Abstract
PurposeEmergency training using simulation is a method to increase patient safety in the delivery room. The effect of individual training concepts is critically discussed and requires evaluation. A possible influence factor of success can be the perceived reality of the participants. The objective of this study was to investigate whether the presence in a simulated emergency caesarean section improves subjective effect of the training and evaluation.MethodsIn this observation study, professionals took part in simulated emergency caesarean sections to improve workflow and non-technical skills. Presence was measured by means of a validated questionnaire, effects and evaluation by means of a newly created questionnaire directly after the training. Primary outcome was a correlation between presence and assumed effect of training and evaluation.Results106 participants (70% of course participants) answered the questionnaires. Reliability of the presence scale was good (Cronbach’s alpha 0.72). The presence correlated significantly with all evaluated items of non-technical skills and evaluation of the course. The factor “mutual support” showed a high effect size (0.639), the overall evaluation of the course (0.395) and the willingness to participate again (0.350) a medium effect. There were no differences between the professional groups.ConclusionThe presence correlates with the assumed training objectives and evaluation of the course. If training is not successful, it is one factor that needs to be improved.
Highlights
Reducing maternal and neonatal mortality is a global effort for years [1, 2]
We used the “Presence Scale for Lab-based Microworld Research” (PLBMR), which is available in a German language validated form [11] and adapted to the health care context [12]
The aim of the study was to assess the impact of presence on the subjective training value to the participant in an emergency caesarean section training
Summary
Reducing maternal and neonatal mortality is a global effort for years [1, 2]. the concept of “maternal near miss morbidity” is being pursued, which includes the period around birth in the observation period [3]. Team composition, training location, didactics and content vary between the studies and complicate the comparability. We focused on the relevance of perceived reality of the participant. We used the “Presence Scale for Lab-based Microworld Research” (PLBMR), which is available in a German language validated form [11] and adapted to the health care context [12]. You will read a series of statements that each describe their perception of the simulation world. Indicate to what extend the statement applies. Three examples were given with big approval and big dislike. Ich habe mich als Teil der Simulationswelt gefühlt. Die Simulationswelt hat bei mir Emotionen (z.B. Ärger, Traurigkeit, Zufriedenheit) ausgelöst
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