The implementation and evaluation of a mandatory multi-professional obstetric skills training program
Jette Led Sørensen1, Ellen Løkkegaard, Marianne Johansen
1Obstetric Department, The Juliane Marie Center for Children, Women and Reproduction, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. jette.led.soerensen@rh.regionh.dk
Acta Obstetricia Et Gynecologica Scandinavica
|August 19, 2009
Summary
Simulation-based training in obstetrics significantly improved healthcare professionals' confidence and reduced stress in managing emergencies like postpartum bleeding and neonatal resuscitation. The program positively impacted individual skills and led to organizational changes, including reduced sick leave.
Area of Science:
- Medical Education
- Obstetrics and Gynecology
- Patient Safety
Background:
- Simulation-based training is increasingly recognized for its value in healthcare education.
- Effective management of obstetric emergencies requires continuous skill refinement and confidence building.
Purpose of the Study:
- To implement and evaluate a mandatory simulation-based training program for obstetric emergencies.
- To assess the impact of this training on healthcare professionals' confidence, stress levels, and work routines.
Main Methods:
- An intervention study conducted in an obstetric department involving doctors, midwives, and auxiliary nurses.
- Data collected on confidence, stress, and knowledge (neonatal resuscitation) pre-training, post-training, and at follow-up.
- Inclusion of registry data and participant feedback on work-routine changes.
Main Results:
- High participant satisfaction (92%) and positive attitudes towards the training.
- Significant improvements in confidence and reductions in perceived stress for managing shoulder dystocia, preeclampsia, and neonatal resuscitation.
- Positive influence on work routines reported by over 90% of participants, leading to implemented organizational changes.
Conclusions:
- Mandatory simulation-based training in obstetrics yields significant positive outcomes at both individual and organizational levels.
- The program enhances clinical skills, boosts professional confidence, and contributes to improved departmental functioning and potentially reduced staff absenteeism.
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