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The Effectiveness of Simulation-Based Team Training in Obstetrics Emergencies for Improving Technical Skills: A
Cigdem Yucel1, Glenda Hawley, Fusun Terzioglu
1From the Department of Obstetrics and Gynecology Nursing (C.Y.), Hacettepe University, Faculty of Nursing, Ankara, Turkey; The University of Queensland (G.H.), Faculty of Health and Behavioural Sciences, School of Nursing, Midwifery and Social Work, Brisbane, Queensland, Australia; Department of Nursing (F.T.), Atilim University, Faculty of Health Sciences, Ankara, Turkey; University of the Sunshine Coast (F.B.), Sunshine Coast; and The University of Queensland (F.B.), Brisbane, Queensland, Australia.
Statement:
This review explores the effectiveness of simulation-based team training in obstetric emergencies for improving technical skills. A literature search was conducted that included all articles to January 2018. A total of 21 articles were included from a potential 1327 articles. Each included study was assessed for impact of the training program using Kirkpatrick's 4-level model. Only the performance of technical skills was evaluated.Five studies reported on acceptance of simulation as an education tool at a level 1. Level 2 outcomes were reported in 7 studies where staff demonstrated improved skills in an educational setting. Three studies reported improved performance in a clinical setting at a level 3. Ten studies were categorized as level 4 and found that simulation learning was translated into improved techniques or maneuvers in reduced time frames in emergency situations of shoulder dystocia and postpartum hemorrhage. There was evidence that neonatal outcomes were improved.
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