Obstetric multidisciplinary team high spinal simulation

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-02-25 DOI:10.1016/j.ecns.2025.101688

Ranna Safi DNP, CRNA , Carra Webb DNP, CRNA , Jessica Szydlowski Pitman DNP, CRNA, CHSE , Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN

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引用次数: 0

Abstract

Background

High spinal is a rare, yet potentially life-threatening, complication of obstetric (OB) anesthesia that is defined as a blockade of spinal nerves above T4. Providers often feel inadequate to respond to emergencies they rarely or never experience. Multidisciplinary OB simulation-based training (SBT) has been shown to improve knowledge, confidence, and team performance during emergencies.

Methods

Twenty-three OB multidisciplinary team participants at a hospital in the Southeastern United States were included in this pre-post interventional design. Participants completed surveys assessing knowledge and confidence, participated in a baseline simulation, and engaged in an educational session focused on high spinal recognition and management. Participants then repeated the simulation and completed debriefing and a posteducation survey.

Results

Pre- to post-education, knowledge assessment scores increased from 84.8% to 88.6% (p = .446); confidence in high spinal management improved significantly (p = .002), and percentage of completed team tasks improved from 59.9% to 81.0% (p = .001).

Conclusion

This project demonstrated SBT can potentially improve knowledge, confidence, and task completion in multidisciplinary team management of a high spinal.

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.