Evidence map›Paper›PMID 34649628›Full record

ArticleAdvances in simulation (London, England)2021

Obstetric neonatal emergency simulation workshops in remote and regional South India: a qualitative evaluation.

Bella Zhong, Mahbub Sarkar, Nandakumar Menon, Shylaja Devi, Jayaram K Budanoor, Naresh Beerappa, Atul Malhotra, Arunaz Kumar

Open access · goldAbstract read
In one paragraph

Article in Advances in simulation (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Bella ZhongMonash University, Melbourne, Australia.
Mahbub SarkarMonash Centre for Scholarship in Health Education (MCSHE), Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
Nandakumar MenonAshwini Hospital, Gudalur, Tamil Nadu, India.
Shylaja DeviAshwini Hospital, Gudalur, Tamil Nadu, India.
Jayaram K BudanoorMandya Institute of Medical Sciences, Mandya, Karnataka, India.
Naresh BeerappaTata Global Beverages Ltd. High Range Hospital, Munnar, Kerala, India.
Atul MalhotraDepartment of Paediatrics, Monash University, 246 Clayton Road, Clayton, Melbourne, Victoria, 3168, Australia. atul.malhotra@monash.edu.ORCID http://orcid.org/0000-0001-9664-4182
Arunaz KumarDepartment of Obstetrics and Gynaecology, Monash University, Melbourne, Australia.
Monash University · AUAshwini Hospital · INMandya Institute of Medical Sciences · IN

Funding

royal australasian college of physicians EB Fellowship
6 · The paper itself

Abstract

backgroundHealthcare facilities in remote locations with poor access to a referral centre have a high likelihood of health workers needing to manage emergencies with limited support. Obstetric and neonatal clinical training opportunities to manage childbirth emergencies are scant in these locations, especially in low- and middle-income countries.

objectivesThis study aimed to explore the factors, which influenced healthcare worker experience of attending birth emergencies in remote and regional areas of South India, and the perceived impact of attending the Obstetric and Neonatal Emergency Simulation (ONE-Sim) workshop on these factors.

designQualitative descriptive study using pre- and post-workshop qualitative surveys. SETTINGS: Primary healthcare facilities in remote/regional settings in three states of South India.

participantsA total of 125 healthcare workers attended the workshops, with 85 participants completing the pre- and post-workshop surveys included in this study. Participants consisted of medical and nursing staff and other health professionals involved in care at childbirth.

methodsONE-Sim workshops (with a learner-centred approach) were conducted across three different locations for interprofessional teams caring for birthing women and their newborns, using simulation equipment and immersive scenarios. Thematic analysis was employed to the free-text responses obtained from the surveys consisting of open-ended questions.

resultsParticipants identified their relationship with the patient, the support provided by other health professionals, identifying their gaps in knowledge and experience, and the scarcity of resources as factors that influenced their experience of birth emergencies. Following the workshops, participant learning centred on improving team and personal performance and approaching future emergencies with greater confidence.

conclusionsChallenges experienced by healthcare workers across sites in remote and regional South India were generally around patient experience, senior health professional support and resources. The technical and interpersonal skills introduced through the ONE-Sim workshop may help to address some of these factors in practice.

Indexed as

AsphyxiaEducationEmergencyInterprofessionalLow- and middle-income countryMaternityNeonatalPost-partum haemorrhage

Identifiers

PMID34649628
PMCPMC8518143
OpenAlexW3207558869

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.