Does Multidisciplinary Team Simulation-Based Training Improve Obstetric Emergencies Skills?

Encarna Hernández,Antonio Jesús Ramos-Morcillo,Marcos Camacho,María Ruzafa-Martínez,César Leal-Costa,José Luis Díaz-Agea,Eduardo Cazorla

doi:10.3390/healthcare9020170

Abstract

Clinical simulation in obstetrics has turned out to be a tool that can reduce the rate of perinatal morbidity and mortality. The objective of this study was to analyze the impact and evaluate the effects of training with high-fidelity simulation of obstetric emergencies on a multidisciplinary group. The quasi-experimental research study was structured in three phases: a first phase where the most important obstetric emergencies were determined, a second phase of design and development of the selected cases for simulation training, and a third and final phase where the abilities and satisfaction of the multidisciplinary team were analyzed. Three scenarios and their respective evaluation tools of obstetric emergencies were selected for simulation training: postpartum hemorrhage, shoulder dystocia, and breech delivery. The health professionals significantly improved their skills after training, and were highly satisfied with the simulation experience (p < 0.05). An inter-observer agreement between good and excellent reliability was obtained. Regarding conclusions, we can state that high-fidelity obstetric emergency simulation training improved the competencies of the health professionals.

Highlights

Despite the technological advances in the area of maternity, obstetric emergencies are still found in half of the maternal mortality cases in Spain, with the pregnancy, delivery, and post-partum periods being the first cause of hospital admission of women in this country [1].The health professionals involved in the care of the newborn and the mother have the ethical and professional obligation, as well as the right to continuous training with proven efficiency, to be able to provide high-quality and excellent care [2,3]
Given that a multidisciplinary team is involved in the care and attention of the patients during obstetric emergencies, it is necessary to train these professional workers as a group to guarantee excellence in their work [5]
In the PPH simulated case, the results showed that the health professionals obtained a higher mean score in the post-test than in the pre-test in all of the competencies, with these being statistically significant (p < 0.000) (Table 7)

Summary

Introduction

Despite the technological advances in the area of maternity, obstetric emergencies are still found in half of the maternal mortality cases in Spain, with the pregnancy, delivery, and post-partum periods being the first cause of hospital admission of women in this country [1].The health professionals involved in the care of the newborn and the mother have the ethical and professional obligation, as well as the right to continuous training with proven efficiency, to be able to provide high-quality and excellent care [2,3]. Given that a multidisciplinary team is involved in the care and attention of the patients during obstetric emergencies, it is necessary to train these professional workers as a group to guarantee excellence in their work [5]. Two of the ideal characteristics of obstetric emergency simulation is that, first, it must be ethical, and involve treating the woman and her family in these intimate and delicate times in a manner that is safe and adequate. It should provide the health professionals with the possibility of repeating and practicing situations that, not very frequent, are crucial in real life

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Results

Discussion

Conclusion