Effect of Nurse-Led Review Plus Simulation on Obstetric/Perinatal Nurses’ Self-Assessed Knowledge and Confidence
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- 作者：Martha E. Farrar Highfield martha.highfield@dignityhealth.orgAuthor Vitae ; Carolyn Scharf-SwallerAuthor Vitae ; Lawrence ChuAuthor Vitae
- 关键词：nursing practice ; obstetric emergencies ; simulation-based learning ; skills competence
- 刊名：Nursing for Women's Health
- 出版年：2017
- 出版时间：December 2016-January 2017
- 年：2017
- 卷：20
- 期：6
- 页码：568-581
- 全文大小：7005 K
- 卷排序：20
文摘
Simulation may help both novice and experienced clinicians maintain competence in managing high-risk, low-frequency obstetric and perinatal complications and emergencies. Therefore, we designed a pre-/posttest study to determine whether a day of nurse-led lecture plus low-fidelity simulation would increase registered nurses’ self-assessed knowledge and confidence in managing five high-risk obstetric/perinatal situations. The Nursing Management of OB/Perinatal Complications & Emergencies (NursOB) scale was distributed to 67 labor/birth and postpartum nurses before and after a simulation training day. Preliminary findings supported validity and reliability of the NursOB scale, but nurses’ knowledge and confidence did not improve after the simulation (p < .05). Anecdotally, nurses’ interest in competence reviews was reinvigorated, and we gained practical knowledge in simulation delivery. Future simulations could enhance outcome measures, improve drills, and establish criterion-related validity of the NursOB scale. More research is warranted.