Midwives' experiences with simulation-based team training in newborn resuscitation: impacts on clinical practice

助产士在新生儿复苏模拟团队培训中的经验:对临床实践的影响

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Abstract

BACKGROUND: Midwives play a crucial role in newborn resuscitation as they are the primary caregivers during childbirth. Simulation training provides training experience to increase competence to handle such acute situations. However, team training provides safety for midwives, and good collaboration is vital for the patient safety of newborn babies in need of resuscitation. AIM: This study aimed to describe midwives' experiences with simulation-based team training in newborn resuscitation and explore its impact on clinical practice. Specifically, the study seeks to highlight how simulation-based team training can enhance teamwork, strengthen professional competencies, improve team communication, and positively influence patient outcomes in neonatal care. METHODS: The study employed a qualitative method with an explorative design. Semi-structured individual interviews were conducted. The data was collected from October to November 2023 with ten midwives working in maternity wards in Norway. The data was analysed using systematic text condensation. RESULTS: The analysis revealed three main findings: (1) Psychological safety in a familiar team, (2) Learning and improvement and (3) Clear communication. CONCLUSION: Our study highlights the critical importance of fostering psychological safety within familiar teams, emphasising how emotional security contributes to effective learning and professional growth. The findings demonstrate that recognising emotional safety leads to more positive learning experiences, fostering competence and confidence in clinical practice. Furthermore, clear communication is identified as essential for collaboration, ensuring beneficial experience in simulation and team training related to newborn resuscitation. By strengthening team communication and psychological security, simulation training not only enhances theoretical understanding but also directly impacts clinical decision-making, patient outcomes, and team dynamics in acute newborn resuscitation scenarios. CLINICAL TRIAL NUMBER: Not applicable.

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