title: Effect of Nurse-Led Review Plus Simulation on Obstetric/Perinatal Nurses' Self-Assessed Knowledge and Confidence.
abstract: Simulation may help both novice and experienced clinicians maintain competence in managing high-risk, low-frequency obstetric and perinatal complications and emergencies. Therefore, we designed a pre-/posttest study to determine whether a day of nurse-led lecture plus low-fidelity simulation would increase registered nurses' self-assessed knowledge and confidence in managing five high-risk obstetric/perinatal situations. The Nursing Management of OB/Perinatal Complications & Emergencies (NursOB) scale was distributed to 67 labor/birth and postpartum nurses before and after a simulation training day. Preliminary findings supported validity and reliability of the NursOB scale, but nurses' knowledge and confidence did not improve after the simulation (p < .05). Anecdotally, nurses' interest in competence reviews was reinvigorated, and we gained practical knowledge in simulation delivery. Future simulations could enhance outcome measures, improve drills, and establish criterion-related validity of the NursOB scale. More research is warranted.
authors.forename: Martha E
authors.initials: ME
authors.lastname: Farrar Highfield
authors.forename: Carolyn
authors.initials: C
authors.lastname: Scharf-Swaller
authors.forename: Lawrence
authors.initials: L
authors.lastname: Chu
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards*; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D019359:Knowledge; D008875:Middle Aged; D009773:Obstetric Nursing / Q000592:standards; D017063:Outcome Assessment, Health Care / Q000379:methods / Q000592:standards*; D016544:Patient Simulation; D015397:Program Evaluation / Q000379:methods; D020377:Self Efficacy; D011795:Surveys and Questionnaires
keywords: nursing practice; obstetric emergencies; simulation-based learning; skills competence