By Susanna Rose Cohen, MSN, CNM, Leslie Cragin, PhD, CNM, Bob Wong, PhD, Dilys M Walker, MD
Clinical Simulation in Nursing, January 2012
This prospective descriptive study examined the relationship between low-tech, high-ﬁdelity simulation-based training and pre- and posttraining changes in participant self-efﬁcacy (SE). A 3-week training was followed by a 2-day session 4 months later in Cuernavaca, Mexico. Midwives and obstetrical nurses either participated in or observed 41 scenarios during a clinical update in emergency obstetric skills. SE increased signiﬁcantly. It decreased at 4 months posttraining but remained higher than pretraining levels. The training positively affected participants’ perceived readiness for the technical, behavioral, and cognitive dimensions of obstetric emergencies. After simulation training, participants faced the critical, high-pressure, and often abusive ‘‘real world’’ in clinical sites, which may explain the drop in SE scores.
Cohen, S. R., Cragin, L., Wong, B., & Walker, D. M (2010, September). Self-efﬁcacy change with low-tech, high-ﬁdelity obstetric simulation training for midwives and nurses in Mexico. Clinical Simulation in Nursing, 8(1), e15-e24. doi:10.1016/j.ecns.2010.05.004.
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