Obstetric neonatal emergency simulation workshops in remote and regional South India: a qualitative evaluation

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Obstetric neonatal emergency simulation workshops in remote and regional South India: a qualitative evaluation


JournalAdvances in Simulation
Article typeJournal research article – Clinical research
Publication date – Oct – 2021
Authors – Bella Zhong, Mahbub Sarkar, Nandakumar Menon, Shylaja Devi, Jayaram K. Budanoor, Naresh Beerappa, Atul Malhotra & Arunaz Kumar
KeywordsAsphyxia, education, emergency, Interprofessional, low- and middle-income country, maternity, Neonatal, post-partum haemorrhage
Open access – Yes
SpecialityObstetrics and Gynaecology, Surgical education
World region Southern Asia
Country: India
Language – English
Submitted to the One Surgery Index on October 26, 2021 at 10:01 am
Abstract:

Background
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.

Objectives
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.

Design
Qualitative descriptive study using pre- and post-workshop qualitative surveys.

Settings
Primary healthcare facilities in remote/regional settings in three states of South India.

Participants
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.

Methods
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.

Results
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.

Conclusions
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.

OSI Number – 21317

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