Background: The third stage of labor is a critical period, thus using high fidelity simulation to enhance intern students' competency through implementing the clinical guidelines for active management of the third stage of labor is essential for preventing its serious complications mainly postpartum hemorrhage. The aim of this study: Was to determine the effect of high fidelity simulation on intern students' competency regarding clinical guidelines for active management of the third stage of labor. Subjects and Method: The study was carried out at Objective Structure Clinical Examination (OSCE) skills laboratory at Faculty of Nursing, Tanta University. A convenient sample consists of 50 intern nursing students who were trained at labor unit, obstetric department, Tanta university hospital and fulfilling the inclusive criteria. Three tools were used to collect the data: Tool (I): A structured interview schedule included three parts: Part (a) Socio demographic characteristics of the intern nursing students, part (b) Intern students' knowledge regarding the third stage of labor, and part (c) Intern students' knowledge regarding clinical guidelines for active management of the third stage of labor. Tool (II): Intern students' practice observational checklist contained seven sequential steps of clinical guidelines for active management of the third stage of labor. Tool (III): Modified Self-Confidence Measurement Scale included 7 items that measured how confident intern nursing students felt about the skills they performed during simulation training program. Conclusion: Based on the findings of the present study, it can be concluded that high fidelity simulation training significantly improved the intern students' knowledge, practice as well as the self-confidence regarding clinical guidelines for active management of the third stage of labor. Therefore, the study recommended that providing pre-service and in-service training programs using high fidelity simulation especially for newly appointed intern nurses is crucial to improve their knowledge and practices as well as the self-confidence.
Background: As the pandemic of COVID-19 is still present up to now, major concerns are being raised up about its effects on pregnancy and the potential risks of vertical transmission from the pregnant women to their fetuses. Aim: the present study aim to assess pregnant women's concerns about Coronavirus disease 2019 (COVID-19) and its relationship to their preventive behaviors.
Subjects and methods: design: A descriptive cross-sectional research design was used in this study. Setting: The study was conducted at obstetric and gynecological outpatient clinics at Tanta University hospital. Sampling: A convenient sample of 284 pregnant women. Tools of data collection: Three tools were used for data collection. Tool I consisted of three parts, part I: Socio-demographic characteristics, Part II: Obstetric history, Part III: Women's Knowledge about Corona Virus, Tool II: Pregnant Women's Concerns about Corona Virus and Tool III: Pregnant Women's Preventive Behaviors regarding Corona Virus. Results: the results of the present study revealed that (55.3%) had high knowledge level, (70.4%) had high concerns about COVID-19 pandemic respectively, and (52.8 %) of studied pregnant women's had satisfactory preventive behaviors against covid-19 virus.
Conclusion:Based on the findings of the present study, it can be concluded that pregnant women's level of knowledge and concerns significantly correlated to their compliance with recommended preventive behaviors regarding COVID-19. Recommendation: The current study suggested that maternity nurses should pay more attention and reach to the lower-educated younger pregnant women especially in rural areas being a group with the least engagement in health preventive behaviors.
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