Zhong Bella, Sarkar Mahbub, Menon Nandakumar, Devi Shylaja, Budanoor Jayaram K, Beerappa Naresh, Malhotra Atul, Kumar Arunaz
Monash University, Melbourne, Australia.
Monash Centre for Scholarship in Health Education (MCSHE), Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
Adv Simul (Lond). 2021 Oct 14;6(1):36. doi: 10.1186/s41077-021-00187-9.
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.
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.
Qualitative descriptive study using pre- and post-workshop qualitative surveys.
Primary healthcare facilities in remote/regional settings in three states of South India.
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.
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.
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.
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.
在难以获得转诊中心服务的偏远地区，医疗保健机构的医护人员极有可能在支持有限的情况下处理紧急情况。在这些地区，尤其是在低收入和中等收入国家，处理分娩紧急情况的产科和新生儿临床培训机会很少。
本研究旨在探讨影响印度南部偏远和地区医护人员处理分娩紧急情况体验的因素，以及参加产科和新生儿紧急情况模拟（ONE-Sim）研讨会对这些因素的感知影响。
采用研讨会前和研讨会后的定性调查进行定性描述性研究。
印度南部三个邦偏远/地区的基层医疗保健机构。
共有125名医护人员参加了研讨会，其中85名参与者完成了本研究中包含的研讨会前和研讨会后的调查。参与者包括医疗和护理人员以及参与分娩护理的其他卫生专业人员。
针对照顾分娩妇女及其新生儿的跨专业团队，在三个不同地点使用模拟设备和沉浸式场景举办了以学习者为中心的ONE-Sim研讨会。对从包含开放式问题的调查中获得的自由文本回复进行了主题分析。
参与者认为他们与患者的关系、其他卫生专业人员提供的支持、认识到自己在知识和经验方面的差距以及资源稀缺是影响他们处理分娩紧急情况体验的因素。研讨会结束后，参与者的学习集中在提高团队和个人表现以及更自信地应对未来的紧急情况。
印度南部偏远和地区各地点的医护人员所面临的挑战通常围绕患者体验、资深卫生专业人员的支持和资源。通过ONE-Sim研讨会引入的技术和人际技能可能有助于在实践中解决其中一些因素。
