Störr Almut, König-Bachmann Martina, Schwarz Christiane
Qualitäts- und Prozessmanagement, FH Gesundheit, Innsbruck, Austria.
FH-Bachelor Studiengang Hebamme, FH Gesundheit, Innsbruck, Austria.
Z Geburtshilfe Neonatol. 2017 Jun;221(3):137-144. doi: 10.1055/s-0043-110055. Epub 2017 Jun 30.
Childbirth is a physiological process. However a normal delivery may suddenly turn into a life-threatening emergency. In this case, maternal and infant health depends largely on appropriate and timely interventions, and effective teamwork of all professionals. In order to meet the complex requirements, different concepts for interdisciplinary simulation training in obstetric emergencies have been developed and evaluated mainly in Scandinavian and English-speaking countries. In this context, both high-fidelity and low-fidelity trainings have been found to be effective. In German-speaking countries, the effectiveness of simulation in obstetric emergency training for multidisciplinary teams has not been evaluated extensively or systematically. The objective of this study was to explore whether or not simulation training is effective in improving obstetric emergency management. Quantitative and qualitative data was derived and evaluated via questionnaire from obstetric pre-training and 4 months post-training. Participants were asked how they perceived their own competence and how confident they felt in emergency situations, how they rated their team's cooperation and communication, whether they felt secure in how to proceed in emergencies, and how important they considered the patient's perspective in such situations to be. 48 questionnaires pre- and post-training were analysed. Nearly all items changed significantly. In open questions, participants were invited to suggest potential for improvement to their work environment; these suggestions were analysed descriptively. Professionals felt that simulation training was effective. They experienced better management of obstetric emergencies post-training.
分娩是一个生理过程。然而，正常分娩可能会突然转变为危及生命的紧急情况。在这种情况下，母婴健康在很大程度上取决于适当及时的干预措施以及所有专业人员的有效团队协作。为了满足这些复杂要求，主要在斯堪的纳维亚和英语国家已经开发并评估了针对产科紧急情况的跨学科模拟培训的不同概念。在这种背景下，高保真和低保真培训都已被证明是有效的。在德语国家，针对多学科团队的产科紧急情况模拟培训的有效性尚未得到广泛或系统的评估。本研究的目的是探讨模拟培训在改善产科紧急情况管理方面是否有效。通过问卷调查从产科培训前和培训后4个月获取并评估定量和定性数据。参与者被问及他们如何看待自己的能力，在紧急情况下他们有多自信，他们如何评价团队的合作与沟通，他们在紧急情况下对如何处理是否感到安心，以及他们认为在这种情况下患者的视角有多重要。对培训前后的48份问卷进行了分析。几乎所有项目都有显著变化。在开放性问题中，参与者被邀请提出对其工作环境的改进潜力；对这些建议进行了描述性分析。专业人员认为模拟培训是有效的。他们在培训后对产科紧急情况有了更好的处理能力。
