Revolutionizing Postpartum Care: Efficacy Of High-Fidelity Simulation Training On Maternity Nurses’ Performance And Self- Efficacy Regarding Primary Postpartum Hemorrhage

Abstract

Background: Postpartum Hemorrhage is one of obstetric complications that can result in maternal morbidity and death. High-fidelity simulation is expected to improve women’s care especially high-risk cases where immediate and rapid response is required.

Aim: To evaluate efficacy of high-fidelity simulation training on maternity nurses’ performance and self-efficacy regarding primary postpartum hemorrhage. Design: A quasi-experimental research design had been utilized. 

Setting: The study was carried out at obstetrics and gynecology emergency department of Benha University hospital and simulation lab at Faculty of Nursing, Benha University, Benha city, Egypt. 

Sample: A convenient sample of 83 maternity nurses. 

Tools of data collection: A structured self- administered questionnaire, postpartum hemorrhage management checklist and postpartum hemorrhage self-efficacy scale. 

Results:  Ahigh statistically significant difference among the maternity nurses’ knowledge, practices and self-efficacy concerning management of primary postpartum hemorrhage was observed pre intervention, post intervention and four weeks after implementation of the high-fidelity simulation program (p ≤ 0.001). Also, a significant positive correlation between total self-efficacy and both total knowledge and total performance at all stages pre-intervention, post-intervention, and Follow-up. 

Conclusion: Application of high-fidelity simulation-based training program had improved maternity nurses’ knowledge, practices and self-efficacy regarding management of primary postpartum hemorrhage. 

Recommendations: High fidelity simulation programs should be provided for all obstetrics health care givers to improve their knowledge, practices and self-efficacy.