Dissertation
Interdisciplinary Obstetric (OB) Hemorrhage Simulation
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2025
Abstract
Background: Obstetric (OB) hemorrhage remains the leading cause of maternal morbidity and mortality in the U.S., particularly affecting rural populations where infrequent exposure can reduce preparedness. Timely, interdisciplinary response is crucial to prevent severe outcomes. Simulation-based education has shown promise in improving team performance and confidence during obstetric emergencies. Purpose: The purpose of the DNP project was to implement and evaluate an interdisciplinary OB hemorrhage simulation to improve teamwork, adherence to evidence-based checklists, and confidence in managing hemorrhagic events among obstetric care staff. Methods: This project was conducted at a regional medical center s birth center in rural Iowa. Each simulation was preceded by a pre-briefing and short educational session. Performance was evaluated using the PETRA scale, the ACOG OB Hemorrhage Checklist, and pre-/post-simulation self-assessments. Findings: Twenty-two staff members, including OB/GYN physicians, nurses, and CRNAs, participated in two simulation sessions. Both simulation teams exceeded the PETRA scale target score of 4.0 (Team 1: 4.21; Team 2: 4.24). One team met the checklist adherence goal of 90%, while the other achieved 82%. All participants showed improved post-simulation scores in knowledge, confidence, teamwork, and future intent to use cognitive aids.Discussion: The simulation improved interdisciplinary teamwork and preparedness for OB hemorrhage management. Although checklist adherence varied, both teams effectively managed the simulate emergencies. Participant feedback highlighted increased confidence and knowledge, supporting the value of high-fidelity simulation. Expanding simulations across multiple institutions and incorporating Stage 4 hemorrhage scenarios may strengthen future projects. Overall, this project support simulation as a low-risk, high-impact strategy to enhance readiness of obstetric emergencies.
Details
- Title: Subtitle
- Interdisciplinary Obstetric (OB) Hemorrhage Simulation
- Creators
- Jordan Officer - 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 Jordan Officer
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984841038202771
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