Abstract

Postpartum hemorrhage (PPH) is an avoidable medical emergency that is the primary cause of nearly one-quarter of all maternal deaths worldwide (WHO, 2018). Pre-licensure nursing students are often unknowledgeable about PPH's signs and timely treatment due to a lack of exposure in the clinical setting (Phillippi, Buxton, & Overstreet, 2015). The purpose of this quasi-experimental study was to compare BSN student knowledge (five-question pre/post-test) and self-confidence and satisfaction (NLN SSSCL) between a traditional and video simulation cohort during a PPH obstetric emergency scenario. The simulation was developed using the NLN Jeffries Simulation Theory through learning objectives, aligning the design to a real-life PPH scenario, and measuring student outcomes. The results showed an improvement in knowledge in both the traditional (pre: M = 3.67, n = 60; post: M = 4.16, n = 60; p < .001) and video (pre: M = 2.96, n = 53; post: M = 3.88, n = 53; p < .001) cohorts before and after the simulation experience using a paired t-test in IBM SPSS 26. The self-confidence (4/8 questions p > .05) and satisfaction (4/5 questions p > .05) rates were statistically lower in the video simulation cohort using a Mann-Whitney U. While traditional and video simulation can increase student knowledge, the lower baseline knowledge of the video simulation cohort suggests the importance of hands-on learning environments for nursing students. Lower self-confidence and satisfaction rates in the video simulation cohort indicate more research is necessary on effective remote simulation experiences.

Notes

The presenters authored a published article on this same topic: Riley, E., Ward, N., Capps, N., McCormack, L., & deGravelles, P. (2021). Piloting a high-fidelity postpartum hemorrhage simulation with prelicensure nursing students: Evaluating knowledge, confidence, and satisfaction. Teaching and Learning in Nursing. https://doi.org/10.1016/j.teln.2021.04.001

Author Details

Elizabeth Riley, DNP, RNC NIC, CNE; Nicole Ward, PhD, RN, APRN, WHNP BC; Pamela deGravelles , PhD, RN, CHSE; Leslie McCormack, MSN, RN, APRN, CNM; Natalie Capps, PhD, RN

Sigma Membership

Gamma Xi

Lead Author Affiliation

University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

Type

Poster

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Pilot/Exploratory Study

Keywords:

Postpartum Hemorrhage, Pre-Licensure Nursing Students, Simulation Learning

Conference Name

INACSL Conference

Conference Host

International Nursing Association for Clinical Simulation and Learning (INACSL)

Conference Location

Virtual Event

Conference Year

2021

Creative Commons License

Creative Commons Attribution-Noncommercial 3.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial 3.0 License

Rights Holder

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Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Self-submission

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Evaluating student knowledge, self-confidence, and satisfaction during a postpartum hemorrhage simulation scenario

Virtual Event

Postpartum hemorrhage (PPH) is an avoidable medical emergency that is the primary cause of nearly one-quarter of all maternal deaths worldwide (WHO, 2018). Pre-licensure nursing students are often unknowledgeable about PPH's signs and timely treatment due to a lack of exposure in the clinical setting (Phillippi, Buxton, & Overstreet, 2015). The purpose of this quasi-experimental study was to compare BSN student knowledge (five-question pre/post-test) and self-confidence and satisfaction (NLN SSSCL) between a traditional and video simulation cohort during a PPH obstetric emergency scenario. The simulation was developed using the NLN Jeffries Simulation Theory through learning objectives, aligning the design to a real-life PPH scenario, and measuring student outcomes. The results showed an improvement in knowledge in both the traditional (pre: M = 3.67, n = 60; post: M = 4.16, n = 60; p < .001) and video (pre: M = 2.96, n = 53; post: M = 3.88, n = 53; p < .001) cohorts before and after the simulation experience using a paired t-test in IBM SPSS 26. The self-confidence (4/8 questions p > .05) and satisfaction (4/5 questions p > .05) rates were statistically lower in the video simulation cohort using a Mann-Whitney U. While traditional and video simulation can increase student knowledge, the lower baseline knowledge of the video simulation cohort suggests the importance of hands-on learning environments for nursing students. Lower self-confidence and satisfaction rates in the video simulation cohort indicate more research is necessary on effective remote simulation experiences.