain Medicine. 2017; 42: 741-750https://doi.org/10.1097/AAP.0000000000000639
- Prospective randomized trial of simulation versus didactic teaching for obstetrical emergencies.Simulation in Healthcare. 2010; 5: 40-45
- No patient should die of PPH just for the lack of training!” Experiences from multi-professional simulation training on postpartum hemorrhage in northern Tanzania: A qualitative study.BMC Medical Education. 2017; 17: 1-12https://doi.org/10.1186/s12909-017-0957-5
- Skilled birth attendants in tanzania: A descriptive study of cadres and emergency obstetric care signal functions performed.Maternal and CHirld Health Journal. 2015; 19: 155-169
- Competency-based training “Helping Mothers Survive: Bleeding after Birth” for providers from central and remote facilities in three countries.International Journal of Gynecology & Obstetrics. 2014; 126: 286-290
- Provider's knowledge and availability of emergency obstetrics and newborn care service in case of gedeo zone, southern ethiopia 2017.Health Science Journal. 2018; : 12https://doi.org/10.21767/1791-809x.1000585
- Current evidence's on basic emergency obstetric and newborn care in primary health care unit of gedeo zone, south ethiopia, 2018.Biomedical Journal of Scientific & Technical Research. 2019; 17: 5-11https://doi.org/10.26717/bjstr.2019.17.003005
- Training in obstetric and neonatal emergencies in Mexico: Effect on knowledge and self-efficacy by gender, age, shift, and profession.BMC Medical Education. 2020; 20: 1-10https://doi.org/10.1186/s12909-020-02005-8
- Can a simulation-based training program impact the use of evidence based routine practices at birth? Results of a hospital-based cluster randomized trial in Mexico.PLoS ONE. 2017; 12: 1-15https://doi.org/10.1371/journal.pone.0172623
- Gregory's Pediatric Anesthesia.With Wiley Desktop Edition, 2012
- Active management of the third stage of labor: A brief overview of key issues.Turk Jinekoloji ve Obstetrik Dernegi Dergisi. 2018; 15: 188-192https://doi.org/10.4274/tjod.39049
- Simulation-based training for nurses: systematic review and meta-analysis.Nurse Education Today. 2017; 54: 6-20
Id, F. A. A., Pembe, A. B., Marrone, G., Baker, U., & Hanson, C. (2020). Predictors of change of health workers ’ knowledge and skills after the Helping Mothers Survive Bleeding after Birth (HMS BAB) in-facility training in Tanzania, 1–16. https://doi.org/10.1371/journal.pone.0232983
- Multimodality imaging in secondary postpartum or postabortion hemorrhage: retained products of conception and related conditions.Japanese Journal of Radiology. 2018; 36: 12-22https://doi.org/10.1007/s11604-017-0687-y
Jeffries, P. R., Rodgers, B., & Adamson, K. (2015). NLN Jeffries Simulation Theory : Brief Narrative Description, 292–293. https://doi.org/10.1515/1548-923X.2398
- Helping mothers survive: bleeding after birth, traing package.Helping Mothers Survive. 2014;
- Implementation of “Helping Babies Breathe”: a 3-year experience in tanzania.Pediatrics. 2017; : 139https://doi.org/10.1542/peds.2016-2132
Kumar, N., Pathak, S. S., Singh, N. K., & Rudra, S. (2016). Effectiveness of simulation technique in teaching-learning process for prevention of postpartum hemorrhage in obstetrics and gynecology, 5(8), 2756–2761.
- Impact of crisis resource management simulation-based training for inter professional and interdisciplinary teams: a systematic review.Journal of Interprofessional Care. 2015; 14: 433-444
- Emergency Obstetric Care : Urban Versus Rural Comparison of Health Workers ’ Knowledge, Attitude and Practice in River State.Nigeria- Implications for Maternal Health Care in Rivers State. 2013; 3: 29-51https://doi.org/10.5923/j.cmd.20130302.03
- Factors affecting effective ventilation during newborn resuscitation : a qualitative study among midwives in rural Tanzania.Global Health Action. 2018; : 11https://doi.org/10.1080/16549716.2018.1423862
- Newborn mortality and fresh stillbirth rates in Tanzania after helping babies breathe training.Pediatrics. 2013; 131: e353-e360
- Mortality and Health Monograhpy.Dar es Salaam. Retrieved from. 2015;
- The United Republic of Tanzania Thematic Report on Fertility and Nuptiality. Development. Vol. 7. Dar es Salaam, 2015
- Helping Mothers Survive Bleeding After Birth: retention of knowledge, skills, and confidence nine months after obstetric simulation-based training.BMC Pregnancy and Childbirth. 2015; 15: 1
Nelissen, E., Ersdal, H., Mduma, E., Evjen-olsen, B., Twisk, J., & Broerse, J. (2017). Clinical performance and patient outcome after simulation-based training in prevention and management of postpartum haemorrhage : an educational intervention study in a low-resource setting, 1–9. https://doi.org/10.1186/s12884-017-1481-7
Nwanodi, O. (2017). Journal of women ’ s simulation in general obstetrics and gynecology, 1–12. https://doi.org/10.4172/2325-9795.1000261
- Essential basic and emergency obstetric and newborn care: From education and training to service delivery and quality of care.International Journal of Gynecology and Obstetrics. 2015; 130: S46-S53https://doi.org/10.1016/j.ijgo.2015.03.007
- The NLN Jeffries Simulation Theory.Wolters Kluwer, 2016
- The halo effect:... and the eight other business delusions that deceive managers.Simon and Schuster, 2014
- More than one way to debrief: A critical review of healthcare simulation debriefing methods.Simulation in Healthcare. 2016; 11: 209-217https://doi.org/10.1097/SIH.0000000000000148
- Tanzania:2015-16 Demographic and Health Survey and Malaria Indicator Survey Key Findings.2015
- Obstetric care providers ’ knowledge, practice and associated factors towards active management of third stage of labor in Sidama Zone.South Ethiopia, 2017: 1-7https://doi.org/10.1186/s12884-017-1480-8
- Scope of practice for nurses and midwives in tanzania. Tanzania Nurses and Midwives Council.2014
- Team training in obstetric and neonatal emergencies using highly realistic simulation in Mexico: impact on process indicators.BMC Pregnancy and Childbirth. 2014; 14: 1
- Optimizing health worker roles to improve access to key maternal and newborn health interventions through task shifting.2012
- Global Health Observatory (GHO): Trends in maternal mortality 1990-2015. UNICEF, UNFPA, World Bank Group and the United Nations Population Division.2015
- WHO recommendations on prevention and treatment of postpartum haemorrhage and the WOMAN rial.2017
- Effect of a medium fidelity simulation based training on nurses ’ knowledge.Performance and Clinical Judgment of Postpartum Hemorrhage Management. 2017; 6: 89-100https://doi.org/10.9790/1959-06020389100
Article info
Publication history
Published online: May 16, 2021
Identification
Copyright
© 2021 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.
