Authors (including presenting author) :
CHOI PS(1), CHUI OS(1), HO KM(1), AU YEUNG Elce(1)
Affiliation :
(1)School of Midwifery, Prince of Wales Hospital
Introduction :
Simulation training is essential in modern midwifery education, merging theoretical and practical learning within a controlled environment. It allows student midwives to apply classroom knowledge to real-world scenarios, bridging the gap between theory and clinical practice. This method enhances critical thinking and decision-making skills vital for midwives. As midwifery education evolves, experiential learning is prioritized to prepare students for the complexities of healthcare. Concerns have emerged regarding the educational system's ability to prepare student midwives for operative deliveries, amid rapidly changing workforce expectations.
Objectives :
The primary objectives of the simulation-based workshop were to:
1.Equip senior student midwives with practical skills for managing emergency obstetric scenarios, specifically umbilical cord prolapse; and assisting obstetricians to expedite delivery of baby by forceps
2.Enhance critical thinking, teamwork, and effective communication skills among participants through role-playing and debriefing
3.Foster reflective learning to help students evaluate their performance and identify areas for improvement
Methodology :
A simulation-based workshop was designed for senior student midwives in their final three months of training, focusing on umbilical cord prolapse. Students practiced timely interventions to elevate the presenting part of the fetus and assist obstetricians in expediting delivery. The training comprised three stages: briefing, scenario drill, and debriefing. Participants were assigned different professional roles randomly while incorporating crew resource management principles and training on effective handover skills using the i-SBAR communication tool. The debriefing facilitated reflective learning, guiding students to evaluate their performances in a structured manner, enhancing their understanding of teamwork and clinical reasoning in obstetric emergencies.
Result & Outcome :
Conducted by three educators with 37 students on June 4, 2024, the workshop yielded positive results; 85.7% rated the drill as 5 or 6 out of 6, indicating a positive experience. Additionally, 94.3% reported that the objectives were clearly communicated, and 68.6% found the scenario relevant. However, only 54.3% felt very engaged, suggesting a need for clearer job division and the addition of cardiotocography interpretation in future drills. Students expressed a desire for real equipment, such as SpO2 monitors, which may have contributed to their disengagement. Overall, simulation training proved valuable for preparing students for critical scenarios, allowing them to acquire new skills while emphasizing high standards of care and safety.
