Self‐perceived long‐term transfer of learning after postpartum hemorrhage simulation training

Melo, Brena Carvalho Pinto de; Falbo, Ana Rodrigues; Sørensen, Jette Led; Merriënboer, Jeroen J. G. van; Vleuten, Cees van der

doi:10.1002/ijgo.12442

Cited by 11 publications

(8 citation statements)

References 23 publications

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“…The Almost all respondents also believe that the course where the simulator was used reduced their anxiety/stress to deal with a situation like the one presented. A fact that is corroborated in other studies (17,19,36) .…”

Section: Discussionsupporting

confidence: 88%

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Planning, construction and use of handmade simulators to enhance the teaching and learning in Obstetrics*

Knobel

Menezes

Santos

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to describe the development process and present the results of a pilot study on the use of low-cost handmade simulators for teaching and learning Obstetrics. Method: presentation of 3 low-cost simulators designing, based on educational needs identified in real-world training contexts. The developing process is presented in detail and each simulator was tested and re-tested, being submitted to improvements until their final version. The simulators presented are: delivery simulator shorts, Neoprene uterus for postpartum hemorrhage management, and perineal repair simulator. A pilot study was carried out to evaluate the perception of apprentices through a structured questionnaire, using the Kirkpatrick evaluation model. Data were descriptively analyzed. Results: the respondents (31 apprentices) positively evaluated the simulators, perceiving significant gains in theoretical knowledge, ability to solve clinical problems and decreased anxiety to deal with situations similar to those simulated. Conclusion: low-cost, handmade simulators are feasible and effective, resulting in positive learner evaluations. Their availability as open technology allows the dissemination of their use.

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Section: Discussionsupporting

confidence: 88%

“…Eight respondents agreed with this statement. The data presented here may indicates that the more advanced the learner, the greater the fidelity of the simulator needed for them to feel immersed in the simulation (36) .…”

Section: Discussionmentioning

confidence: 83%

Planning, construction and use of handmade simulators to enhance the teaching and learning in Obstetrics*

Knobel

Menezes

Santos

et al. 2020

Rev. Latino-Am. Enfermagem

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“…Our study had several strong points, including its originality and the number of participants trained. We identified only one previous study on emergency obstetric training in Brazil, conducted in 2013, which compared two simulation methods to teach residents how to manage post-partum hemorrhage [30, 31]. To the best of our knowledge, this the first study to present the results of a complete obstetric emergency simulation-training course in Brazil, and it is one of the largest studies on this topic in Latin America [12, 16].…”

Section: Discussionmentioning

confidence: 99%

Obstetric emergency simulation training course: experience of a private-public partnership in Brazil

Siaulys¹,

Cunha²,

Torloni³

et al. 2019

Reprod Health

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Background Lack of skills on how to diagnose and manage obstetric emergencies contribute to substandard institutional care and preventable maternal deaths in Brazil. Simulation-based obstetric emergency team training can reduce adverse maternal outcomes. However, this type of training is expensive and not widely available, especially in low resource settings. We present the experience of a private-public partnership that offered a two-day obstetric emergency simulation-training course to hundreds of Brazilian professionals working in the public sector. We also present participants´ short-term learning outcomes (Kirkpatrick’s level 2) and satisfaction (Kirkpatrick’s level 1). Methods This was a non-experimental before-and-after study. The free 16-h course was held over a 14 months period in a large private hospital’s simulation center using multidisciplinary scenario and model-based training. The training sessions consisted of four (4-h) modules on pre-eclampsia/eclampsia, hemorrhage, sepsis and resuscitation. An anonymous questionnaire collected participants´ satisfaction at the end of each module. Learning outcomes were assessed by comparing differences in participants´ pre- versus immediate post-course test scores. Wilcoxon, Kruskal-Wallis and Friedman tests were used for statistical analyses. P < 0.05 was considered significant. Results 340 professionals (117 doctors, 179 registered nurses-RN and 44 licensed practical nurses-LPN) working in 33 public Brazilian hospitals were trained. There was a significant increase in post-course test scores in all four modules. On average, scores increased 55% in the hypertension and 65–69% in the hemorrhage, sepsis and resuscitation modules ( p = 0.019). Knowledge acquisition of RN and LPN was similar in the hypertension, hemorrhage and sepsis modules and significantly higher than doctors´ ( p < 0.05). On a 0 to 10 scale, mean overall satisfaction ranged from 9.6 (for the hypertension module) to 9.8 (for the resuscitation module). Conclusions This successful experience of a private-public partnership to offer obstetric emergency simulation training required strategic organization and a strong commitment from both sides. This promising private-public partnership model could be replicated in similar settings. The training course obtained high satisfaction scores and significantly improved the knowledge of public-sector health professionals on how to manage the main causes of maternal mortality.

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“…Participants' long-term retention of knowledge and self-efficacy in this study is similar to studies evaluating simulation and team-based training compared with traditional didactic curricula in LMICs and trainee's self-perception of learning. 7,25 In an evaluation of self-perceived transfer of learning and retention of skills, a 2018 study by de Melo et al 25 showed that residents maintained a perception of increased self-efficacy, skills, and knowledge even after 2 years. This self-perception of retention is similar to our study's finding of retained levels of self-efficacy and knowledge 6 months after training.…”

Section: Materials S and Me Thodsmentioning

confidence: 99%

Changing the landscape of obstetric resident education in low‐ and middle‐income countries using simulation‐based training

Meza

Bianco

Herrarte

et al. 2021

Intl J Gynecology & Obste

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Objective To evaluate simulation‐based training (SBT) in low‐ and‐middle‐income countries (LMIC) and the long‐term retention of knowledge and self‐efficacy. Methods We conducted an SBT course on the management of postpartum hemorrhage (PPH), shoulder dystocia (SD), and maternal cardiac arrest (MCA) in three government teaching hospitals in Guatemala. We evaluated changes in knowledge and self‐efficacy using a multiple‐choice questionnaire for 46 obstetrics/gynecology residents. A paired Student's t test was used to analyze changes at 1 week and 6 months after the SBT. Results There was an increase in scores in clinical knowledge of MCA (p < 0. 001, 95% confidence interval [CI] 0.81–1.49) and SD (p < 0.001, 95% CI 0.41–1.02) 1 week after SBT, and a statistically insignificant increase in PPH scores (p = 0.617, 95% CI −0.96 to 0.60). This increase in scores was maintained after 6 months for MCA (p < 0.001, 95% CI 0.69–1.53), SD (p = 0.02 95% CI 0.07–0.85), and PPH (p = 0.04, 95% CI 0.01–1.26). For MCA and SD, the levels of self‐efficacy were increased 1 week following training (p < 0.001, 95% CI 0.83–2.30 and p = 0.008, 95% CI 0.60–3.92, respectively), and at 6 months (p < 0.001, 95% CI 0.79–2.42 and p = 0.006, 95% CI 0.66–3.81, respectively). There was a slight increase in PPH self‐efficacy scores 1 week after SBT (p = 0.73, 95% CI −6.05 to 4.41), maintained after 6 months (p = 0.38, 95% CI −6.85 to 2.85). Conclusion SBT was found to be an effective and feasible method to increase short‐ and long‐term clinical knowledge and self‐efficacy of obstetric emergencies in LMIC.

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Self‐perceived long‐term transfer of learning after postpartum hemorrhage simulation training

Abstract: All residents perceived long-term transfer after simulation training for postpartum hemorrhage. Those who attended the ID format additionally perceived improvements in communication skills and situational awareness, which are fundamental factors in the management of postpartum hemorrhage.

Cited by 11 publications

References 23 publications

Planning, construction and use of handmade simulators to enhance the teaching and learning in Obstetrics*

Planning, construction and use of handmade simulators to enhance the teaching and learning in Obstetrics*

Obstetric emergency simulation training course: experience of a private-public partnership in Brazil

Changing the landscape of obstetric resident education in low‐ and middle‐income countries using simulation‐based training

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