Faculty of Medicine, Institute of Midwifery Science, University Hospital Cologne, University of Cologne, Germany; School of Nursing Science, Faculty of Health, Witten/Herdecke University, Witten, Germany.
Faculty of Health, University of Applied Sciences and Arts Bielefeld, Bielefeld, Germany.
Midwifery. 2024 Sep;136:104064. doi: 10.1016/j.midw.2024.104064. Epub 2024 Jun 12.
Emergency obstetric management is essential in midwifery training to prevent fetal and maternal morbidity. Repeating this management in practice is often not possible. Sustainable confidence in these procedures is usually achieved in the first few years of practice.
Simulation training complements hands-on learning and improves practical skills, benefiting both students and patients. Research on obstetric emergency simulation training have demonstrated this, but the use of digital simulation approaches, such as augmented reality (AR), is under-researched.
To investigate whether AR simulation training influences midwifery students' subjective perceptions of knowledge, confidence and practical skills in emergency situations.
A descriptive exploratory study was conducted using a pre-post design. AR scenarios were developed on the topics of 'preparing emergency tocolysis', 'preparing a pregnant woman for caesarean section' and 'resuscitation of newborns'. The AR simulation was conducted in the fourth to fifth semester of the midwifery programme. A questionnaire was developed for students (N = 133) to self-assess their competence in the categories of knowledge, confidence and practical skills.
Students rated their competence significantly better in the post-survey than in the pre-survey (p=<0.05). Simulation has an impact on self-assessment of professional knowledge, confidence and practical skills in emergency situations. It enhances students' procedural knowledge and practical skills in complex contexts, complements subject knowledge and builds confidence.
The results provide initial evidence that AR simulation is an effective learning strategy for emergency management preparedness. Future studies should validate the effect with control cohorts and measure competence through practical examinations.
在助产士培训中，紧急产科管理对于预防胎儿和产妇发病率至关重要。然而，在实践中重复这种管理往往是不可能的。通常，在实践的头几年中才能获得对这些程序的可持续信心。
模拟培训补充了实践学习并提高了实践技能，使学生和患者都受益。关于产科紧急模拟培训的研究已经证明了这一点，但对数字模拟方法（如增强现实（AR））的使用研究还不够充分。
调查 AR 模拟培训是否会影响助产学生在紧急情况下对知识、信心和实践技能的主观感知。
采用描述性探索性研究设计，进行了一项预-后设计研究。在“准备紧急催产”、“为剖腹产做准备的孕妇”和“新生儿复苏”等主题上开发了 AR 场景。AR 模拟在助产计划的第四至第五学期进行。为学生（N=133）开发了一份问卷，让他们在知识、信心和实践技能等类别中自我评估自己的能力。
与预调查相比，学生在后调查中的能力评分显著提高（p<0.05）。模拟对紧急情况下的自我评估专业知识、信心和实践技能有影响。它增强了学生在复杂情况下的程序性知识和实践技能，补充了学科知识并建立了信心。
结果初步证明了 AR 模拟是一种有效的紧急管理准备学习策略。未来的研究应通过对照队列验证效果，并通过实践考试衡量能力。
