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Clinical simulation for nurses' knowledge on postpartum hemorrhage: a randomized clinical trial.

Tatiane da Silva Coelho¹, Luciana Mara Monti Fonseca², Maria Vera Lúcia Moreira Leitão Cardoso¹

¹Universidade Federal do Ceará. Fortaleza, Ceará, Brazil.

Revista Brasileira De Enfermagem

|March 19, 2025

Summary

Clinical simulation significantly improved nurses' knowledge of postpartum hemorrhage management. This training method enhanced understanding and preparedness for critical obstetric emergencies.

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Area of Science:

Nursing Education
Clinical Skills Training
Obstetrics and Gynecology

Background:

Effective management of postpartum hemorrhage (PPH) is crucial in obstetric care.
Nurses require up-to-date knowledge and skills for timely PPH intervention.
Traditional training methods may not fully prepare nurses for high-stakes scenarios.

Purpose of the Study:

To evaluate the effectiveness of a clinical simulation scenario.
To enhance nurses' knowledge of postpartum hemorrhage management.
To compare simulation-based training with didactic lectures.

Main Methods:

A randomized clinical trial was conducted with 37 nurses in a tertiary maternity hospital.
Nurses were divided into a control group (didactic lecture) and an intervention group (lecture + clinical simulation).
Knowledge was assessed using pre- and post-test scores, with data analyzed using R software.

Main Results:

The average pre-test score was 65%.
Following the clinical simulation intervention, the average post-test score increased to 90%.
The intervention group demonstrated significant knowledge improvement compared to the control group.

Conclusions:

Clinical simulation is an effective method for enhancing nurses' knowledge of PPH management.
Simulation-based learning improves preparedness for obstetric emergencies.
This approach offers a valuable adjunct to traditional nursing education in obstetrics.