Abstract of Dissertation

Keyword : Simulation Training; Nurses Training; Nurses’ Knowledge

Objective : To measure the impact of simulation-based training approach for maternity and newborn care during antenatal care, labour, delivery and postpartum period on service providers at the delivery points. Specific Objectives: • To assess the knowledge level of trainees through pre-training and post-training assessments. • To evaluate the impact of simulation-based training methodology on the attitude of the trainees. • To measure the effectiveness of the training program.

Background : In the past few years, Institutional deliveries in India have increased due to various Government schemes. According to SRS (2010-2012), MMR is 178 per 100,000. Various studies have shown that despite various financial mechanisms initiated there is no significant decrease in maternal mortality. Also, various other maternal health indicators do not show any improvement. This shows a gap in the quality of care provided to the mother and new-born. Studies have shown that the training program has led to positive changes in the nurses' attitudes, knowledge, and clinical practice

Methodology : The study was done using Pretest-intervention-posttest design. Data was collected from the training sessions occurring from September 2017 to May 2018 in two districts of Rajasthan. Purposive sampling was done to include staff providing Obstetric care. 51 participants participated in training sessions. Primary data was collected using questionnaires and feedback form. Data were analyzed using MS-Excel.

Findings : Findings from the above analysis show a change in the responses of respondents after training. In all cases, this change is in the increasing trend. The p-value for each was recorded along with the percentage change in the responses. The purpose was to evaluate which topics were new for the nurses and will thus show a significant change. Out of 15 questions, Significant increase in knowledge levels is shown in 6 topics covered during the training program. In almost all questions 75% trainees responded correctly in the post-training assessment.

Recommendations : The mean score for Pre-training increased from 9.55 to 13.45 when assessed after training. This shows that there is an increase in fundamental knowledge of various Obstetrics interventions. Therefore, it can be concluded that the elements of the training intervention successfully increased the knowledge of EmOC and intrapartum care for mothers.