Patient-actor perception of care: a comparison of obstetric emergency training using manikins and patient-actors

Abstract

All multiprofessional training improved patient-actor perception of care. Training using a patient-actor may be better at improving perception of safety and communication than training with a computerised manikin simulator.

A simple tool to measure patient perceptions of operative birth

“…5 Other studies have confirmed construct validity of the PPS in simulation. 6,22 Of course, communication, safety and respect are not the only factors associated with maternal satisfaction.…”

What is the impact of multi-professional emergency obstetric and neonatal care training?

“…Ten of the papers were related to the Simulation and Fire-drill Evaluation (SaFE) study and were treated as one intervention [19][20][21][22][23][24][25][26][27][28]. Two articles reporting on the Programa de Rescate Obstétrico y Neonatal: Tratamiento Óptimo y Oportuno (PRONTO) trial were included (the pilot study and some of the first results pertaining to changes after the second training module) [29,30].…”

“…Thirteen studies had been conducted in [19][20][21][22][23][24][25][26][27][28] 6 DH (L2&L3) -HIC 10 RCT 2a,b,c 3b NHS Foundation Trust, Liverpool, UK [44,45] --HIC 1 Before-after 4b,c Victoria, Australia [46] 7 [48] --LMIC 1 Before-after 1 2b −−− −−− Sub-Saharan Africa (7 countries) [49] --LMIC 1 Before-after 1 2b,c −−− −−− Somaliland, Somalia [50] 3 8 LMIC 1 Before-after 1 2b,c 3a 4b Making it Happen, Bangladesh & India [52] 4 DH (Bangl.) [54] 3 DH; 3 FH 40 LMIC 1 Quasi-experimental 3c CRM based National study, US [58] 15 -HIC 1 RCT 4c Beth Israel Deaconness Medical Center, US [59] 1 TTH -HIC 1 Before-after 2a 4b,c Perinatal Safety Initiative, US [60] 1 TH -HIC 1 Before-after 3a 4b,c Rhode Island Hospital, US [61] 1 -HIC 1 Before-after 4b,c Geneva University Hospital, Switzerland [63] 1 TTH -HIC 1 Before-after 1 2a 3a TeamSTEPPS, US [18] 3 CH -HIC 1 RCT 2a 4c OBCTT, Southeast US [62] 1 TTH -HIC 1 Quasi-experimental before-after 1 2a,b,c −−− −−− OTHER CEmONC, Tanzania [17] 1 DH LMIC 1 Before-after 3c Copenhagen University Hospital, Denmark [64] 1 TTH -HIC 1 Before-after 1 2a,b 3a 4b University of Oporto, Portugal [65] 1 TTH -HIC 1 Before-after 1 2b 3a * In progress -abstracts not included [31,32] DH = district hospital L1 = level 1 −−− = studies not going beyond Kirkpatrick level 2 RH = referral hospital L2 = level 2 (secondary/regional) FH = field hospital TH = tertiary hospital/medical centre L3 = level 3 (tertiary) CH = community hospital TTH = tertiary and teaching hospital included in the studies spans the whole spectrum from tertiary teaching hospitals to community-and field hospitals.…”

“…• PRactical Obstetric Multi-Professional Training (PROMPT) [19][20][21][22][23][24][25][26][27][28][33][34][35][43][44][45][46]; There were also reports on three locally developed 'in-house' training programmes offered in Tanzania, Denmark and Portugal respectively [17,64,65]. The basic and comprehensive emergency obstetric and neonatal care (BEmONC and CeMONC) training run in many low income countries is often based on the World Health Organization (WHO) training reference manuals [66,67].…”

Medical simulation for professional development—science and practice

“…Whatever the method, the core aims are to progress training, to improve clinical outcomes and to enhance the patient experience. 1,2 Other benefits might include improved recruitment to our speciality, 3 greater satisfaction with training, better teamworking 4 and professional attitudes to safety. 5 Moreover, as well as being a tool to enhance professional development, medical simulation might prove to be a means of formal assessment of skills for certification and revalidation.…”