Proposed Topic (Most preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Proposed Topic (Second preferred): :
Staff Engagement and Empowerment (motivating staff / teamwork / work revamp tackling manpower issue / staff wellness / OSH / retention)
Authors (including presenting author) :
Chan MY (1), AuYeung Elce (1)
Affiliation :
School of Midwifery, Prince of Wales Hospital, Hospital Authority
Introduction :
Primary postpartum haemorrhage (PPH) is the leading cause of maternal mortality each year. The Royal College of Obstetricians and Gynaecologists recommends not only emphasizing the medical approach for managing PPH but also highlighting the importance of communication and multidisciplinary care. Nowadays, simulation-based training is increasingly recognized as a useful educational tool in healthcare organizations. The benefits of CRM training were also well-documented. Thus, a Crew Resource Management based Simulation Training (CRM-ST) program was developed and implemented to investigate its effects on student midwives’ performance in the management of primary PPH.
Objectives :
To evaluate the effectiveness of the CRM-ST program on student midwives’ performance in teamwork and communication skills
Methodology :
After eligibility was determined, 98 participants were randomly assigned to either the control or intervention group using consecutively numbered sealed opaque envelopes. Both groups received a theoretical lecture on PPH, in addition, the intervention group received the CRM-ST program, which was delivered by a qualified CRM instructor. The control group received the standard education without additional training. Participants from both groups underwent the simulation drill on the PPH scenario. After 8 weeks, all participants were again exposed to the same scenario and reassessed.
Result & Outcome :
Teamwork skills were observed by two qualified CRM instructors and assessed with the Clinical Teamwork Scale to evaluate student midwives’ performance. The results revealed that the intervention group and control group showed statistically significant differences in the overall performance in this scenario (p=0.020), overall performance on situational awareness (p=0.028) and role responsibility (p=0.029). Team members in intervention group were more likely to know what are going on in the scenario and they were clearly understood the role of leader or helper in the scenario. However, the overall performance on communication, decision making and patient friendliness did not show a statistically significant between-group differences.
Conclusions:
This study reported an investigation into the CRM-ST program on the performance in the management of primary PPH among student midwives. The results contributed uniquely and consistently to the literature on teamwork and communication skills. Further studies are needed to establish the durability of these enhanced teamwork skills and whether can be applied in clinical situations.
