Dissertation
Improving Institutional Preparedness to Manage Postpartum Hemorrhage (PPH)
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2025
Abstract
Background: Postpartum hemorrhage (PPH) is a significant cause of maternal morbidity and mortality. Timely, coordinated response from interdisciplinary teams is essential to improve outcomes. Simulation-based training provides a hands-on approach to enhance interdisciplinary teams preparedness.Purpose: This evidence-based project aimed to implement simulation-based training to improve interdisciplinary healthcare teams proficiency in PPH management guided by an Obstetric (OB) hemorrhage checklist.Methods: The project was conducted in OB department and Operating Room (OR) of a Level 1 maternal care municipal hospital. Target population was OB and OR interdisciplinary team members. Three simulations were executed, each incorporating an education session, pre-briefing, scenario execution using the Mama Natalie mannequin and ACOG checklist, and a debriefing phase. Assessment tools included pre- and post-intervention surveys, checklist completion rates, and PETRA scale scores. A two-tailed Wilcoxon signed rank test assessed statistical significance.Findings: Participants (n=20) showed significant improvement in reported knowledge (mean score from 4.3 to 6.05) and skills (4.15 to 6.05), with p < .001 for both. Checklist adherence reached 100% in simulations one and three, and 80% in simulation two. PETRA scale scores demonstrated effective teamwork in simulations one (152) and three (145), with improvement in the second OR simulation (119 to 145) following reinforced education. Participants also reported increased likelihood of using the checklist in clinical practice (mean from 4.4 to 6.7).Discussion: Simulation training and PPH education, especially when guided by cognitive aid, significantly improved both individual competencies and team coordination in managing PPH. Leadership, team familiarity, and repeated exposure contributed to enhanced performance. These findings suggest simulation is a valuable strategy for improving emergency obstetric care. Future exploration should assess retention of knowledge and determine optimal intervals for refresher training.Keywords: postpartum hemorrh
Details
- Title: Subtitle
- Improving Institutional Preparedness to Manage Postpartum Hemorrhage (PPH)
- Creators
- Moline Mvundura - University of Iowa
- Contributors
- Cormac O'Sullivan (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Nurse Anesthesia
- Date degree season
- Spring 2025
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright 2025 Moline Mvundura
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984841037802771
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