The effect of multiprofessional simulation-based obstetric team training on patient-reported quality of care: A pilot study

Sophie Truijens, F.R. Banga, A.F. Fransen, Victor Pop, P.J. van Runnard Heimel, S.G. Oei

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Introduction: 
This study aimed to explore whether multiprofessional simulation-based obstetric team training improves patient-reported quality of care during pregnancy and childbirth.
Methods: Multiprofessional teams from a large obstetric collaborative network in the Netherlands were trained in teamwork skills using the principles of crew resource management. Patient-reported quality of care was measured with the validated Pregnancy and Childbirth Questionnaire (PCQ) at 6 weeks postpartum. Before the training, 76 postpartum women (sample I) completed the questionnaire 6 weeks postpartum. Three months after the training, another sample of 68 postpartum women (sample II) completed the questionnaire.
Results: 
In sample II (after the training), the mean (SD) score of 108.9 (10.9) on the PCQ questionnaire was significantly higher than the score of 103.5 (11.6) in sample I (before training) (t = 2.75, P = 0.007). The effect size of the increase in PCQ total score was 0.5. Moreover, the subscales “personal treatment during pregnancy” and “educational information” showed a significant increase after the team training (P < 0.001). Items with the largest increase in mean scores included communication between health care professionals, clear leadership, involvement in planning, and better provision of information.
Conclusions: 
Despite the methodological restrictions of a pilot study, the preliminary results indicate that multiprofessional simulation-based obstetric team training seems to improve patient-reported quality of care. The possibility that this improvement relates to the training is supported by the fact that the items with the largest increase are about the principles of crew resource management, used in the training.
Original languageEnglish
Pages (from-to)210-216
JournalSimulation in Healthcare
Volume10
Issue number4
DOIs
Publication statusPublished - 2015

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Obstetrics
Quality of Care
obstetrics
Questionnaire
Pregnancy
simulation
pregnancy
Simulation
questionnaire
Health care
Resource Management
Planning
Communication
Netherlands
Team Work
Effect Size
Training
Surveys and Questionnaires
Leadership
Training Samples

Cite this

Truijens, Sophie ; Banga, F.R. ; Fransen, A.F. ; Pop, Victor ; van Runnard Heimel, P.J. ; Oei, S.G. / The effect of multiprofessional simulation-based obstetric team training on patient-reported quality of care : A pilot study. In: Simulation in Healthcare. 2015 ; Vol. 10, No. 4. pp. 210-216.
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abstract = "Introduction: This study aimed to explore whether multiprofessional simulation-based obstetric team training improves patient-reported quality of care during pregnancy and childbirth.Methods: Multiprofessional teams from a large obstetric collaborative network in the Netherlands were trained in teamwork skills using the principles of crew resource management. Patient-reported quality of care was measured with the validated Pregnancy and Childbirth Questionnaire (PCQ) at 6 weeks postpartum. Before the training, 76 postpartum women (sample I) completed the questionnaire 6 weeks postpartum. Three months after the training, another sample of 68 postpartum women (sample II) completed the questionnaire.Results: In sample II (after the training), the mean (SD) score of 108.9 (10.9) on the PCQ questionnaire was significantly higher than the score of 103.5 (11.6) in sample I (before training) (t = 2.75, P = 0.007). The effect size of the increase in PCQ total score was 0.5. Moreover, the subscales “personal treatment during pregnancy” and “educational information” showed a significant increase after the team training (P < 0.001). Items with the largest increase in mean scores included communication between health care professionals, clear leadership, involvement in planning, and better provision of information.Conclusions: Despite the methodological restrictions of a pilot study, the preliminary results indicate that multiprofessional simulation-based obstetric team training seems to improve patient-reported quality of care. The possibility that this improvement relates to the training is supported by the fact that the items with the largest increase are about the principles of crew resource management, used in the training.",
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The effect of multiprofessional simulation-based obstetric team training on patient-reported quality of care : A pilot study. / Truijens, Sophie; Banga, F.R.; Fransen, A.F.; Pop, Victor; van Runnard Heimel, P.J.; Oei, S.G.

In: Simulation in Healthcare, Vol. 10, No. 4, 2015, p. 210-216.

Research output: Contribution to journalArticleScientificpeer-review

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