Academic Level at Time of Presentation

Graduate

Major

DNP (Nurse Anesthesia)

2nd Student Academic Level at Time of Presentation

Graduate

2nd Student Major

DNP (Nurse Anesthesia)

List all Project Mentors & Advisor(s)

Dr. Amy Cook

Presentation Format

Poster Presentation

Abstract/Description

Globally, maternal mortality rates remain a critical public health challenge, often related to inadequate healthcare infrastructure in low-income countries. Yet according to the American Journal of Obstetrics and Gynecology (ACOG), maternal mortality rates in the United States are also on the rise, with nearly 32.9 deaths per 100,000 live births. These deaths are largely contributed to maternal hemorrhage (PPH), defined by ACOG as cumulative blood loss of at least 1,000 mL accompanied by symptoms of hypovolemia within 24 hours of the birth process. These findings underscore an urgent need to strengthen the training for perioperative staff in the management of PPH. A review of literature examining simulation training in the management of PPH demonstrates significant improvement in learners’ knowledge, clinical performance, and self-reported confidence. The simulation-based trainings were also associated with reductions in maternal morbidity. Simulation training is an extremely valuable tool, as it allows the learner to practice realistic emergent scenarios in a safe environment and affords them the opportunity to ask questions as they practice and learn. This Doctor of Nursing Practice (DNP) project employed a quasi-experimental, single pretest-posttest design to evaluate the impact of interprofessional simulation training on perioperative staff confidence in managing maternal hemorrhage. High-fidelity obstetric hemorrhage simulation with the scenario of a 29-year-old gravida 4 para 3 undergoing emergent cesarean delivery complicated by polyhydramnios and a nuchal cord. Structured pre-briefing and debriefing sessions were incorporated to resolve knowledge gaps and reflect on the activity. Pre- and post-tests were utilized with each simulation training, with 100 percent completion rates. Mean confidence scores showed a statistically significant improvement across all measured domains. Confidence increased from 2.21 to 2.71, and understanding maternal hemorrhage medications increased from 1.83 to 2.74. Interprofessional simulation training significantly enhanced perioperative staff confidence in managing PPH.

Keywords: postpartum hemorrhage (PPH), simulation-based training, high-fidelity simulation, interprofessional education, confidence, obstetric emergencies

Spring Scholars Week 2026

Nurse Anesthesia DNP Project Presentations

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Assessing the Impact of Interprofessional Simulation Training on Perioperative Staff's Confidence in Managing Maternal Hemorrhage

Globally, maternal mortality rates remain a critical public health challenge, often related to inadequate healthcare infrastructure in low-income countries. Yet according to the American Journal of Obstetrics and Gynecology (ACOG), maternal mortality rates in the United States are also on the rise, with nearly 32.9 deaths per 100,000 live births. These deaths are largely contributed to maternal hemorrhage (PPH), defined by ACOG as cumulative blood loss of at least 1,000 mL accompanied by symptoms of hypovolemia within 24 hours of the birth process. These findings underscore an urgent need to strengthen the training for perioperative staff in the management of PPH. A review of literature examining simulation training in the management of PPH demonstrates significant improvement in learners’ knowledge, clinical performance, and self-reported confidence. The simulation-based trainings were also associated with reductions in maternal morbidity. Simulation training is an extremely valuable tool, as it allows the learner to practice realistic emergent scenarios in a safe environment and affords them the opportunity to ask questions as they practice and learn. This Doctor of Nursing Practice (DNP) project employed a quasi-experimental, single pretest-posttest design to evaluate the impact of interprofessional simulation training on perioperative staff confidence in managing maternal hemorrhage. High-fidelity obstetric hemorrhage simulation with the scenario of a 29-year-old gravida 4 para 3 undergoing emergent cesarean delivery complicated by polyhydramnios and a nuchal cord. Structured pre-briefing and debriefing sessions were incorporated to resolve knowledge gaps and reflect on the activity. Pre- and post-tests were utilized with each simulation training, with 100 percent completion rates. Mean confidence scores showed a statistically significant improvement across all measured domains. Confidence increased from 2.21 to 2.71, and understanding maternal hemorrhage medications increased from 1.83 to 2.74. Interprofessional simulation training significantly enhanced perioperative staff confidence in managing PPH.

Keywords: postpartum hemorrhage (PPH), simulation-based training, high-fidelity simulation, interprofessional education, confidence, obstetric emergencies