Peer Review Report For: Simulation and nurse-mentoring in a statewide nurse mentoring program in Bihar, India: diagnosis of postpartum hemorrhage and intrapartum asphyxia [version 1; peer review: 2 approved, 1 approved with reservations]
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Le résumé fourni par la source
Background : Mentoring programs that include simulation, bedside mentoring, and didactic components are becoming increasingly popular to improve quality. These programs are designed with little evidence to inform the optimal composition of mentoring activities that would yield the greatest impact on provider skills and patient outcomes. We examined the association of number of maternal and neonatal emergency simulations performed in trainings with the diagnosis of postpartum hemorrhage (PPH) and intrapartum asphyxia in real patients. Methods : We used a prospective cohort and births were compared between- and within-facility over time. Setting included 320 public facilities in the state of Bihar, India May 2015 – 2017. The participants were Deliveries and livebirths. The interventions carried out were mobile nurse-mentoring program with simulations, teamwork and communication activities, didactic teaching, demonstrations of clinical procedures and bedside mentoring including conducting deliveries. Nurse mentor pairs visited each facility for one week, covering four facilities over a four-week period, for seven to nine consecutive months. The outcome measures were diagnosis of PPH and intrapartum asphyxia. Results : Relative to the bottom one-third facilities that performed the fewest maternal simulations, facilities in the middle one-third group diagnosed 26% (incidence rate ratio [IRR] = 1.26, 95% confidence interval [CI]: 1.00, 1.59) more cases of PPH in real patients. Similarly, facilities in the middle one-third group, diagnosed 25% (IRR = 1.25, 95% CI: 1.04, 1.50) more cases of intrapartum asphyxia relative to the bottom third group that did the fewest neonatal simulations. Facilities in the top one-third group (i.e., performed the most simulations) did not have a significant difference in diagnosis relative the bottom one-third group. Conclusions : Findings suggest a complex relationship between performing simulations and opportunities for direct practice with patients, and there may be an optimal balance in performing the two that would maximize diagnosis of PPH and intrapartum asphyxia.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Peer Review Report For: Simulation and nurse-mentoring in a statewide nurse mentoring program in Bihar, India: diagnosis of postpartum hemorrhage and intrapartum asphyxia [version 1; peer review: 2 approved, 1 approved with reservations]
- Date Crossref
- 30/10/2023
- Éditeur
- F1000 Research Ltd
- Type
- peer-review
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Global Brain Health Institute pays non établi dans la noticeOrganisation à but non lucratif
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University of San Francisco pays non établi dans la noticeUniversité ou école supérieure
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University of Utah pays non établi dans la noticeUniversité ou école supérieure
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Patliputra University pays non établi dans la noticeUniversité ou école supérieure
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University of California Global Health Sciences pays non établi dans la noticeUniversité ou école supérieure
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College of Nursing pays non établi dans la noticeUniversité ou école supérieure
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Obstetrics and Neonatal pays non établi dans la noticeInstitution
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Concurrent Monitoring learning and Evaluation pays non établi dans la noticeInstitution
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Capacity Building pays non établi dans la noticeInstitution
Global Brain Health Institute, University of San Francisco et University of Utah, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.