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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.
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.

