Effect of Simulation Training on Intern Nurses’ Competence and Self-Confidence regarding Primary Postpartum Hemorrhage

Abstract

Background: Simulation training have been recommended for promoting intern nurses’competence in maternal care delivery. Aim: The study aimed to evaluate effect of simulationtraining on intern nurses’ competence and self-confidence regarding primary postpartumhemorrhage. Design: Quasi-experimental (pre-post design), was used to fulfill the aim of the study.Setting: The study was conducted in the clinical obstetrics skill lab and the classroom of faculty ofNursing at Benha University. Sample: A systematic random sample of (56) intern nurses. Tools: (I)A self-administrated questionnaire, (II) Creighton competency evaluation instrument, (III)observational checklists regarding primary postpartum hemorrhage, (IV) satisfaction and selfconfidence in learning scale. Results: There was a highly statistically significant improvement inrelation to all competency domains related to assessment, communication, clinical-judgment andpatient safety after simulation training than before (P ≤ 0.001). Moreover, there was a highersatisfaction and self-confidence after simulation training than before (P ≤ 0.001). Conclusion:Intern nurses would have higher competent level of practices, satisfaction and self-confidence aftersimulation training than before. Recommendations: Implementing of periodical simulation trainingprograms for intern nurses to enhance competent skills for achieving advanced nursing careregarding prevention and management of primary postpartum hemorrhage.