The Evaluation of High-Risk Obstetric Simulation in a Prelicensure Entry Level Master of Science, Nursing (ELMS) Program

Saturday, 29 October 2011

Laurie M. Rosa, BSN, MS, RN, CLE
Diana Jennings, PhD, MS, BS, RN
School of Nursing, Samuel Merritt University, San Mateo, CA

Learning Objective 1: After viewing the poster presentation, the learner should be able to discuss learning outcomes achieved by students in a postpartum hemorrhage hybrid simulation.

Learning Objective 2: After viewing the poster presentation, the learner should be able to discuss the purpose and benefits of evaluation of simulation to increase learning outcomes.

Postpartum hemorrhage (PH) is a major contributor to severe maternal morbidity and death, with rates in the United States on the rise (Callaghan, Mackay, & Berg, 2008, Knight et al, 2009).  A mixed-method study will be conducted to evaluate the effectiveness of implementing a simulated PH scenario to augment and reinforce didactic and clinical maternal child clinical learning experiences. A convenience sample of Entry-Level Master of Science (ELMS) nursing students, who volunteer to participate, will be recruited for the study. An anthropological design, using participant observation during simulation (SIM), debriefing post SIM, and focus group interviews one week post SIM, will be used to assess students’ perceptions of the SIM experience and learning outcomes. A pre and post-test design will evaluate level of knowledge pre and post intervention.  A simulation design scale will be administered to measure the effectiveness of SIM. Qualitative data will be analyzed by event and content analysis, depicted by descriptive statistics, and managed by N-Vivo software. Quantitative data will be analyzed via t-test statistics with SPSS software. This project involving PH SIM will utilize the PROMPT hybrid simulator (Laerdal Medical).  The PROMPT simulator allows the student to interact with a standardized patient on the upper half of the body while practicing skills and assessments on a pelvic simulator on the lower half of the body. This will allow ELMS students to perform skills while making judgments, taking appropriate action, and communicating with the patient, family, and members of the health care team. Evaluative measures of SIM design and knowledge gained by students is necessary to provide feedback to faculty that the SIM design is appropriate and successful in meeting course objectives.  This project is currently in IRB review, with data collection scheduled for July 2011 and the completion of data analysis by Fall of 2011.