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Dissertation
Postpartum Hemorrhage Simulations for Obstetrical Staffs in Critical Access Hospitals
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Postpartum hemorrhage (PPH) is a major cause of maternal mortality and morbidity all over the world, especially in rural areas where access to expert obstetric treatment is restricted. Simulation-based training has emerged as a useful strategy for improving healthcare providers' readiness and responsiveness to obstetric emergencies. Purpose: The purpose of this study was to determine how postpartum hemorrhage simulations affected the knowledge, teamwork, and communication abilities of perioperative obstetrical staff as well as improve patient outcomes in the context of an obstetric emergencies in critical care hospitals in Iowa. Methods: Perioperative obstetrical staff at rural Iowa hospital completed a comprehensive simulation training focusing on PPH recognition, management, and interdisciplinary teamwork. A retrospective pre-post survey was used to assess participants' knowledge and communication skills. The TEAM assessment evaluated the participants' response to crises and assessed their leadership, teamwork, crisis awareness, and task management. Participants received the PPH checklist to utilize as a guide during the simulation and instructor counted the number of correct steps outlined in the checklist implemented in a crisis. Findings: 92% of perioperative OB staff who participated in the PPH simulation reported increased confidence and knowledge of PPH treatment. The team scored a 3 or higher on each individual team score and an 8 or higher on the overall scores of the team's non-technical performance in the TEAM Overall Assessment due to increased readiness, improved teamwork, and communication skills. The number of correct steps listed in the PPH checklist implemented in a crisis increased from 61 to 100%. Discussion: Participants' knowledge and confidence level of PPH management concepts improved significantly, as did their teamwork and communication abilities with interdisciplinary team members, following simulation training.
Details
- Title: Subtitle
- Postpartum Hemorrhage Simulations for Obstetrical Staffs in Critical Access Hospitals
- Creators
- Jae Eun Jang - University of Iowa
- Contributors
- Heather Bair (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 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Jae Eun Jang
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627257002771
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