Ignite Creation Date:
2024-05-19 @ 5:34 PM
Last Modification Date:
2024-10-26 @ 3:29 PM
Study NCT ID:
NCT06414629
Status:
COMPLETED
Last Update Posted:
2024-05-16
First Post:
2024-05-06
Brief Title:
An Implementation Research of Simulation Based Mentorship Program
Sponsor:
One Heart Worldwide
Organization:
One Heart Worldwide
Study Overview
Official Title:
Implementation and Evaluation of Simulation-Based Mentorship Program SBMP in Nepal Using the RE-AIM Framework
Status:
COMPLETED
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
SBMP
Brief Summary:
The goal of this research was to evaluate the effectiveness and implementation outcomes of the Simulation Based Mentorship Program SBMP which was implemented in four districts of Nepal The main questions it aims to answer are
1 What is the reach of the Simulation Based Mentorship Program
2 What is the effect of Simulation Based Based Mentorship Program on knowledge clinical skills and confidence of nurses working in Birthing Centers of four district of Nepal
3 How was the program adopted by the Birthing Centers
4 How was the program implemented
5 What is the perception regarding the maintenance of the program
The nurses working in the Birthing Centers were the study participants and they received simulation-based monthly mentorship on following seven modules related to essential obstetric and newborn care every month
1 Infection prevention
2 Antenatal care and counseling
3 Essential care of labor and birth
4 Helping babies breathe
5 Bleeding after birth
6 Pre-eclampsia and eclampsia management
7 Postnatal care and counseling
1 What is the reach of the Simulation Based Mentorship Program
2 What is the effect of Simulation Based Based Mentorship Program on knowledge clinical skills and confidence of nurses working in Birthing Centers of four district of Nepal
3 How was the program adopted by the Birthing Centers
4 How was the program implemented
5 What is the perception regarding the maintenance of the program
The nurses working in the Birthing Centers were the study participants and they received simulation-based monthly mentorship on following seven modules related to essential obstetric and newborn care every month
1 Infection prevention
2 Antenatal care and counseling
3 Essential care of labor and birth
4 Helping babies breathe
5 Bleeding after birth
6 Pre-eclampsia and eclampsia management
7 Postnatal care and counseling
Detailed Description:
As the evidence showed gaps in the knowledge and skills of existing maternal and newborn health providers we designed a Simulation-Based Mentorship Program SBMP to bridge the gaps In this program local-level mentors were developed to provide regular mentorship using a low-dose high-frequency approach in contrast to one-time coaching in a long gap This program combined the existing package of the continuum of care along with Helping Babies Survive HBS Helping Mothers Survive HMS guidelines adopting a simulation-based onsite mentoring and coaching approach
The main aim of this mentorship program was to improve the quality of essential obstetric and newborn care provided by the nurses and Auxiliary Nurse Midwives ANMs irrespective of their pre-service and in-service training exposure by identifying gaps providing regular technical support on the site building close relationships between mentors and mentees and increasing communication backed up by regular practice in simulation labs to help in skill retention In this mentorship program mentorship was provided to both the Skilled Birth Assistants SBAs and non-Skilled Birth Attendants in their workstations to capacitate them in promoting mother and newborn health outcomes
Reach Effectiveness Adoption Implementation and Maintenance REAIM Dimensions in the study were
Reach
1 Number and percentage of Birthing centers intervened in the district
2 Number and percentage of nurses trained as district-level mentors
3 Number and percentage of nurses and Auxiliary Nurse Midwives receiving the intervention simulation-based mentorship
4 Perception regarding the representativeness of participants in the program
Effectiveness
1 Immediate change in knowledge skills and confidence midline results- compared with control group
2 Perceived reasons for program effectiveness
Adoption
1 Number and percentage of intervention sites completing all 6 monthly sessions
2 Number and percentage of mentees participating in all 6 monthly sessions
3 Number and percentage of mentees participating in weekly sessions
4 Reasons for participation non-participation
Implementation
1 Plan vs actual implementation duration between monthly sessions
2 Perception regarding various components of the program content teaching and learning methods mentors
3 Challenges encountered during implementation adaptations made mitigation measures adopted
Maintenance
1 Number and percentage of mentors and mentees remaining after 4 to 6 months of Simulation Based Mentorship Program SBMP implementation end-line
2 Retention of knowledge skills and confidence 4 to 6 months after completion of the intervention end-line results compared with the control group
3 Capital cost and recurrent cost required for continuation at government level
4 Application of learnings in a real setting during and after the program implementation
5 Willingness to implement the program in the health facilities of Simulation Based Mentorship Program SBMP implemented local levels after completion of the intervention
6 Continuation of mentoring learning in the simulation labs using manikins after completion of monthly sessions by mentors and mentees
7 Challenges and recommendations for continuation
The main aim of this mentorship program was to improve the quality of essential obstetric and newborn care provided by the nurses and Auxiliary Nurse Midwives ANMs irrespective of their pre-service and in-service training exposure by identifying gaps providing regular technical support on the site building close relationships between mentors and mentees and increasing communication backed up by regular practice in simulation labs to help in skill retention In this mentorship program mentorship was provided to both the Skilled Birth Assistants SBAs and non-Skilled Birth Attendants in their workstations to capacitate them in promoting mother and newborn health outcomes
Reach Effectiveness Adoption Implementation and Maintenance REAIM Dimensions in the study were
Reach
1 Number and percentage of Birthing centers intervened in the district
2 Number and percentage of nurses trained as district-level mentors
3 Number and percentage of nurses and Auxiliary Nurse Midwives receiving the intervention simulation-based mentorship
4 Perception regarding the representativeness of participants in the program
Effectiveness
1 Immediate change in knowledge skills and confidence midline results- compared with control group
2 Perceived reasons for program effectiveness
Adoption
1 Number and percentage of intervention sites completing all 6 monthly sessions
2 Number and percentage of mentees participating in all 6 monthly sessions
3 Number and percentage of mentees participating in weekly sessions
4 Reasons for participation non-participation
Implementation
1 Plan vs actual implementation duration between monthly sessions
2 Perception regarding various components of the program content teaching and learning methods mentors
3 Challenges encountered during implementation adaptations made mitigation measures adopted
Maintenance
1 Number and percentage of mentors and mentees remaining after 4 to 6 months of Simulation Based Mentorship Program SBMP implementation end-line
2 Retention of knowledge skills and confidence 4 to 6 months after completion of the intervention end-line results compared with the control group
3 Capital cost and recurrent cost required for continuation at government level
4 Application of learnings in a real setting during and after the program implementation
5 Willingness to implement the program in the health facilities of Simulation Based Mentorship Program SBMP implemented local levels after completion of the intervention
6 Continuation of mentoring learning in the simulation labs using manikins after completion of monthly sessions by mentors and mentees
7 Challenges and recommendations for continuation
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None