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Tuesday, April 28, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Background
Following analysis of Obstetrical Outcomes collected as part of a statewide computerised incident monitoring programme the NSW Australia Department of Health (DOH) commenced work in 2006 to provide a statewide strategy that would enhance access to locally provided clinical education for maternity service providors and improve the strength and capacity of the maternity workforce within the NSW Public Health System. The education started in 2008 is focused on fetal welfare assessment, maternity emergency management and neonatal resuscitation to reduce the number of critical incidents.
The program has three stages that are occurring concurrently: introduction of K2 Medical System Computerised Training Program for Fetal Surveillance and CTG interpretation during labour; Development of a train the trainer education program for Fetal Heart Rate Interpretation and Surveillance; and Maternity Emergency Management and Neonatal Resuscitation
Initially the trainer sessions were run in each of the 8 NSW Area Health Services (AHS) to produce an increased number of workforce (obstetricians, general practitioners and midwives) who feel confident and prepared to provide the education both formally and within the clinical setting. Thus sustainability of the program is achieved as it is not reliant on one person being available to train and educate.
Following analysis of Obstetrical Outcomes collected as part of a statewide computerised incident monitoring programme the NSW Australia Department of Health (DOH) commenced work in 2006 to provide a statewide strategy that would enhance access to locally provided clinical education for maternity service providors and improve the strength and capacity of the maternity workforce within the NSW Public Health System. The education started in 2008 is focused on fetal welfare assessment, maternity emergency management and neonatal resuscitation to reduce the number of critical incidents.
The program has three stages that are occurring concurrently: introduction of K2 Medical System Computerised Training Program for Fetal Surveillance and CTG interpretation during labour; Development of a train the trainer education program for Fetal Heart Rate Interpretation and Surveillance; and Maternity Emergency Management and Neonatal Resuscitation
Initially the trainer sessions were run in each of the 8 NSW Area Health Services (AHS) to produce an increased number of workforce (obstetricians, general practitioners and midwives) who feel confident and prepared to provide the education both formally and within the clinical setting. Thus sustainability of the program is achieved as it is not reliant on one person being available to train and educate.
Results
To date the first 8 AHS sessions on fetal monitoring have been completed.and156 staff have received the train the trainer sessions. These trainers have now organised sessions within their AHS and 20% of the state’s practitioners have now received this first education package.
The initial pre and post testing for the fetal assessment component shows highly significant improvements in interpretation of abnormal fetal heart rate monitoring (P<0.001) and fetal management.
Impact
The initial outcomes show this multidisciplinary approach to training of maternity practitioners creates an environment within which training is undertaken in a structured, co-ordinated and consistent way.
Learning Objectives: 1. Identify the areas of maternal and perinatal care that show a need for improved outcomes and decreases in adverse events. 2. Develop a programme for the ongoing education of practitioners from multiple disciplines involved in maternal and perinatal care. 3. Analyse in both the short term and the long term effects of the education package on practitioner knowledge and rates of adverse outcomes.
Sub-Theme: Training multidisciplinary health workers
See more of: Poster: Training Multidisciplinary Health Workers
See more of: Public Health Education for the 21st Century
See more of: Public Health Education for the 21st Century