Changes in self-efficacy, collective efficacy and patient outcome following interprofessional simulation training on postpartum haemorrhage

被引:38
作者
Egenberg, Signe [1 ]
Oian, Pal [2 ,3 ]
Eggebo, Torbjorn Moe [1 ,4 ]
Arsenovic, Mirjana Grujic [5 ]
Bru, Lars Edvin [6 ]
机构
[1] Stavanger Univ Hosp, Dept Obstet & Gynaecol, Armauer Hansensv 20, N-4011 Stavanger, Norway
[2] Univ Hosp North Norway, Dept Obstet & Gynaecol, Tromso, Norway
[3] Univ Tromso, Womens Hlth & Perinatol Res Grp, Dept Clin Med, Tromso, Norway
[4] Trondheim Reg & Univ Hosp, Natl Ctr Fetal Med, Trondheim, Norway
[5] Univ Hosp North Norway, Dept Lab Med, Div Immunol & Transfus Med, Tromso, Norway
[6] Univ Stavanger, Dept Hlth Studies, Stavanger, Norway
关键词
midwifery; patient safety; postpartum haemorrhage; self-efficacy; simulation training; teamwork; transfusion; HIGH-FIDELITY SIMULATION; RISK-FACTORS; EMERGENCY; TEAM; MANAGEMENT; FEEDBACK; RESPOND; ABILITY;
D O I
10.1111/jocn.13666
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aims and objectivesTo examine whether interprofessional simulation training on management of postpartum haemorrhage enhances self-efficacy and collective efficacy and reduces the blood transfusion rate after birth. BackgroundPostpartum haemorrhage is a leading cause of maternal morbidity and mortality worldwide, although it is preventable in most cases. Interprofessional simulation training might help improve the competence of health professionals dealing with postpartum haemorrhage, and more information is needed to determine its potential. DesignMultimethod, quasi-experimental, pre-post intervention design. MethodsInterprofessional simulation training on postpartum haemorrhage was implemented for midwives, obstetricians and auxiliary nurses in a university hospital. Training included realistic scenarios and debriefing, and a measurement scale for perceived postpartum haemorrhage-specific self-efficacy, and collective efficacy was developed and implemented. Red blood cell transfusion was used as the dependent variable for improved patient outcome pre-post intervention. ResultsSelf-efficacy and collective efficacy levels were significantly increased after training. The overall red blood cell transfusion rate did not change, but there was a significant reduction in the use of 5 units of blood products related to severe bleeding after birth. ConclusionThe study contributes to new knowledge on how simulation training through mastery and vicarious experiences, verbal persuasion and psychophysiological state might enhance postpartum haemorrhage-specific self-efficacy and collective efficacy levels and thereby predict team performance. The significant reduction in severe postpartum haemorrhage after training, indicated by reduction in 5 units of blood transfusions, corresponds well with the improvement in collective efficacy, and might reflect the emphasis on collective efforts to counteract severe cases of postpartum haemorrhage. Relevance to clinical practiceInterprofessional simulation training in teams may contribute to enhanced prevention and management of postpartum haemorrhage, shown by a significant increase in perceived efficacy levels combined with an indicated reduction of severe postpartum haemorrhage after training.
引用
收藏
页码:3174 / 3187
页数:14
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