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Impact of the PROMPT course at Poole Hospital NHS Trust

2016; Elsevier BV; Volume: 117; Linguagem: Inglês

10.1093/bja/el_14235

1471-6771

Christine Rowley, Laura Tarry,

Global Health Workforce Issues

Editor-We are writing to you to reflect upon our experience of conducting the PROMPT (PRactical Obstetric Multi-Professional Training) course at St Mary's Maternity Hospital in Poole. PROMPT is an evidence based multi-professional training package for obstetric emergencies. It is associated with direct improvements in perinatal outcome and has been proven to improve knowledge, clinical skills and teamworking towards a common goal [1www.promptmaternty.orgGoogle Scholar]. CMACE 2006-08 reported that 70% of direct maternal deaths could have been prevented with better multidisciplinary care [2CMACE Saving Mothers' Lives: reviewing maternal deaths to make motherhood safer: 2006-08. The English Report on Confidential Enquiries into Maternal Deaths in the UK.BJOG. 2011; 118: 1-203Google Scholar]. PROMPT courses improvemultidisciplinary care. Following training, a faculty of obstetricians, anaesthetists and midwives was established to provide PROMPT courses in Poole. St Mary's Maternity Unit provides a multidisciplinary team approach for the care of its patients; the PROMPT course is amongst its mandatory annual training for all staff. Since 2013 we have delivered 27 courses attracting 419 candidates. The course format includes: interactive lectures and example videos, interactive drills and workshops using simulated obstetric emergency situations and teamwork and communication within emergency training. The course emphasises non-technical skills as well as putting into use delegates technical skills and knowledge. Communication between disciplines, team-working, leadership & delegation are amongst the key skills developed and practiced on the course. Following each course candidates have been asked to provide cause feedback. Firstly, following one of the courses we asked candidates to comment on the impact of the course on their confidence and ability to manage obstetric emergencies and the overall helpfulness of the course in their individual practice. A numerical scale for confidence levels before and after the course was assessed (1 = no confidence, 10 = very confident). Thirty-one surveys were completed. Candidates included labour ward midwives (20), community midwives (5), student midwives (3), anaesthetists(2), obstetrician (1). One hundred percent of candidates stated that the course would affect their future clinical judgment & lead to an improvement in their attitude towards safety & teamwork in the Obstetric Unit. Candidates reported confidence levels for managing obstetric emergencies rose from 5/10 to 9/10 after completion of the course. Secondly, we looked at overall helpfulness of the courses scenario stations to enhance candidates individual practice; asking candidates to strongly agree, agree, exhibit no opinion, disagree or strongly disagree as to the helpfulness of the course scenario stations. The scenario stations included shoulder dystocia, maternal collapse, obstetric heamorrhage, Eclampsia and severe hypertension, neonatal resuscitation, cord prolapse and vaginal breech birth. We collected 1857 responses to the8 scenario stations from 315 candidates. Ninety nine percent of candidates strongly agreed or agreed that the course scenario stations were helpful to their clinical practice. In conclusion, we are able to demonstrate PROMPT courses at Poole Hospital NHS Trust have had a positive impact on the candidates' confidence and ability to manage obstetric emergencies. It has allowed the opportunity for all our maternity multidisciplinary staff to train together in a safe, practical, labour ward environment, which has led to an improvement in their professional practice. C. Rowley L. Tarry Poole, UK.E-mail: [email protected] Conflict of Interest: