Mobile obstetric and neonatal simulation based skills training in India

Kumar, Arunaz; Singh, Tarundeep; Bansal, Utkarsh; Singh, Jaivir; Davie, Stacey; Malhotra, Atul

doi:10.1016/j.midw.2019.02.006

Cited by 17 publications

(14 citation statements)

References 40 publications

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“…After encountering a difficult clinical situation or a procedure, learners may feel stressed (Dabson et al 2014) or may even experience psychological harm, unless they have had prior exposure to training in a safe environment (Khadivzadeh and Erfanian 2012) where adequate debrief can be provided to deal with stress. Team training courses in obstetric emergencies, such as MOET, ALSO (Advanced Maternal and Reproductive Education Australia), REOT (Medicine ACoRaR), and PRONTO (Walker et al 2014(Walker et al , 2015, are often restricted to practicing clinicians (Table 1), while a few courses such as PROMPT (Draycott and Crofts 2006;Cass et al 2011) and ONE-SIm (Kumar et al 2019) enable undergraduate medical and midwifery students to participate. There remains a challenge on when and how to incorporate emergency training into medical and midwifery career development.…”

Section: Preparation For Unpredictable Emergenciesmentioning

confidence: 99%

Obstetric and Midwifery Education: Context and Trends

Kumar¹,

Sweet²

2020

Clinical Education for the Health Professions

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Medical and midwifery healthcare professionals have overlapping working profiles and yet have roles exclusive for each team. This chapter presents an overview of the interface of the two professions and highlights the current topical issues trending in this field. The medical and midwifery workforce both share a joint working space and client-base but their roles can be quite different while caring for the same woman. The challenges of pregnancy and birth complications

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Section: Preparation For Unpredictable Emergenciesmentioning

confidence: 99%

Obstetric and Midwifery Education: Context and Trends

Kumar¹,

Sweet²

2020

Clinical Education for the Health Professions

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“…However, these training facilities are not easily accessible to primary-secondary healthcare institutions in low- and middle-income countries. The current study addresses this gap through the Obstetric and Neonatal Emergency Simulation (ONE-Sim) workshops that can be implemented in various birth settings in LMICs [ 26 ], including those in rural areas.…”

Section: Introductionmentioning

confidence: 99%

“…The ONE-Sim workshops use low technology, low-maintenance mobile simulation equipment that can be transferred to distant sites and quickly set up to implement training for multi-professional teams (more details of the workshop in the methods section). Participants are afforded hands-on experiences of managing birth emergencies, both maternal and foetal/neonatal using simulators, with a focus on scenarios relevant to their setting, to improve communication and teamwork skills in addition to technical and problem-solving proficiency [ 26 ]. We previously demonstrated the application of the ONE-Sim workshop in secondary level districts and metropolitan hospitals.…”

Section: Introductionmentioning

confidence: 99%

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Obstetric neonatal emergency simulation workshops in remote and regional South India: a qualitative evaluation

et al. 2021

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Background Healthcare facilities in remote locations with poor access to a referral centre have a high likelihood of health workers needing to manage emergencies with limited support. Obstetric and neonatal clinical training opportunities to manage childbirth emergencies are scant in these locations, especially in low- and middle-income countries. Objectives This study aimed to explore the factors, which influenced healthcare worker experience of attending birth emergencies in remote and regional areas of South India, and the perceived impact of attending the Obstetric and Neonatal Emergency Simulation (ONE-Sim) workshop on these factors. Design Qualitative descriptive study using pre- and post-workshop qualitative surveys. Settings Primary healthcare facilities in remote/regional settings in three states of South India. Participants A total of 125 healthcare workers attended the workshops, with 85 participants completing the pre- and post-workshop surveys included in this study. Participants consisted of medical and nursing staff and other health professionals involved in care at childbirth. Methods ONE-Sim workshops (with a learner-centred approach) were conducted across three different locations for interprofessional teams caring for birthing women and their newborns, using simulation equipment and immersive scenarios. Thematic analysis was employed to the free-text responses obtained from the surveys consisting of open-ended questions. Results Participants identified their relationship with the patient, the support provided by other health professionals, identifying their gaps in knowledge and experience, and the scarcity of resources as factors that influenced their experience of birth emergencies. Following the workshops, participant learning centred on improving team and personal performance and approaching future emergencies with greater confidence. Conclusions Challenges experienced by healthcare workers across sites in remote and regional South India were generally around patient experience, senior health professional support and resources. The technical and interpersonal skills introduced through the ONE-Sim workshop may help to address some of these factors in practice.

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“…Our study is set up in India, where neither SBE nor IPE is common. Recently, we introduced IPE for medical and midwifery staff in obstetric and neonatal emergency training [11]. In the present study, we introduced a program called Women’s’ Health Interprofessional Learning by Simulation (WHIPLS) in the Indian setting.…”

Section: Introductionmentioning

confidence: 99%

Introduction of an undergraduate interprofessional simulation based skills training program in obstetrics and gynaecology in India

et al. 2019

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Interprofessional simulation based education (SBE) improves core clinical skills and team training in obstetrics and gynaecology. In this innovative study, the introduction of an undergraduate interprofessional SBE program for teaching obstetrics and gynaecology skills in India was evaluated. The study attempted to evaluate the feasibility and benefit of the interprofessional skills training workshop in obstetrics and gynaecology, which was introduced for medical and midwifery students in a secondary level hospital in India. The program focuses on improving “hands-on” clinical skills and can be explained by the “skills acquisition theory”. Using a survey, participants rated relevance, pitch and confidence (on a 5-point Likert scale) and described the contextualisation and teaching of core clinical skills through the workshop using free-text. Descriptive analysis of quantitative Likert scale responses and thematic analysis of the free-text data was conducted and themes identified. Ninety-five medical and midwifery students attended the inaugural workshop, in a low-resource setting. The clinical experience in obstetrics and gynaecology across both groups was minimal, neither were they exposed to any prior SBE. Both health professional groups found the workshop useful, relevant and improved their confidence in performing vaginal examination and births. The key theme, which emerged from qualitative analysis, was “getting hands-on” experience. Other themes included learning by simulation without clinical time constraints, retaining the ability to make mistakes, bridging theory to practice, valuing interprofessional experience and ensuring equal learning opportunities for all participating professional groups. The advantages of interprofessional SBE, for medical and midwifery students, are reproducible in a low-resource setting, and may be be helpful for learning intimate clinical examination, obstetric procedures and team training.

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Mobile obstetric and neonatal simulation based skills training in India

Cited by 17 publications

References 40 publications

Obstetric and Midwifery Education: Context and Trends

Obstetric and Midwifery Education: Context and Trends

Obstetric neonatal emergency simulation workshops in remote and regional South India: a qualitative evaluation

Introduction of an undergraduate interprofessional simulation based skills training program in obstetrics and gynaecology in India

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