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CONFERENCE PROCEEDING
Comparison of nurses' learning in simulated and traditional clinical settings: Randomized clinical trial
1
Federal University of Ceara, Nursing, Fortaleza, Brazil
2
Federal University of Ceara, Assis Chateaubriand Maternity School, Fortaleza, Brazil
3
University for International Integration of the Afro-Brazilian Lusophony, Nursing, Fortaleza, Brazil
4
University of Sao Paulo, Nursing, São Paulo, Brazil
Eur J Midwifery 2026;10(Supplement 1):A490
ABSTRACT
BACKGROUND:
Efforts to prevent and reduce morbidity and mortality due to Postpartum Hemorrhage (PPH) may contribute to addressing the profound inequalities in global maternal and perinatal health. The development of competencies through clinical simulation is considered a facilitating tool in the teaching-learning process.
OBJECTIVES:
To assess the learning needs of nurses in a simulated clinical environment compared to a traditional clinical setting.
METHODS:
A randomized, blinded clinical trial was conducted at a Brazilian university-affiliated maternity hospital between October 2022 and March 2023. Nurses were allocated into two parallel randomized groups. The control group (n = 19) received a traditional lecture (the institution’s standard training), while the intervention group (n = 18) participated in a simulation-based scenario on PPH management. Pre- and post-intervention knowledge was compared within and between groups. The Clinical Learning Environment Comparison Survey (CLECS) was used, and data were analyzed using R software, version 4.2.0. There are no conflicts of interest. Ethical approval was obtained in Brazil (CAAE 63482722.1.0000.5050, approval number 5.669.224).
RESULTS:
A total of 37 nurses participated, with 78.4% having an average age of 40 years. Approximately 91% reported previous experience assisting women with PPH; however, around 30% stated they felt unprepared to manage hemorrhage due to fear or insecurity. Comparative results showed a predominance of the “well achieved” rating, with 75.4% in the intervention group (simulation-based environment) compared to 40.3% of “achieved” ratings in the traditional teaching group. A difference of over 50% was observed in the specific learning needs rated as “well achieved” by nurses.
CONCLUSIONS:
The simulated clinical environment proved to be more effective than the traditional teaching setting in meeting the clinical practice learning needs of nurses in managing postpartum hemorrhage.
KEY MESSAGE:
The development of nurses' competencies in managing PPH can have a real impact on maternal morbidity and mortality indicators. Poster session 1 (Group A)
Efforts to prevent and reduce morbidity and mortality due to Postpartum Hemorrhage (PPH) may contribute to addressing the profound inequalities in global maternal and perinatal health. The development of competencies through clinical simulation is considered a facilitating tool in the teaching-learning process.
OBJECTIVES:
To assess the learning needs of nurses in a simulated clinical environment compared to a traditional clinical setting.
METHODS:
A randomized, blinded clinical trial was conducted at a Brazilian university-affiliated maternity hospital between October 2022 and March 2023. Nurses were allocated into two parallel randomized groups. The control group (n = 19) received a traditional lecture (the institution’s standard training), while the intervention group (n = 18) participated in a simulation-based scenario on PPH management. Pre- and post-intervention knowledge was compared within and between groups. The Clinical Learning Environment Comparison Survey (CLECS) was used, and data were analyzed using R software, version 4.2.0. There are no conflicts of interest. Ethical approval was obtained in Brazil (CAAE 63482722.1.0000.5050, approval number 5.669.224).
RESULTS:
A total of 37 nurses participated, with 78.4% having an average age of 40 years. Approximately 91% reported previous experience assisting women with PPH; however, around 30% stated they felt unprepared to manage hemorrhage due to fear or insecurity. Comparative results showed a predominance of the “well achieved” rating, with 75.4% in the intervention group (simulation-based environment) compared to 40.3% of “achieved” ratings in the traditional teaching group. A difference of over 50% was observed in the specific learning needs rated as “well achieved” by nurses.
CONCLUSIONS:
The simulated clinical environment proved to be more effective than the traditional teaching setting in meeting the clinical practice learning needs of nurses in managing postpartum hemorrhage.
KEY MESSAGE:
The development of nurses' competencies in managing PPH can have a real impact on maternal morbidity and mortality indicators. Poster session 1 (Group A)
| eISSN: | 2585-2906 |
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