Provider knowledge and perceptions following an integrated simulation training on emergency obstetric and neonatal care and respectful maternity care: A mixed-methods study in Ghana

Afulani, Patience A.; Dyer, Jessica; Calkins, Kimberly; Aborigo, Raymond; McNally, Brienne; Cohen, Susanna R.

doi:10.1016/j.midw.2020.102667

Cited by 29 publications

(40 citation statements)

References 31 publications

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“…Regarding neonatal care knowledge also increased in understanding the adverse consequence of suctioning a newborn when performed unnecessarily, and which part of the baby to be observed to diagnose severe jaundice in case of a newborn. Similarly, a mixed-method study on integrated simulation training on emergency obstetric and neonatal care and respectful maternity care in Ghana observed that providers' knowledge increased from an average of 61.6% at pre-test to 74.5% at post-test [19].…”

Section: Discussionmentioning

confidence: 98%

“…They acknowledged changes in their expertise and trust in treating obstetric and neonatal crises, as well as coordination and collaboration between patient-provider. In a similar study in Ghana, more than 95% of the participants reported that the training was bene cial for them and that they should use the skills acquired in their real-life [19]. Some of the participants mentioned that the exchange of greetings and respect as well as the provision of continued support to the pregnant women who are in labor should be an essential part of respectful maternity care that they learned from the training.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of SIMESON, A Training Program to Improve Access to Quality Health Care for Pregnant Women and Newborn in Different Health Care Facilities of Northern Bangladesh

Das

Farzana

Sultana

et al. 2020

Preprint

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Background: Access to perinatal health care is improving in Bangladesh, but maternal and neonatal mortality is still a public health concern. SIMESON (simulation for essential skills for obstetrical and neonatal care) training was focused on expanding maternal-newborn health services for safe delivery by improving infrastructure, perinatal knowledge, and skills of health care providers working in health care facilities in northern Bangladesh. Our objective was to explore the current knowledge and skills of health care providers already trained by SIMESON, in reviewing perinatal health situation including the current status of health care facilities, cost estimation and most importantly delivering perinatal health services.Methods: It was an observational study involving 88 health care providers working in 20 health care facilities. Cost estimation following both quantitative and qualitative approaches was also attempted. Result: Knowledge and skills of health care providers regarding the provision of normal delivery and immediate postpartum care, management of postpartum hemorrhage (PPH), and retained placenta; and use of the bag and mask ventilation to help a baby breathe were found to be considerably strengthened following SIMESON training. During the 6 months after training, there were 477 PPH cases managed successfully with only 1 death; neonatal deaths observed were 6.6 per 1000 live births; twice the number of facility deliveries; and 80% use rate of Ambu bag for helping baby breathe. The estimated cost per trainee was 395.68 USD, and 5.85 USD per beneficiary.Conclusion: SIMESON training improved maternal and child health by facilitating the health care professionals’ improved knowledge and skills, enhancing access to health care facilities, and increasing facility delivery. Such a training program should be promoted within health system in hard-to-reach areas of the country that are burdened with other commitments.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Evaluation of SIMESON, A Training Program to Improve Access to Quality Health Care for Pregnant Women and Newborn in Different Health Care Facilities of Northern Bangladesh

Das

Farzana

Sultana

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…About neonatal care, knowledge also increased in understanding the adverse consequence of suctioning a newborn when performed unnecessarily and which part of the baby to be observed to diagnose severe jaundice in case of a newborn. Similarly, a mixed‐method study on integrated simulation training on emergency obstetric and neonatal care and respectful maternity care in Ghana observed that providers' knowledge increased from an average of 61.6% at pre‐test to 74.5% at post‐test (Afulani et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

“…They acknowledged changes in their expertise and trust in treating obstetric and neonatal crises, as well as coordination and collaboration between patient and provider. In a similar study in Ghana, more than 95% of the participants reported that the training was beneficial for them and that they should use the skills acquired in their real life (Afulani et al., 2020). Some of the participants mentioned that the exchange of greetings and respect as well as the provision of continued support to the pregnant women who are in labour should be an essential part of respectful maternity care that they learned from the training.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of SIMESON, a training program to improve access to quality health care for pregnant women and newborn in different healthcare facilities of northern Bangladesh

Das

Farzana

Sultana³

et al. 2021

Nursing Open

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Direct maternal deaths account for the majority of the 300,000 maternal deaths that occur each year around the world, and they are the main cause of death in low-and middle-income countries (Ameh et al., 2018). Access to maternal health care is improving in Bangladesh, and maternal deaths have declined significantly, but the maternal mortality rate is still a public health concern (196 per 100,000 live births in 2016

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“…Team skills are needed in dealing with emergency conditions because of high risk, time pressure and complexity; here, a model is needed that can simulate personal responses during emergencies [33]. Developing an integrated simulation involving related departments can increase knowledge and skills in a complex and stressful environment [34]. Besides personnel's ability and awareness, a simulation can describe the improvement of an emergency response system's resilience if a disaster were to occur [35].…”

Section: Disaster Simulationmentioning

confidence: 99%

Development and Simulation of Cyberdisaster Situation Awareness Models

2022

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Cyberdisasters require an organization’s disaster team to be prepared. Disaster events are difficult to predict, but the impact of this risk on an organization is large. However, organizations sometimes struggle in being prepared for disaster situations. Here, awareness of disaster situations when analysing priority disasters (e.g., earthquakes and pandemics) and how to mitigate them can help an organization’s preparedness. Mitigation scenarios need to be determined and simulated so that a disaster team is ready to face disaster. Using Endsley’s situational awareness model and a tabletop exercise, this study aimed to help a disaster team determine cyberdisaster risk priority and assess a team’s preparedness for dealing with a cyberdisaster. The situation awareness model was divided into two stages: awareness of cyberdisaster situations and tabletop evaluations. Awareness of a disaster situation was carried out by determining the highest priority for disaster risk using the fuzzy failure modes and effects analysis (FMEA) method. The results of the first study show that the high-risk category contains ransomware attacks during pandemics and earthquakes. The second study performed a tabletop simulation questionnaire survey of earthquakes and ransomware attacks during a pandemic for several disaster teams with 152 respondents. The results of the survey evaluation of the earthquakes and ransomware attacks simulation survey show that the effect factors of cyberdisaster simulation decisions are 95% system capability (p < 0.05), 90% knowledge (p < 0.05), and 90% awareness of a disaster situation (p < 0.05); these factors show the effect of a disaster team’s decision during a tabletop simulation. The novelty of this research lies in building a model for how an organizational process determines the priority of a cyberdisaster tabletop simulation and the factors that contribute to increasing a disaster team’s awareness in dealing with cyberattacks.

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Provider knowledge and perceptions following an integrated simulation training on emergency obstetric and neonatal care and respectful maternity care: A mixed-methods study in Ghana

Cited by 29 publications

References 31 publications

Evaluation of SIMESON, A Training Program to Improve Access to Quality Health Care for Pregnant Women and Newborn in Different Health Care Facilities of Northern Bangladesh

Evaluation of SIMESON, A Training Program to Improve Access to Quality Health Care for Pregnant Women and Newborn in Different Health Care Facilities of Northern Bangladesh

Evaluation of SIMESON, a training program to improve access to quality health care for pregnant women and newborn in different healthcare facilities of northern Bangladesh

Development and Simulation of Cyberdisaster Situation Awareness Models

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