Learning postpartum haemorrhage through simulation-based education in Malawi: A mixed method study

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Publicat a:Nurse Education in Practice vol. 85 (May 2025), p. 104389
Autor principal: Kabondo, Charity
Altres autors: Tjoflåt, Ingrid, Furskog-Risa, Eva Christina, Kumbani, Lily, Kafulafula, Ursula
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Elsevier Limited
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024 7 |a 10.1016/j.nepr.2025.104389  |2 doi 
035 |a 3203184145 
045 2 |b d20250501  |b d20250531 
084 |a 170342  |2 nlm 
100 1 |a Kabondo, Charity  |u Kamuzu University of Health Sciences, School of Maternal, Neonatal and Reproductive Health, Malawi 
245 1 |a Learning postpartum haemorrhage through simulation-based education in Malawi: A mixed method study 
260 |b Elsevier Limited  |c May 2025 
513 |a Journal Article 
520 3 |a Aim The aim of the study was to explore midwifery students’ experiences with simulation as pedagogic method when learning management of postpartum haemorrhage patients. Background Malawi is just starting to implement simulation-based education, even though it is recommended in midwifery education to enhance patient safety. Therefore, to ensure successful incorporation of simulation-based education into midwifery training programs, it is crucial to understand students’ experiences with the pedagogic method. Design The study applied a descriptive-mixed-convergent design. Method One-hundred and seven midwifery students participated in the study. Data were collected through questionnaires and three focus group discussions. Quantitative and qualitative data were analysed using descriptive statistics and content analysis respectively. Results Quantitatively, students graded all the questions related to the simulation design elements, educational practices and students’ satisfaction and self-confidence in learning with mean scores above four on a 5-point Likert Scale. One theme and two sub-themes emerged from qualitative data analysis. Main theme: simulation mirrors demanded competence for professional practice; sub-themes: (1) a realistic and active learning method; and (2) a conducive environment for students’ learning. Conclusion Midwifery students experienced simulation as a valued pedagogical approach to teaching and learning that mirrored postpartum management clinical skills necessary for them to practice as professionals in the resource-limited setting. More research is necessary to explore feasibility for simulation-based education in Malawi and whether students can apply the knowledge and skills acquired during simulation into clinical practice particularly within constrained environment. 
610 4 |a World Health Organization 
651 4 |a Malawi 
653 |a Teaching methods 
653 |a Science 
653 |a Midwifery 
653 |a Clinical skills 
653 |a Questionnaires 
653 |a Midwifery education 
653 |a Learning environment 
653 |a Confidence 
653 |a Simulation 
653 |a Feasibility 
653 |a Standardized patients 
653 |a Clinical medicine 
653 |a Teaching 
653 |a Midwives 
653 |a Uterus 
653 |a Hemorrhage 
653 |a Health education 
653 |a Students 
653 |a Nursing 
653 |a Learning 
653 |a Postpartum period 
653 |a Self report 
653 |a Content analysis 
653 |a Student attitudes 
653 |a Skills 
653 |a Qualitative research 
653 |a Professional training 
653 |a Educational objectives 
653 |a Data collection 
653 |a Maternal mortality 
653 |a Education 
653 |a Patients 
653 |a Data analysis 
653 |a Work skills 
653 |a Satisfaction 
653 |a Educational programs 
653 |a Statistics 
653 |a Educational Practices 
653 |a Student Satisfaction 
653 |a Attrition (Research Studies) 
653 |a Active Learning 
653 |a Likert Scales 
653 |a Developed Nations 
653 |a Interviews 
653 |a Mixed Methods Research 
653 |a Simulated Environment 
653 |a Student Participation 
653 |a Obstetrics 
653 |a Self Esteem 
653 |a Research Assistants 
653 |a Focus Groups 
653 |a Rating Scales 
653 |a Class Size 
653 |a Nonparametric Statistics 
653 |a Student Surveys 
653 |a College Science 
700 1 |a Tjoflåt, Ingrid  |u University of Stavanger, Faculty of Health Sciences, Norway 
700 1 |a Furskog-Risa, Eva Christina  |u University of Stavanger, Norway 
700 1 |a Kumbani, Lily  |u Kamuzu University of Health Sciences, School of Maternal, Neonatal and Reproductive Health, Malawi 
700 1 |a Kafulafula, Ursula  |u Kamuzu University of Health Sciences, School of Maternal, Neonatal and Reproductive Health, Malawi 
773 0 |t Nurse Education in Practice  |g vol. 85 (May 2025), p. 104389 
786 0 |d ProQuest  |t Sociology Database 
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