Santhoshkumari M, Sharmil S Hepsibah
PhD Nursing Candidate, Dr. M.G.R. Educational and Research Institute (Deemed to be University), Maduravoyal, Chennai, TamilNadu 600095, India.
Nursing Officer, Indira Gandhi Medical College & Research Institute, Puducherry, India.
J Educ Health Promot. 2022 Jun 30;11:194. doi: 10.4103/jehp.jehp_1392_21. eCollection 2022.
Delay in the diagnosis and management of obstetric complications lead to raised mortality rate. This can be curtailed by appropriate implementation of the educational intervention among the health-care providers. Hence, this review aimed to identify the literature evidence of the efficacy of various educational interventions training in the management of obstetric complications.
We searched PUBMED, Web of Science, SCOPUS, Google Scholar, Cochrane, and maternity care databases with studies published from 2011 to 2021 for identifying studies related to this educational intervention review using MeSH terms and free terms. The search process was also done on the websites of the World Health Organization and the reproductive health library in the English language. From the 1823 abstracts reviewed, 16 studies were included (15 quasi-experimental, 01 randomized clinical trial, and 01 exploratory research design). We identified studies that included skill assessment of nurses, midwives, auxilliary nurse-midwives (ANMs), medical students, interns, and doctors after implementing various educational interventions.
According to the findings of this literature, achieving enhanced nursing management of obstetric complications has been developed. Especially, it suggests through better nursing training and education and also by providing sufficient resources, time, and coordination with obstetric specialists, nurses and midwives will be able to implement their care roles, which include proper diagnosis, appropriate intervention, advanced care, client education, and psychological support. The efficacy of each educational intervention varies and depends on the participants' understanding, interest, and the advancement of the teaching-learning method used.
This systematic review reveals abroad and logical move towards the evaluation of various educational interventions in the field of obstetric complications. Among all the educational interventions implemented, mobile application, and simulation-based training play a major role in improving the knowledge and skills of health-care providers in the management of obstetric complications.
产科并发症诊断和处理的延迟会导致死亡率上升。通过在医疗保健提供者中适当实施教育干预可以减少这种情况。因此，本综述旨在确定各种教育干预培训在产科并发症管理中疗效的文献证据。
我们检索了PUBMED、科学网、SCOPUS、谷歌学术、考克兰图书馆和孕产妇护理数据库，查找2011年至2021年发表的研究，使用医学主题词和自由词来识别与该教育干预综述相关的研究。还在世界卫生组织网站和英语的生殖健康图书馆网站上进行了检索。在审查的1823篇摘要中，纳入了16项研究（15项准实验研究、1项随机临床试验和1项探索性研究设计）。我们确定了在实施各种教育干预后对护士、助产士、辅助护士 - 助产士（ANM）、医学生、实习生和医生进行技能评估的研究。
根据该文献的研究结果，已形成了加强产科并发症护理管理的方法。特别是，这表明通过更好的护理培训和教育，以及提供足够的资源、时间并与产科专家协调，护士和助产士将能够履行其护理职责，包括正确诊断、适当干预、高级护理、患者教育和心理支持。每种教育干预的效果各不相同，取决于参与者的理解、兴趣以及所使用的教学方法的先进性。
本系统综述揭示了在产科并发症领域对各种教育干预进行评估的广泛且合理的举措。在所有实施的教育干预中，移动应用和基于模拟的培训在提高医疗保健提供者在产科并发症管理方面的知识和技能方面发挥了主要作用。
