Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in Tanzania
Introduction Enhancing the proficiency of healthcare workers (HCWs) in handling birth-related complications is crucial for reducing maternal and newborn morbidity and mortality. To achieve this, the Safer Births Bundle of Care offers a comprehensive set of innovative, simulation-based training inter...
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2025-01-01
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| Online Access: | https://doi.org/10.1177/23779608241309447 |
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| author | Benjamin A. Kamala MD, PhD Robert Moshiro MD, PhD Florence S. Kalabamu MD, MMED Torgeirsen Kjetil BScN, MSc Godfrey Guga BSc Beatrice Githiri BSc Justine Samson BSc Philimon Chavala BScN Grace Qorro MD, MPH Damas Kayera MD, MPH Ivony Kamala BScN, MPH Catherine Massay BScN, MSc Paschal Mdoe MSc, PhD Vickfarajaeli Daudi MD, MMED Esto Mduma MSc, PhD Shally Mwashemele MD, MPH Felix Bundala MD, MSc Hege Ersdal MD, PhD Sara Rivenes Lafontan BScN, MPH, PhD |
| author_facet | Benjamin A. Kamala MD, PhD Robert Moshiro MD, PhD Florence S. Kalabamu MD, MMED Torgeirsen Kjetil BScN, MSc Godfrey Guga BSc Beatrice Githiri BSc Justine Samson BSc Philimon Chavala BScN Grace Qorro MD, MPH Damas Kayera MD, MPH Ivony Kamala BScN, MPH Catherine Massay BScN, MSc Paschal Mdoe MSc, PhD Vickfarajaeli Daudi MD, MMED Esto Mduma MSc, PhD Shally Mwashemele MD, MPH Felix Bundala MD, MSc Hege Ersdal MD, PhD Sara Rivenes Lafontan BScN, MPH, PhD |
| author_sort | Benjamin A. Kamala MD, PhD |
| collection | DOAJ |
| description | Introduction Enhancing the proficiency of healthcare workers (HCWs) in handling birth-related complications is crucial for reducing maternal and newborn morbidity and mortality. To achieve this, the Safer Births Bundle of Care offers a comprehensive set of innovative, simulation-based training interventions designed to strengthen the skills and competencies of HCWs working as skilled birth attendants. Objective To describe the use of in-situ low-dose, high-frequency simulation-based training, and the experiences of this usage among HCWs and stakeholders at facilities in Tanzania. Methods This mixed-methods study included quantitative and qualitative data collected between July 2021 and July 2022 across 30 health facilities in five regions of Tanzania. NeoNatalie Live (NNL) simulators were installed for independent skills and scenario training, and in-situ facilitator-led team simulations were introduced. The training frequency was analyzed using descriptive and analytical statistics, and mentorship and supervision reports were analyzed using qualitative content analysis. Results A large and sustained number of in-situ NNL skill-training sessions ( n = 35,101) and facilitator-led team simulations ( n = 266) were conducted during the first year. Clinical burden per HCW did not affect the frequency of NNL skills training at the health facility level ( r = −0.16, p = .40) nor facilitator-led team simulations. There was a positive but weak correlation between the frequency of facilitator-led team simulations and NNL skills training ( r = 0.34, p = .05). Qualitative data showed a high degree of motivation and participation among all stakeholders, and active use of hospital data, both clinical indicators and training data, was perceived as a success factor. Conclusion Facilitator-led in-situ simulation training was more likely to occur where individual skills-training sessions were recorded. Training sessions took place regardless of the increased workload. |
| format | Article |
| id | doaj-art-7a64af7030fe4b5da58794d3bd386214 |
| institution | Kabale University |
| issn | 2377-9608 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
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| series | SAGE Open Nursing |
| spelling | doaj-art-7a64af7030fe4b5da58794d3bd3862142025-01-03T09:04:17ZengSAGE PublishingSAGE Open Nursing2377-96082025-01-011110.1177/23779608241309447Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in TanzaniaBenjamin A. Kamala MD, PhD0Robert Moshiro MD, PhD1Florence S. Kalabamu MD, MMED2Torgeirsen Kjetil BScN, MSc3Godfrey Guga BSc4Beatrice Githiri BSc5Justine Samson BSc6Philimon Chavala BScN7Grace Qorro MD, MPH8Damas Kayera MD, MPH9Ivony Kamala BScN, MPH10Catherine Massay BScN, MSc11Paschal Mdoe MSc, PhD12Vickfarajaeli Daudi MD, MMED13Esto Mduma MSc, PhD14Shally Mwashemele MD, MPH15Felix Bundala MD, MSc16Hege Ersdal MD, PhD17Sara Rivenes Lafontan BScN, MPH, PhD18 , Dar es Salaam, Tanzania , Dar es Salaam, Tanzania , Dar es Salaam, Tanzania Faculty of Health Sciences, , Stavanger, Norway Department of Research, , Manyara, Tanzania Department of Research, , Manyara, Tanzania Department of Research, , Manyara, Tanzania Department of Research, , Manyara, Tanzania , Dar es Salaam, Tanzania , Moshi, Tanzania Department of Research, , Manyara, Tanzania Department of Research, , Manyara, Tanzania Department of Research, , Manyara, Tanzania Department of Research, , Manyara, Tanzania Department of Research, , Manyara, Tanzania , Dar es Salaam, Tanzania , Dodoma, Tanzania Department of Simulation, , Stavanger, Norway Institute of Nursing and Health Promotion, , Oslo, NorwayIntroduction Enhancing the proficiency of healthcare workers (HCWs) in handling birth-related complications is crucial for reducing maternal and newborn morbidity and mortality. To achieve this, the Safer Births Bundle of Care offers a comprehensive set of innovative, simulation-based training interventions designed to strengthen the skills and competencies of HCWs working as skilled birth attendants. Objective To describe the use of in-situ low-dose, high-frequency simulation-based training, and the experiences of this usage among HCWs and stakeholders at facilities in Tanzania. Methods This mixed-methods study included quantitative and qualitative data collected between July 2021 and July 2022 across 30 health facilities in five regions of Tanzania. NeoNatalie Live (NNL) simulators were installed for independent skills and scenario training, and in-situ facilitator-led team simulations were introduced. The training frequency was analyzed using descriptive and analytical statistics, and mentorship and supervision reports were analyzed using qualitative content analysis. Results A large and sustained number of in-situ NNL skill-training sessions ( n = 35,101) and facilitator-led team simulations ( n = 266) were conducted during the first year. Clinical burden per HCW did not affect the frequency of NNL skills training at the health facility level ( r = −0.16, p = .40) nor facilitator-led team simulations. There was a positive but weak correlation between the frequency of facilitator-led team simulations and NNL skills training ( r = 0.34, p = .05). Qualitative data showed a high degree of motivation and participation among all stakeholders, and active use of hospital data, both clinical indicators and training data, was perceived as a success factor. Conclusion Facilitator-led in-situ simulation training was more likely to occur where individual skills-training sessions were recorded. Training sessions took place regardless of the increased workload.https://doi.org/10.1177/23779608241309447 |
| spellingShingle | Benjamin A. Kamala MD, PhD Robert Moshiro MD, PhD Florence S. Kalabamu MD, MMED Torgeirsen Kjetil BScN, MSc Godfrey Guga BSc Beatrice Githiri BSc Justine Samson BSc Philimon Chavala BScN Grace Qorro MD, MPH Damas Kayera MD, MPH Ivony Kamala BScN, MPH Catherine Massay BScN, MSc Paschal Mdoe MSc, PhD Vickfarajaeli Daudi MD, MMED Esto Mduma MSc, PhD Shally Mwashemele MD, MPH Felix Bundala MD, MSc Hege Ersdal MD, PhD Sara Rivenes Lafontan BScN, MPH, PhD Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in Tanzania SAGE Open Nursing |
| title | Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in Tanzania |
| title_full | Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in Tanzania |
| title_fullStr | Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in Tanzania |
| title_full_unstemmed | Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in Tanzania |
| title_short | Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in Tanzania |
| title_sort | practice experiences and facilitators of simulation based training during one year of implementation in 30 hospitals in tanzania |
| url | https://doi.org/10.1177/23779608241309447 |
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