Effectiveness of simulation based learning regarding management of antepartum haemorrhage in terms of competency among nursing students a quasi-experimental study

Abstract

Introduction:  Antepartum haemorrhage is a obstetrical emergency and is a leading cause of maternal and perinatal mortality and morbidity. APH defined as hemorrhage from the genital tract after 24 weeks of gestation but before the delivery of the baby.Purpose: The aim of the study was to assess the effectiveness of simulation based learning in terms of competency regarding Management of Antepartum Haemorrrhage among Nursing Students.Methods: A quasi – experimental (non-equivalent control group Pre-test Post-test design) study conducted on 124 B.Sc Nursing 4th students selected by purposive sampling technique and divided in experimental (n=60) and comparison group (n=64) by random table method. Data was collected by Selected variables, Structured knowledge questionnaire, Objective structured clinical examination checklist and Clinical decision making ability questionnaire were used to collect data from B.Sc Nursing students through E-filling and OSCE checklist.. Data was analysed by descriptive and inferential statistics by using SPSS version 20.Results: The study results showed that the mean posttestknowledge score of comparison(13.18±5.53) and experimental group (12.83±4.98) were nearly equal and post test skills scores in experimental group (38.33±6.03) was higher than the (26.21±8.06) comparison group. The calculated Z value of post test skills scores in experimental and comparison group -7.51 was found to be statistically significant at 0.01 level of significance. The mean post test clinical decision making ability in experimental (10.13±5.79) and comparison group (10.50±5.38) were nearly equal and z value of experimental group  (-0.41) were found to be statistically non significant at 0.01 level of significance.Conclusion: It can be concluded that Simulation based learning was effective in enhancing the competency in terms of knowledge, skills and clinical decision making ability regarding management of antepartum haemorrhage among nursing students.