Mary Carolan-Olah
Victoria University
Mary Carolan-Olah is a midwife with more than 30 year’s experience. She is also an established researcher in Midwifery and Women’s Health, with a strong history of leading interdisciplinary and individual research projects. Mary’s key research foci are in the region of gestational diabetes, ethnicity and ‘at risk’ pregnancy. Mary is well published nationally and internationally with 70 publications to date and 30 international conference presentations
Background
Simulation provides opportunities for midwifery students to enhance their performance in emergency situations. Neonatal resuscitation is one such emergency and its management is a major concern for midwifery students. This project aimed to develop and evaluate a simulation exercise, for neonatal resuscitation, for 3rd year midwifery students.
Method
Thirty-six final year midwifery students participated in the project. A quantitative survey design was employed using questions from two previously validated questionnaires: (1.) Student Satisfaction and Self-Confidence in Learning and (2.) the Clinical Teamwork Scale (CTS). Students completed the questionnaires prior to completing the neonatal resuscitation simulation exercise and immediately after.
Results
In pre-simulation questionnaires, students reported low levels of confidence in initiating care of an infant requiring resuscitation. Most anticipated that the simulation exercise would be useful to better prepare them respond to a neonatal emergency. Post-simulation questionnaires reported an increase in student confidence, with 30 of 36 students agreeing/ strongly agreeing that their confidence levels had improved. Nonetheless, an unexpected number of students reported a lack of familiarity with the equipment.
Discussion
The single simulation exercise evaluated in this project resulted in improved student confidence and greater knowledge and skills in neonatal resuscitation. However, deficits in handling emergency equipment, and in understanding the role of the student midwife/midwife in neonatal resuscitation, were also noted.
Conclusion
For the future, the development and evaluation of a programme of simulation exercises, over a longer period, is warranted. This approach may reduce stress and better address student learning needs.
