Transfer of an interprofessional emergency caesarean section training program: using questionnaire combined with outcome
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MATERNAL-FETAL MEDICINE
Transfer of an interprofessional emergency caesarean section training program: using questionnaire combined with outcome data of newborn Markus Flentje1 · Hendrik Eismann1 · Maike Höltje2 · Vera Hagemann3 · Lars Brodowski4 · Constantin von Kaisenberg4 Received: 18 August 2019 / Accepted: 26 May 2020 © The Author(s) 2020
Abstract Puprose An emergency caesarean section is a potentially life-threatening situation both for the mother and the newborn. Non-technical skills can be improved by simulation training and are necessary to manage this urgent situation successfully. The objective of this study was to investigate, if training of emergency caesarean section can be transferred into daily work to improve the outcome parameters pH an APGAR of the newborn. Methods In this pre-post study, 141 professionals took part in a training for emergency caesarean section. Participants received a questionnaire, based on the tools “Training Evaluation Inventory” and “Transfer Climate Questionnaire” 1 year after training. Outcome data of the newborn were collected from the hospitals information system. Results Except the scale “extinction”, Cronbach’s alpha was higher than 0.62. All scales were rated lower than 2.02 on a 5-point Likert Scale (1 = fullest approval; 5 = complete rejection). “Negative reinforcement” was rated with 2.87 (SD 0.73). There were no significant differences in outcome data prior. The questionnaire fulfils criteria for application except the scale “extinction”. Conclusion The presented training course was perceived as useful by the professionals and attitudes toward training were positive; the content was positively reinforced in practice 1 year after training. Parameters of the newborn did not change. It is conceivable that other outcome parameters (e.g. posttraumatic stress disorder) are addressed by the training. The development of relevant outcome parameters for the quality of emergency sections needs further investigation. Keywords Emergency caesarean section · Training · Interdisciplinary collaboration · Simulation
Introduction * Markus Flentje Flentje.Markus@mh‑hannover.de 1
Department of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Carl‑Neuberg‑Str. 1, 30625 Hannover, Germany
2
Department of Anaesthesiology and Intensive Care Medicine, Winsen Hospital, Friedrich‑Lichtenauer‑Allee 1, 21423 Winsen, Germany
3
Faculty of Business Studies and Economics, University of Bremen, Enrique‑Schmidt‑Strasse 1, 28359 Bremen, Germany
4
Department of Obstetrics and Gynecology, Hannover Medical School, Hannover Medical School, Carl‑Neuberg‑Str. 1Carl‑Neuberg‑Str. 1, 30625 Hannover, Germany
The emergency caesarean section represents the escalation of an obstetric emergency. Because a vital risk to the mother and/or the child is suspected, the team must carry out the birth of the child under extensive pressure of action. All members of the multidisciplinary team of obstetricians, midwives, anaesthesiologists and nurses will need to complete the
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