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Simulation-Based Training in Emergency Obstetric Care in Sub-Saharan and Central Africa: A Scoping Review

BACKGROUND: Every day approximately 810 women die from complications related to pregnancy and childbirth worldwide. Around two thirds of these deaths happen in sub-Saharan Africa. One of the strategies to decrease these numbers is improving the quality of care by emergency obstetric simulation-based...

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Autores principales: van Tetering, Anne A. C., Ntuyo, Peter, Martens, Renata P. J., Winter, Naomi, Byamugisha, Josaphat, Oei, S. Guid, Fransen, Annemarie F., van der Hout-van der Jagt, M. Beatrijs
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540704/
https://www.ncbi.nlm.nih.gov/pubmed/37780839
http://dx.doi.org/10.5334/aogh.3891
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author van Tetering, Anne A. C.
Ntuyo, Peter
Martens, Renata P. J.
Winter, Naomi
Byamugisha, Josaphat
Oei, S. Guid
Fransen, Annemarie F.
van der Hout-van der Jagt, M. Beatrijs
author_facet van Tetering, Anne A. C.
Ntuyo, Peter
Martens, Renata P. J.
Winter, Naomi
Byamugisha, Josaphat
Oei, S. Guid
Fransen, Annemarie F.
van der Hout-van der Jagt, M. Beatrijs
author_sort van Tetering, Anne A. C.
collection PubMed
description BACKGROUND: Every day approximately 810 women die from complications related to pregnancy and childbirth worldwide. Around two thirds of these deaths happen in sub-Saharan Africa. One of the strategies to decrease these numbers is improving the quality of care by emergency obstetric simulation-based training. The effectiveness of such training programs depends on the program’s instructional design. OBJECTIVE: This review gives an overview of studies about emergency obstetric simulation-based training and examines the applied instructional design of the training programs in sub-Saharan and Central Africa. METHODS: We searched Medline, Embase and Cochrane Library from inception to May 2021. Peer-reviewed articles on emergency obstetric, postgraduate, simulation-based training in sub-Saharan and Central Africa were included. Outcome measures were categorized based on Kirkpatrick’s levels of training evaluation. The instructional design was evaluated by using the ID-SIM questionnaire. FINDINGS: In total, 47 studies met the inclusion criteria. Evaluation on Kirkpatrick level 1 showed positive reactions in 18 studies. Challenges and recommendations were considered. Results on knowledge, skills, and predictors for these results (Kirkpatrick level 2) were described in 29 studies. Retention as well as decay of knowledge and skills over time were presented. Results at Kirkpatrick level 3 were measured in 12 studies of which seven studies demonstrated improvements of skills on-the-job. Improvements of maternal and neonatal outcomes were described in fifteen studies and three studies reported on cost-estimations for training rollout (Kirkpatrick level 4). Instructional design items were heterogeneously applied and described. CONCLUSIONS: Results of 47 studies indicate evidence that simulation-based training in sub-Saharan and Central Africa can have a positive impact across all four levels of Kirkpatrick’s training evaluation model. However, results were not consistent across all studies and the effects vary over time. A detailed description of instructional design features in future publications on simulation-based training will contribute to a deeper understanding of the underlying mechanisms that determine why certain training programs are more effective in improving maternal and neonatal healthcare outcomes than other.
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spelling pubmed-105407042023-09-30 Simulation-Based Training in Emergency Obstetric Care in Sub-Saharan and Central Africa: A Scoping Review van Tetering, Anne A. C. Ntuyo, Peter Martens, Renata P. J. Winter, Naomi Byamugisha, Josaphat Oei, S. Guid Fransen, Annemarie F. van der Hout-van der Jagt, M. Beatrijs Ann Glob Health Review BACKGROUND: Every day approximately 810 women die from complications related to pregnancy and childbirth worldwide. Around two thirds of these deaths happen in sub-Saharan Africa. One of the strategies to decrease these numbers is improving the quality of care by emergency obstetric simulation-based training. The effectiveness of such training programs depends on the program’s instructional design. OBJECTIVE: This review gives an overview of studies about emergency obstetric simulation-based training and examines the applied instructional design of the training programs in sub-Saharan and Central Africa. METHODS: We searched Medline, Embase and Cochrane Library from inception to May 2021. Peer-reviewed articles on emergency obstetric, postgraduate, simulation-based training in sub-Saharan and Central Africa were included. Outcome measures were categorized based on Kirkpatrick’s levels of training evaluation. The instructional design was evaluated by using the ID-SIM questionnaire. FINDINGS: In total, 47 studies met the inclusion criteria. Evaluation on Kirkpatrick level 1 showed positive reactions in 18 studies. Challenges and recommendations were considered. Results on knowledge, skills, and predictors for these results (Kirkpatrick level 2) were described in 29 studies. Retention as well as decay of knowledge and skills over time were presented. Results at Kirkpatrick level 3 were measured in 12 studies of which seven studies demonstrated improvements of skills on-the-job. Improvements of maternal and neonatal outcomes were described in fifteen studies and three studies reported on cost-estimations for training rollout (Kirkpatrick level 4). Instructional design items were heterogeneously applied and described. CONCLUSIONS: Results of 47 studies indicate evidence that simulation-based training in sub-Saharan and Central Africa can have a positive impact across all four levels of Kirkpatrick’s training evaluation model. However, results were not consistent across all studies and the effects vary over time. A detailed description of instructional design features in future publications on simulation-based training will contribute to a deeper understanding of the underlying mechanisms that determine why certain training programs are more effective in improving maternal and neonatal healthcare outcomes than other. Ubiquity Press 2023-09-28 /pmc/articles/PMC10540704/ /pubmed/37780839 http://dx.doi.org/10.5334/aogh.3891 Text en Copyright: © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Review
van Tetering, Anne A. C.
Ntuyo, Peter
Martens, Renata P. J.
Winter, Naomi
Byamugisha, Josaphat
Oei, S. Guid
Fransen, Annemarie F.
van der Hout-van der Jagt, M. Beatrijs
Simulation-Based Training in Emergency Obstetric Care in Sub-Saharan and Central Africa: A Scoping Review
title Simulation-Based Training in Emergency Obstetric Care in Sub-Saharan and Central Africa: A Scoping Review
title_full Simulation-Based Training in Emergency Obstetric Care in Sub-Saharan and Central Africa: A Scoping Review
title_fullStr Simulation-Based Training in Emergency Obstetric Care in Sub-Saharan and Central Africa: A Scoping Review
title_full_unstemmed Simulation-Based Training in Emergency Obstetric Care in Sub-Saharan and Central Africa: A Scoping Review
title_short Simulation-Based Training in Emergency Obstetric Care in Sub-Saharan and Central Africa: A Scoping Review
title_sort simulation-based training in emergency obstetric care in sub-saharan and central africa: a scoping review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540704/
https://www.ncbi.nlm.nih.gov/pubmed/37780839
http://dx.doi.org/10.5334/aogh.3891
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