THE EFFECT OF SIMULATION-BASED VAGINAL BIRTH AND OBSTETRIC EMERGENCY TRAINING FOR HEALTH PROFESSIONALS WORKING IN EMERGENCY DEPARTMENT: A QUASI EXPERIMENTAL STUDY

Objective: The aim of the study is to determine the effect of simulation-based vaginal birth and obstetric emergencies training given to health professionals (physicians and nurses) working in emergency department on their knowledge level, active learning, team collaboration, and satisfaction with learning. Methods: This study is a semi-experimental study consisting of pre-test and post-test. The sample of the study consists of health professionals working in the emergency department. It was carried out in the obstetric unit of Medical Simulation Center in a university hospital. Health professional were given training 8 hours on vaginal birth and obstetric emergencies with simulation-based technique with high fidelity simulator with a guided scenario by midwife and obstetrician trainers. The data were collected using 5 forms as follow: Descriptive Form, Survey Questionnaire, Student Satisfaction and Self-Confidence in Simulation Learning Scale, Simulation Design Scale and Educational Practices Questionnaire. Percentage, minimum-maksimun value, average score, and Mc Nemar test were used in the analysis of the data. Results: Compared to pre-training, the post-training percentage of health professionals' correct answers to the questions about "vaginal birth" and "shoulder dystocia", one of the obstetric emergencies, increased (p<0.05). Post training percentage of correct answers to the question about what should be done when prolapse develops, one of the questions about the umbilical cord, also increased (p<0.05). After simulation-based training of health professionals, the mean scores of accessing information and objectives, active learning, team collaboration and satisfaction in learning was found to be close to the maximum score (4.53 +/- 0.39, 4.84 +/- 0.76, 4.64 +/- 0.41 respectively). Conclusions: Simulation-based training for vaginal birth and obstetric emergencies increases knowledge about vaginal birth and obstetric emergencies. This training may contribute to their high average score for active learning, team collaboration, and satisfaction.