The third article reviews the use of simulation training in obstetrics to improve the competencies of health care providers. Method used was a systematic review of peer reviewed literature. Findings include that location of the skills laboratory had no effect on outcomes, rather training content and delivery determined success. Simulation trainers need to be knowledgeable, committed, and enthusiastic. Learning is improved when the practice of debriefing and feedback are used. The conclusion states obstetric skills laboratories can play a substantial role in increasing competency and confidence of staff via ‘skills and drills’ type training (Utz, Kana, & Broek, 2015).
The fourth article discusses the importance of simulation-based training
in the management of obstetrical emergencies. A systematic review was used in this research article. Evidence in this article showed that management of life threatening obstetrical emergencies was improved. Staff skills, patient safety, and quality of care were improved by using simulation-based training. Competency of OB staff is directly tied to managing obstetrical emergencies (Amatullah, 2018). In the last article listed, the use of high fidelity simulation is a useful tool for improving knowledge and confidence among critical care providers is discussed. The research method used was an integrative review of original, peer reviewed research studies. It was found that repetition with multiple simulation sessions increased critical care staff’s knowledge. Simulation has been shown to improve the providers clinical knowledge and confidence. In some cases, training with simulation has been shown to be more effective than actual patient care experience (Boling, 2016).
Instead of focusing on what others were or were not doing, I decided to start focusing on me and goals I wanted to accomplish. One day, I was on the computer surfing the net and happened to get on social media. I happened to come by a post about The Birth Well doula training. A doula is a professional birth support person who assist women emotionally, physically, and with information during pregnancy, birth, and for a short while during postpartum. This sounded like a perfect opportunity to exercise my getting out and broadening my circle and meeting new people all the while fulfilling my birth worker goals from long ago. I decided to look into it, so on the day of the Q & A meeting I attended. I learned about the process, and I signed up for the classes. I was both super excited, and also super nervous at the same time because my family and I were experiencing financial hardships at the time, and I was about to be taking $400 dollars of our funds and investing into a career that was all up to me on whether or not it flourished.
Pairman,S., Tracy, S., Thorogood, C., & Pincombe, J. (2013). Theoretical frameworks for midwifery practice. Midwifery: Preparation for practice.(2nd ed, pp. 313-336). Chatswood, N.S.W. : Elsevier Australia
A career is a long time employment role which centers around the passion of ongoing goals that one wants to achieve.For my career, I will choose to become an Obstetric sonographer.Obstetric sonographers are people who perform ultrasounds on the pelvic region of female patients and fetuses.medical sonographers typically need to obtain an associate or bachelor's degree in sonography from a college or university. Basic skills that are required are to have solid technical skills for being able to function the equipment and getting practicable images, the physical skills of good hand-eye coordination to move appliances on the patient’s body in correlation to what appears on the screen, endurance to stand for long periods of time and the capacity
Which brings about the question as to just how effective is simulation training? According to Kneebone, Nestel, Vincent, & Darzer (2007), “To be effective, however, such simulation must be realistic, patient-focused, structured, and grounded in an authentic clinical context. The author finds the challenge comes not only from technical difficulty but, also from the need for interpersonal skills and professionalism within clinical encounters” (p. 808). Most mannequins do not have vocal ability or the ability to move, and therefore cannot provide the proper a spontaneous environment for learning. Therefore, acquiring critical thinking skills can be somewhat challenging, in this type of simulated setting.
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
Clarification of the research question is at the end of the opening section and states that the study was “designed to evaluate the use of a quantitative instrument to measure caring in the nursing simulation environment.” This question is consistent with the problem statement of evaluating the correlation between caring and nursing simulations.
On the other hand, I learned new concepts and terms. Simulation repeats some essential aspects of patient situation so that the situation may be understood and managed when it occurs in real clinical practice. Students in the school of nursing use the simulation learning center to learn and get experience in the field. The simulation is an educational process that requires the learner to demonstrate procedural techniques, decision making, and critical thinking. I learned that a simulation experience allows students to critically analyze their own actions and reflect on their own skill set. As a nursing student, I learned you have to complete clinical hours and practice in the simulation learning center. To become a certified nurse there are many training courses, exams to pass, and in the field experience to complete. Health professionals such as a nurse,
A labor and delviery nurse has vast knowledge of the process and methods that are required for delivery and bring a new life into the world and is educated with the responsibilities of assiting the new born babies with their medical issues. Considering all the responsibilites needed to take on this career, such as assisting women with complications within the pregnancy, delivering a newborn and managing post birth issuses, the nurse must be professional in his or her work at all times. All people wishing to pursue the career of being a Labor and Delivery Nurse must also have good analytical skills, as part of there job to montior and analyze the mother and child (CollegeAtlas.org).
With technology moving so quickly within the medical and nursing fields, it is vital to embrace new and innovative ways to learn how to care for a patient. A nurse or nursing student is faced with the ever growing challenge of keeping up with new technologies. A fairly new way to gain education and build upon skills is with the use of simulated based learning. With the use of a simulated nursing environment, a student will be able to increase their level of understanding of new skills and technologies; this great resource has three major forms of real-life reproduction, can be used in many different areas of nursing, provides a means to evaluate a student’s understanding and demonstration of a skill, and eliminates the potential for harming a patient. With all education, the ultimate goal of mastering a specific trade or skill is the desired end result.
A description can never be as vivid as an event that has been experienced. An experience can never be as defining as an event that has left you changed. Under the intensity of childbirth, you're more likely to remember details that would otherwise go unnoticed. All the scenes come together to leave a permanent imprint on the mind's eye.
The experience that I had in simulation was great. I expected it to be very different opposite of what I thought. I was nervous and anxious when simulation day was coming up. The scenarios that were performed taught me a lot of things and prepared me in the future nursing career. What I thought I did well is being clients advocate. In the scenario with Henry he had COPD and was having shortness of breath during the simulation. I stood there by him while my colleagues were preparing medications for him. I have learned that we as nurses cannot leave our client unattended especially when client is having SOB and is in distress. It is very important to put your client’s priorities first.
Carol, great post on Simulation Based Training (SBT) as part of nursing education to with real situation to practice. The high fidelity simulation setting are considered as the innovation technical appliance to enhance confidence level of the students to minimize the embarrassment and harm to the patient in reality at the bedside. I learnt the importance of debriefing session prior to evaluation of the students’ uptake to revise and retain the teaching.
In its ongoing effort to provide new nurses that are able to meet the critical care needs of patients, the School of Nursing at the University of Southern Maine requires all student nurses in their program to pass a simulation lab before graduation. ”Simulation is a tool used to assist in resolving the patient safety issue while enhancing student learning. During the past decade simulation in health professional programs has increased exponentially. Simulation is an educational process that replicates the clinical work environment and requires students to demonstrate an identified skill set” (Nelson&Staggers, 2014, pg. 416). In other words, simulation lab provides a lifelike point-of-care learning experience and practice opportunity for the
In the scholarly report “Simulation in Medical Education” (2009) author Dr. Animesh Jain, MD, DFH reports the use of simulation can be dated back to the 9th century when Madame du Coudray built an “anatomically correct, life-sized mannequin [with a] birthing pelvis”, made of wire, straw and fabric, used to train the midwives of France. Although Coudray’s brilliant teaching tool was years ahead of her time, it was not until the early 20th century that simulation technology would be “modernized” and put to use in healthcare
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.