Kamala Benjamin A, Moshiro Robert, Kalabamu Florence S, Kjetil Torgeirsen, Guga Godfrey, Githiri Beatrice, Samson Justine, Chavala Philimon, Qorro Grace, Kayera Damas, Kamala Ivony, Massay Catherine, Mdoe Paschal, Daudi Vickfarajaeli, Mduma Esto, Mwashemele Shally, Bundala Felix, Ersdal Hege, Lafontan Sara Rivenes
Department of Research, Haydom Lutheran Hospital, Manyara, Tanzania.
Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania.
SAGE Open Nurs. 2025 Jan 3;11:23779608241309447. doi: 10.1177/23779608241309447. eCollection 2025 Jan-Dec.
Enhancing the proficiency of healthcare workers (HCWs) in handling birth-related complications is crucial for reducing maternal and newborn morbidity and mortality. To achieve this, the Safer Births Bundle of Care offers a comprehensive set of innovative, simulation-based training interventions designed to strengthen the skills and competencies of HCWs working as skilled birth attendants.
To describe the use of low-dose, high-frequency simulation-based training, and the experiences of this usage among HCWs and stakeholders at facilities in Tanzania.
This mixed-methods study included quantitative and qualitative data collected between July 2021 and July 2022 across 30 health facilities in five regions of Tanzania. NeoNatalie Live (NNL) simulators were installed for independent skills and scenario training, and facilitator-led team simulations were introduced. The training frequency was analyzed using descriptive and analytical statistics, and mentorship and supervision reports were analyzed using qualitative content analysis.
A large and sustained number of NNL skill-training sessions ( = 35,101) and facilitator-led team simulations ( = 266) were conducted during the first year. Clinical burden per HCW did not affect the frequency of NNL skills training at the health facility level ( = -0.16, = .40) nor facilitator-led team simulations. There was a positive but weak correlation between the frequency of facilitator-led team simulations and NNL skills training ( = 0.34, = .05). Qualitative data showed a high degree of motivation and participation among all stakeholders, and active use of hospital data, both clinical indicators and training data, was perceived as a success factor.
Facilitator-led simulation training was more likely to occur where individual skills-training sessions were recorded. Training sessions took place regardless of the increased workload.
提高医护人员处理分娩相关并发症的能力对于降低孕产妇和新生儿发病率及死亡率至关重要。为实现这一目标，“安全分娩综合护理包”提供了一套全面的、基于模拟的创新性培训干预措施，旨在增强担任熟练接生员的医护人员的技能和能力。
描述低剂量、高频次基于模拟的培训的使用情况，以及坦桑尼亚各机构的医护人员和利益相关者在使用这种培训方面的经验。
这项混合方法研究包括2021年7月至2022年7月期间在坦桑尼亚五个地区的30家医疗机构收集的定量和定性数据。安装了NeoNatalie Live（NNL）模拟器用于独立技能和情景培训，并引入了由培训师主导的团队模拟。使用描述性和分析性统计分析培训频率，使用定性内容分析对指导和监督报告进行分析。
在第一年进行了大量且持续的NNL技能培训课程（n = 35,101）和由培训师主导的团队模拟（n = 266）。在医疗机构层面，每位医护人员的临床负担并未影响NNL技能培训的频率（β = -0.16，p = 0.40），也未影响由培训师主导的团队模拟。由培训师主导的团队模拟频率与NNL技能培训之间存在正相关但较弱的相关性（r = 0.34，p = 0.05）。定性数据显示所有利益相关者都有高度的积极性和参与度，积极使用医院数据（包括临床指标和培训数据）被视为一个成功因素。
在记录了个人技能培训课程的地方，更有可能开展由培训师主导的模拟培训。无论工作量增加与否，培训课程都在进行。
