Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study
Objectives The aim of this study was to evaluate the implementation of the Practical Obstetric Multi-Professional Training (PROMPT) simulation using the Kirkpatrick’s framework. We explored participants’ acquisition of knowledge and skills, its impact on clinical outcomes and organisational change t...
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| Format: | Article |
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BMJ Publishing Group
2018-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/8/2/e017451.full |
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| author | Philip DeKoninck Euan M Wallace Debra Nestel Arunaz Kumar Sam Sturrock Donna Lucey Sally Stoyles Jenny Morgan Peter Neil Michelle Schlipalius |
| author_facet | Philip DeKoninck Euan M Wallace Debra Nestel Arunaz Kumar Sam Sturrock Donna Lucey Sally Stoyles Jenny Morgan Peter Neil Michelle Schlipalius |
| author_sort | Philip DeKoninck |
| collection | DOAJ |
| description | Objectives The aim of this study was to evaluate the implementation of the Practical Obstetric Multi-Professional Training (PROMPT) simulation using the Kirkpatrick’s framework. We explored participants’ acquisition of knowledge and skills, its impact on clinical outcomes and organisational change to integrate the PROMPT programme as a credentialing tool. We also aimed to assess participants’ perception of usefulness of PROMPT in their clinical practice.Study design Mixed methods approach with a pre-test/post-test design.Setting Healthcare network providing obstetric care in Victoria, Australia.Participants Medical and midwifery staff attending PROMPT between 2013 and 2015 (n=508); clinical outcomes were evaluated in two cohorts: 2011–2012 (n=15 361 births) and 2014–2015 (n=12 388 births).Intervention Attendance of the PROMPT programme, a simulation programme taught in multidisciplinary teams to facilitate teaching emergency obstetric skills.Main outcome measure Clinical outcomes compared before and after embedding PROMPT in educational practice.Secondary outcome measure Assessment of knowledge gained by participants through a qualitative analysis and description of process of embedding PROMPT in educational practice.Results There was a change in the management of postpartum haemorrhage by early recognition and intervention. The key learning themes described by participants were being prepared with a prior understanding of procedures and equipment, communication, leadership and learning in a safe, supportive environment. Participants reported a positive learning experience and increase in confidence in managing emergency obstetric situations through the PROMPT programme, which was perceived as a realistic demonstration of the emergencies.Conclusion Participants reported an improvement of both clinical and non-technical skills highlighting principles of teamwork, communication, leadership and prioritisation in an emergency situation. An improvement was observed in management of postpartum haemorrhage, but no significant change was noted in clinical outcomes over a 2-year period after PROMPT. However, the skills acquired by medical and midwifery staff justify embedding PROMPT in educational programmes. |
| format | Article |
| id | doaj-art-ce056d549a774d639863cf1c401fe7ff |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2018-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-ce056d549a774d639863cf1c401fe7ff2025-02-01T22:30:13ZengBMJ Publishing GroupBMJ Open2044-60552018-02-018210.1136/bmjopen-2017-017451Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods studyPhilip DeKoninck0Euan M Wallace1Debra Nestel2Arunaz Kumar3Sam Sturrock4Donna Lucey5Sally Stoyles6Jenny Morgan7Peter Neil8Michelle Schlipalius94 The Ritchie Centre, Hudson Institute of Medical Research, Melbourne, AustraliaObstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia3 Monash Institute for Health and Clinical Education, Faculty of Medicine, Nursing & Health Sciences, Monash University, Melbourne, Victoria, Australia1 Monash Women’s Service, Monash Health, Melbourne, Australia1 Monash Women’s Service, Monash Health, Melbourne, Australia1 Monash Women’s Service, Monash Health, Melbourne, Australia1 Monash Women’s Service, Monash Health, Melbourne, Australia1 Monash Women’s Service, Monash Health, Melbourne, Australia1 Monash Women’s Service, Monash Health, Melbourne, Australia1 Monash Women’s Service, Monash Health, Melbourne, AustraliaObjectives The aim of this study was to evaluate the implementation of the Practical Obstetric Multi-Professional Training (PROMPT) simulation using the Kirkpatrick’s framework. We explored participants’ acquisition of knowledge and skills, its impact on clinical outcomes and organisational change to integrate the PROMPT programme as a credentialing tool. We also aimed to assess participants’ perception of usefulness of PROMPT in their clinical practice.Study design Mixed methods approach with a pre-test/post-test design.Setting Healthcare network providing obstetric care in Victoria, Australia.Participants Medical and midwifery staff attending PROMPT between 2013 and 2015 (n=508); clinical outcomes were evaluated in two cohorts: 2011–2012 (n=15 361 births) and 2014–2015 (n=12 388 births).Intervention Attendance of the PROMPT programme, a simulation programme taught in multidisciplinary teams to facilitate teaching emergency obstetric skills.Main outcome measure Clinical outcomes compared before and after embedding PROMPT in educational practice.Secondary outcome measure Assessment of knowledge gained by participants through a qualitative analysis and description of process of embedding PROMPT in educational practice.Results There was a change in the management of postpartum haemorrhage by early recognition and intervention. The key learning themes described by participants were being prepared with a prior understanding of procedures and equipment, communication, leadership and learning in a safe, supportive environment. Participants reported a positive learning experience and increase in confidence in managing emergency obstetric situations through the PROMPT programme, which was perceived as a realistic demonstration of the emergencies.Conclusion Participants reported an improvement of both clinical and non-technical skills highlighting principles of teamwork, communication, leadership and prioritisation in an emergency situation. An improvement was observed in management of postpartum haemorrhage, but no significant change was noted in clinical outcomes over a 2-year period after PROMPT. However, the skills acquired by medical and midwifery staff justify embedding PROMPT in educational programmes.https://bmjopen.bmj.com/content/8/2/e017451.full |
| spellingShingle | Philip DeKoninck Euan M Wallace Debra Nestel Arunaz Kumar Sam Sturrock Donna Lucey Sally Stoyles Jenny Morgan Peter Neil Michelle Schlipalius Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study BMJ Open |
| title | Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study |
| title_full | Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study |
| title_fullStr | Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study |
| title_full_unstemmed | Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study |
| title_short | Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study |
| title_sort | evaluation of learning from practical obstetric multi professional training and its impact on patient outcomes in australia using kirkpatrick s framework a mixed methods study |
| url | https://bmjopen.bmj.com/content/8/2/e017451.full |
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