Effect of a Medium Fidelity Simulation Based Training on Nurses' Knowledge, Performance and Clinical Judgment of Postpartum Hemorrhage Management

Zaky, Nevertity Hassan

doi:10.9790/1959-06020389100

Cited by 4 publications

(5 citation statements)

References 20 publications

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“…Concerning the total knowledge score level among the studied intern nursing students pre, immediately and one month post simulation training program, the present study revealed a significant sustainable improvement in the total knowledge score level immediately and one month post simulation training program compared to preprogram. This finding was matching with Zaky N., (2017) (28) who evaluated "Effect of a medium fidelity simulation based training on nurses' knowledge, performance and clinical judgment of postpartum hemorrhage management", she reported that there was astonishing significant improvement in the acquisition and retention of knowledge among the study group after implementation of simulation training. Additionally, Mccoy T., (2018) (29) , endorsed the use of maternal and newborn high fidelity simulation to improve knowledge of undergraduate nursing students.…”

Section: Discussionsupporting

confidence: 77%

Effect of High Fidelity Simulation on Intern Students' Competency regarding Clinical Guidelines for Active Management of the Third Stage of Labor

Hashem

El-Kholy²,

Abo-Hatab³

2022

Tanta Scientific Nursing Journal

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Background: The third stage of labor is a critical period, thus using high fidelity simulation to enhance intern students' competency through implementing the clinical guidelines for active management of the third stage of labor is essential for preventing its serious complications mainly postpartum hemorrhage. The aim of this study: Was to determine the effect of high fidelity simulation on intern students' competency regarding clinical guidelines for active management of the third stage of labor. Subjects and Method: The study was carried out at Objective Structure Clinical Examination (OSCE) skills laboratory at Faculty of Nursing, Tanta University. A convenient sample consists of 50 intern nursing students who were trained at labor unit, obstetric department, Tanta university hospital and fulfilling the inclusive criteria. Three tools were used to collect the data: Tool (I): A structured interview schedule included three parts: Part (a) Socio demographic characteristics of the intern nursing students, part (b) Intern students' knowledge regarding the third stage of labor, and part (c) Intern students' knowledge regarding clinical guidelines for active management of the third stage of labor. Tool (II): Intern students' practice observational checklist contained seven sequential steps of clinical guidelines for active management of the third stage of labor. Tool (III): Modified Self-Confidence Measurement Scale included 7 items that measured how confident intern nursing students felt about the skills they performed during simulation training program. Conclusion: Based on the findings of the present study, it can be concluded that high fidelity simulation training significantly improved the intern students' knowledge, practice as well as the self-confidence regarding clinical guidelines for active management of the third stage of labor. Therefore, the study recommended that providing pre-service and in-service training programs using high fidelity simulation especially for newly appointed intern nurses is crucial to improve their knowledge and practices as well as the self-confidence.

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Section: Discussionsupporting

confidence: 77%

Effect of High Fidelity Simulation on Intern Students' Competency regarding Clinical Guidelines for Active Management of the Third Stage of Labor

Hashem

El-Kholy²,

Abo-Hatab³

2022

Tanta Scientific Nursing Journal

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“…These findings may be due to that there is lack of implementing educational training program regarding postpartum hemorrhage at the studied setting. These results is in contrast with [22] who Indeed that around two-thirds of both groups had fair and good level of general knowledge before simulation training. This result may be attributed to the fact that the participants attend periodic didactic courses of obstetrics emergency including PPH within previous five years.…”

Section: Discussioncontrasting

confidence: 85%

“…In addition, the result of the current study showed that the majority of nurses hadn't previous simulation training course related PPH this result is in accordance with [21] who reviewed that, only one third of them received in-service training about PPH. On the other hand [22] in the study to investigate the effect of a medium fidelity simulation based training on nurses' knowledge, Performance and Clinical Judgment of Postpartum Hemorrhage Management at Alexandria University. It stated that more than half of studied maternity nurse attend emergency obstetric training regarding PPH.…”

Section: Discussionmentioning

confidence: 99%

Effect of Simulation Based Training on Maternity Nurses’ Performance and Self-confidence Regarding Primary Postpartum Hemorrhage Management

Elhakm¹,

Elbana²

2018

AJNR

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Background: Simulation is one of the most important resources in nursing educational trading that help in improving nurses'performance and self-confidence for decreasing maternal morbidity and mortality from Postpartum haemorrhage (PPH). Aim: this study aimed to evaluate the effect of simulation based training on maternity nurses' performance and self-confidence regarding primary post-partum haemorrhage management. Research Design: A quasi-experimental design was used. Setting: This study was conducted in Clinical Obstetric Skill lab of Faculty of Nursing, Benha University. Sample: A convenient sample of a total 65 maternity nurse who working at Obstetrical and Gynaecological Emergency Department at Benha University Hospital. Tools: Three tools were used for collecting data; 1) A structured interviewing questionnaire; it includes two parts socio demographic data and assessment of maternity nurses' knowledge regarding primary postpartum haemorrhage. 2) Maternity nurses' practice observational checklist. 3) Modified Self-confidence measurement Scale. Results: The result of the present study proved that about two thirds (61.5%) of the studied maternity nurses were aged less than 30 years with mean age of 29.6±7.62years moreover the majority of them (86.2 %) had less than 10 years of experience. It also indicates that the highest percentage (89.2%) of them hadn't previous simulation training program regarding PPH. Additionally studied maternity nurse had poor level of knowledge, unsatisfactory performance and unconfident level of self-confidence mean score regarding management of PPH before simulation training (64.6%, 78.5%, 69.2%) respectively. Yet, after the simulation training the nurses' knowledge, performance and self-confidence were significantly improved Conclusion: Hypotheses of the current study were accepted.Simulation based training had a highly significant effect on improvement nurses'performance (knowledge & practice) and self-confidence regarding primary post-partum haemorrhage management. Recommendation:Simulation based training programs should be provided for all obstetrics health care givers to help nurses to play an active role in obstetric emergencies.

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“…Oxytocin and misoprostol are life-saving uterotonic medications for the treatment of PPH in cases of uterine atony. Other management strategies include: uterine massage, removal of retained tissue, administration of isotonic crystalloid fluids, intrauterine balloon tamponade for refractory bleeding, bimanual and aortic compression, and the use of non-pneumatic antishock garments (these garments are a temporary measure until definitive care is available) (Zaky, 2017). When bleeding persists despite efforts taken to control it, surgical intervention should be undertaken immediately (WHO, 2012).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing nurses' knowledge and skills in the prevention and management of postpartum haemorrhage

Angelina

Kibusi

Mwampagatwa

2019

African Journal of Midwifery and Women's Health

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Background: Postpartum haemorrhage (PPH) is one of the main causes of maternal death. In Tanzania, 25% of maternal deaths are the result of PPH. Gaps in practitioner knowledge in the prevention and management of this issue may lead to severe maternal complications and death. Little has been documented about nurses' knowledge and skills regarding PPH prevention and management. Objective: To determine the factors influencing nurses' knowledge and skill in the prevention and management of PPH in the Dodoma Region, Central Tanzania. Method: A cross-sectional study was conducted involving 172 nurses working in Dodoma, Tanzania. Data on the sociodemographic characteristics of the nurses was collected using a structured questionnaire. Knowledge on PPH was assessed using a validated questionnaire and skills were assessed using an observational checklist. The chi-squared test was used to find associations between sociodemographic characteristics and knowledge and skills. Binary logistic regression (both reduced and full models) was used to identify significant predictors of knowledge and skills. Results: The findings indicated that being ≥40 years old (OR=2.87, P=0.004), being a registered nurse (OR=2.73, P=0.002), having >3 years of professional training (OR=2.38, P=0.01), and having ≥5 years of experience in a maternity unit (OR=3.06, P<0.00) were significant predictors for knowledge in the prevention and management of PPH in a reduced model of binary logistic regression. Being ≥40 years old (OR=11.5, P=0.00), having >3 years of professional training (OR=4.58, P<0.00), and having ≥5 years of experience in a maternity unit (OR=9.14, P<0.00) were significant predictors for skills in the reduced model. After adjusting to control for possible confounders, being a registered nurse was the only significant predictor of nurses' knowledge (AOR=3.35, P=0.001), while having ≥5 years experience in a maternity unit was the only significant predictor of nurses' skills (AOR=3.89, P=0.01). Conclusion: Professional qualification and experience in a maternity unit are significant factors influencing nurses' knowledge and skills, respectively, in the prevention and management of PPH.

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Effect of a Medium Fidelity Simulation Based Training on Nurses' Knowledge, Performance and Clinical Judgment of Postpartum Hemorrhage Management

Cited by 4 publications

References 20 publications

Effect of High Fidelity Simulation on Intern Students' Competency regarding Clinical Guidelines for Active Management of the Third Stage of Labor

Effect of High Fidelity Simulation on Intern Students' Competency regarding Clinical Guidelines for Active Management of the Third Stage of Labor

Effect of Simulation Based Training on Maternity Nurses’ Performance and Self-confidence Regarding Primary Postpartum Hemorrhage Management

Factors influencing nurses' knowledge and skills in the prevention and management of postpartum haemorrhage

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