An Implementation Research of Simulation Based Mentorship Program

NCT06414629 | Completed DMC

• 1 other identifier: OHW1
• Study Type: interventional
• Target: 326
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this research was to evaluate the effectiveness and implementation outcomes of the Simulation Based Mentorship Program (SBMP) which was implemented in four districts of Nepal. The main questions it aims to answer are:

1. 1.What is the reach of the Simulation Based Mentorship Program?
2. 2.What is the effect of Simulation Based Based Mentorship Program on knowledge, clinical skills, and confidence of nurses working in Birthing Centers of four district of Nepal?
3. 3.How was the program adopted by the Birthing Centers?
4. 4.How was the program implemented?
5. 5.What is the perception regarding the maintenance of the program?
6. 6.Infection prevention
7. 7.Antenatal care and counseling
8. 8.Essential care of labor and birth
9. 9.Helping babies breathe
10. 10.Bleeding after birth
11. 11.Pre-eclampsia and eclampsia management
12. 12.Postnatal care and counseling

Conditions

Maternal Health; Neonatal Health

Keywords

Simulation; Mentorship; Capacity building

Outcome Measures

Primary Outcomes (1)

• Knowledge, confidence and skills on seven modules

  The knowledge and confidence scores of intervention and control group's nurses in all seven modules were compared before and after the study. However, skills scores of seven modules were measured only in intervention group's nurses. The overall maximum obtainable score was 127 points for knowledge assessment, 210 points for confidence assessment, and 340 points for skills assessment. The scores obtained by the participants were expressed as percentage, and a mean score was calculated for each module. A score of 80% or more was considered to be appropriate. High scores indicated better outcome, and low scores indicated poor outcome.

  1 year

Study Arms (2)

Intervention Group/ Intervention Birthing Center

EXPERIMENTAL

The nurses working in the Intervention Birthing Centers received the Simulation Based Mentorship Program.

Other: Simulation Based Mentorship Program

Control Group/ Control Birthing Center

NO INTERVENTION

The nurses working in the Intervention Birthing Centers did not receive the Simulation Based Mentorship Program.

Interventions

Simulation Based Mentorship Program OTHER

In this program, local level mentors were developed to provide regular mentorship on low-dose high-frequency approach in contrast to one-time coaching in a long gap. This program combined the existing package of the continuum of care along with Helping Babies Survive (HBS) \& Helping Mothers Survive (HMS) guidelines, adopting a simulation-based onsite mentoring and coaching approach. The mentors provided monthly mentorship on following seven modules topics to the nurses of the intervention birthing centers: 1. Infection prevention 2. Antenatal care and counseling 3. Essential care of labor and birth 4. Helping babies breathe 5. Bleeding after birth 6. Essential care of labor and birth 7. Postnatal care and counseling Every monthly session was followed by four weekly practice sessions. The nurses from intervention birthing centers were also called mentees.

Also known as: SBMP

Intervention Group/ Intervention Birthing Center

Eligibility Criteria

• Age: 18 Years - 49 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Nurses working in selected Birthing Centers during the baseline enrollment

You may not qualify if:

• Newly recruited nurses by the Birthing Centers

Sponsors & Collaborators

• One Heart Worldwide: lead

Study Sites (1)

One Heart Worldwide

Kathmandu, Bagmati, Nepal

Location

Related Publications (8)

• Utz B, Siddiqui G, Adegoke A, van den Broek N. Definitions and roles of a skilled birth attendant: a mapping exercise from four South-Asian countries. Acta Obstet Gynecol Scand. 2013 Sep;92(9):1063-9. doi: 10.1111/aogs.12166. Epub 2013 Jun 15.

  PMID: 23656549 BACKGROUND

• Olson KR, Caldwell A, Sihombing M, Guarino AJ, Nelson BD, Petersen R. Assessing self-efficacy of frontline providers to perform newborn resuscitation in a low-resource setting. Resuscitation. 2015 Apr;89:58-63. doi: 10.1016/j.resuscitation.2015.01.008. Epub 2015 Jan 19.

  PMID: 25613363 BACKGROUND

• Alamrani MH, Alammar KA, Alqahtani SS, Salem OA. Comparing the Effects of Simulation-Based and Traditional Teaching Methods on the Critical Thinking Abilities and Self-Confidence of Nursing Students. J Nurs Res. 2018 Jun;26(3):152-157. doi: 10.1097/jnr.0000000000000231.

  PMID: 29016466 BACKGROUND

• Krielen P, Meeuwsen M, Tan ECTH, Schieving JH, Ruijs AJEM, Scherpbier ND. Interprofessional simulation of acute care for nursing and medical students: interprofessional competencies and transfer to the workplace. BMC Med Educ. 2023 Feb 11;23(1):105. doi: 10.1186/s12909-023-04053-2.

  PMID: 36774481 BACKGROUND

• Barre J, Michelet D, Truchot J, Cabon P, Tesniere A. Midwifery students' retention of learning after screen-based simulation training on neonatal resuscitation: a pilot study. BMJ Simul Technol Enhanc Learn. 2020 Apr 6;7(1):31-34. doi: 10.1136/bmjstel-2019-000525. eCollection 2021.

  PMID: 35521074 BACKGROUND

• Cant RP, Cooper SJ. Use of simulation-based learning in undergraduate nurse education: An umbrella systematic review. Nurse Educ Today. 2017 Feb;49:63-71. doi: 10.1016/j.nedt.2016.11.015. Epub 2016 Nov 22.

  PMID: 27902949 BACKGROUND

• Lee BO, Liang HF, Chu TP, Hung CC. Effects of simulation-based learning on nursing student competences and clinical performance. Nurse Educ Pract. 2019 Nov;41:102646. doi: 10.1016/j.nepr.2019.102646. Epub 2019 Oct 23.

  PMID: 31698255 BACKGROUND

• Hung CC, Kao HS, Liu HC, Liang HF, Chu TP, Lee BO. Effects of simulation-based learning on nursing students' perceived competence, self-efficacy, and learning satisfaction: A repeat measurement method. Nurse Educ Today. 2021 Feb;97:104725. doi: 10.1016/j.nedt.2020.104725. Epub 2020 Dec 16.

  PMID: 33373813 BACKGROUND

Study Officials

• Surya Bhatta, MHCDS

  One Heart Worldwide

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The study Birthing Centers were categorized into Intervention Birthing Center and Control Birthing Center

Study Record Dates

• First Submitted: May 6, 2024
• First Posted: May 16, 2024
• Study Start: November 1, 2020
• Primary Completion: December 31, 2023
• Study Completion: December 31, 2023
• Last Updated: May 16, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

NE (1)