Murray State's Digital Commons - Scholars Week: Obstetric Hemorrhage Simulation Experience: Enhancing Confidence, Knowledge, and Clinical Performance in SRNAs
 

SNHP | Nurse Anesthesia DNP Project Presentations

Obstetric Hemorrhage Simulation Experience: Enhancing Confidence, Knowledge, and Clinical Performance in SRNAs

Academic Level at Time of Presentation

Graduate

Major

Doctor of Nursing Practice- Nurse Anesthesia

List all Project Mentors & Advisor(s)

Dr. Tiffany Eye

Presentation Format

Poster Presentation

Abstract/Description

Abstract

Importance: Obstetric hemorrhage remains a leading, but preventable, cause of maternal morbidity and mortality worldwide. Anesthesia providers are invaluable resources during such emergencies; however, recent studies found that obstetric hemorrhage management could be improved by addressing lack of provider preparedness, recognition, and response.

Objective: The purpose of this project was to evaluate whether simulated obstetric hemorrhage emergencies are effective in improving competence, confidence, and performance in student registered nurse anesthetists.

Design, Setting, Participants: A total of 19 second-year nurse anesthesia students participated in two separate simulation experiences on October 4th, 2024 and November 15th, 2024. The participants also completed knowledge-based pretests and posttests prior to and following each simulation experience, as well as a five-point Likert-scale confidence survey. All participants had minimal, if any, experience with obstetric hemorrhage management prior to this project.

Main Outcomes and Measures: Outcomes evaluated included changes in competence levels based on the average knowledge test scores, simulation performance scores, and confidence levels following the implementation of the simulation experiences.

Results: Student competence levels significantly increased from 68% at the initial pretest to 77% at the final posttest. Simulation performance scores found that students went from meeting only 47% of the objectives at the initial simulation to meeting 80% of those same objectives at the second training. The average confidence score was 4.6 out of 5 possible points.

Conclusion: These results provide strong evidence to support the use of simulations to instill long-term knowledge, skills, and confidence for obstetric hemorrhage management in nurse anesthesia students.

Key words: simulation, competence, knowledge, confidence, performance, management, hemorrhage, obstetric, nurse anesthesia, students

Fall Scholars Week 2024 Event

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Other Scholars Week Event

Spring 2025 Nurse Anesthesia

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Obstetric Hemorrhage Simulation Experience: Enhancing Confidence, Knowledge, and Clinical Performance in SRNAs

Abstract

Importance: Obstetric hemorrhage remains a leading, but preventable, cause of maternal morbidity and mortality worldwide. Anesthesia providers are invaluable resources during such emergencies; however, recent studies found that obstetric hemorrhage management could be improved by addressing lack of provider preparedness, recognition, and response.

Objective: The purpose of this project was to evaluate whether simulated obstetric hemorrhage emergencies are effective in improving competence, confidence, and performance in student registered nurse anesthetists.

Design, Setting, Participants: A total of 19 second-year nurse anesthesia students participated in two separate simulation experiences on October 4th, 2024 and November 15th, 2024. The participants also completed knowledge-based pretests and posttests prior to and following each simulation experience, as well as a five-point Likert-scale confidence survey. All participants had minimal, if any, experience with obstetric hemorrhage management prior to this project.

Main Outcomes and Measures: Outcomes evaluated included changes in competence levels based on the average knowledge test scores, simulation performance scores, and confidence levels following the implementation of the simulation experiences.

Results: Student competence levels significantly increased from 68% at the initial pretest to 77% at the final posttest. Simulation performance scores found that students went from meeting only 47% of the objectives at the initial simulation to meeting 80% of those same objectives at the second training. The average confidence score was 4.6 out of 5 possible points.

Conclusion: These results provide strong evidence to support the use of simulations to instill long-term knowledge, skills, and confidence for obstetric hemorrhage management in nurse anesthesia students.

Key words: simulation, competence, knowledge, confidence, performance, management, hemorrhage, obstetric, nurse anesthesia, students