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Optimization of competency in obstetrical emergencies: a role for simulation training

Monod, Cécile ; Voekt, Cora ; Gisin, Martina ; Gisin, Stefan ; Hoesli, Irene

In: Archives of Gynecology and Obstetrics, 2014, vol. 289, no. 4, p. 733-738

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    Titre
    • Optimization of competency in obstetrical emergencies: a role for simulation training
    Auteur
    • Monod, Cécile. Department of Obstetrics, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    • Voekt, Cora. Department of Obstetrics, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    • Gisin, Martina. Department of Obstetrics, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    • Gisin, Stefan. Department of Anaesthesiology, University Hospital Basel, Spitalstrasse 21, Basel, Switzerland
    • Hoesli, Irene. Department of Obstetrics, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Archives of Gynecology and Obstetrics, 2014, vol. 289, no. 4, p. 733-738. Springer Berlin Heidelberg
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:325874
    Summary
    Purpose: In obstetrical emergency situations, optimal management requires the immediate coordinated actions of a multi-disciplinary and multi-professional team. This study investigated the influence of simulation training on four specific skills: self-confidence, handling of emergency situation, knowledge of algorithms and team communication. Methods: Clinical algorithms were first presented to the participants. Training for six emergency situations (shoulder dystocia, postpartum haemorrhage, pre-eclampsia, maternal basic life support, neonatal resuscitation and operative vaginal birth) was performed using high- and low-fidelity simulation mannequins. General impression of the simulation training and the four above-mentioned skills were evaluated anonymously through a self-assessment questionnaire with a five-point Likert scale immediately after the training and 3months later. Results: From November 2010 to March 2012, 168 participants, distributed over six one-day courses, took part in the training. 156 participants returned the questionnaire directly after the course (92.9%). The questionnaire return rate after 3months was 36.3%. The participants gave higher Likert scale answers for the questions on the four specific skills after 3months compared to immediately after the course. The improvement was statistically significant (p≤0.05) except for the question regarding team communication. Conclusion: Implementation of simulation training strengthens the professional competency.