Impact of an Obstetrical Emergency Simulation Learning Module on Midwifery Students' Competency: A Non-randomized...

Area of Science:

• Medical Education
• Obstetrics and Gynecology
• Simulation-Based Learning

Background:

• Obstetrical emergencies require advanced clinical skills, yet teaching during these critical events is often minimal.
• A gap exists in effectively training undergraduate midwifery students for high-stakes obstetric emergencies.
• Simulation learning offers a controlled environment to practice complex medical scenarios.

Purpose of the Study:

• To develop and evaluate a simulation learning module for managing selected obstetrical emergencies.
• To assess the impact of a hybrid simulation on the competency of undergraduate midwifery students.
• To measure improvements in knowledge and clinical skills related to obstetric emergency management.

Main Methods:

• A non-randomized time series interventional study involving 188 midwifery students (90 control, 98 intervention).
• The intervention group received a hybrid simulation training module.
• Competency was assessed using a structured questionnaire and Objective Structured Clinical Examination (OSCE).

Main Results:

• 98% of the control group showed inadequate competency pre- and post-intervention.
• 100% of the intervention group achieved adequate or moderately adequate competency post-simulation.
• Statistically significant improvements in knowledge (eta squared=0.70) and skills (eta squared=0.99) were observed in the intervention group, with large effect sizes (Cohen's d > 0.68).

Conclusions:

• Hybrid simulation is an effective method for improving and maintaining competence in managing obstetric emergencies.
• Incorporating simulation into midwifery curricula enhances clinical learning, communication, confidence, and student satisfaction.
• Simulation-based training is crucial for preparing healthcare providers for critical obstetric scenarios.