The role of training simulation in preparing staff

The role of training & simulation in preparing staff for their roles upon the opening of the Birth Center at Wake Forest Baptist Health Dorothy B. Parnian, MS; Alisa Starbuck, DNP; Joshua Nitsche, MD; Stacy Schmauss, Ph. D; Maria Crawford; Carty Beaston; Louise Nixon; Ja. Nae Joyner, MHA, Ph. D BACKGROUND & METHODS TRAINING EFFECTIVENESS • The Center for Experiential and Applied Learning (CEAL) partnered with the Evaluate the effectiveness of each type of training you received to prepare you for your role / job at the Birth Center. executive sponsor of the Birth Center project, Alisa Starbuck, to evaluate and subsequently publish the results of a retrospective study to evaluate, through surveys, interviews, and focus groups, the lessons learned from the Birth Center Opening. • The retrospective study of the Birth Center opening process was conducted with a two-phased sequential mixed methods design. • A REDCap survey included both close- and open-ended questions, producing both quantitative and qualitative results. The qualitative comments were analyzed to inform Phase II. • The focus for this poster is on the data gathered on training & simulation. RESULTS • The quantitative survey data on training effectiveness (n=62) showed that 81% of respondents found simulation training to be useful in preparing them for their role or job in the Birth Center as compared to other training modalities (online modules - 47%; coaching/mentoring - 56%; preceptorship - 57%; classroom/didactics - 55%; on-the-job (OTJ) - 61%). • When evaluating whether the preparation/training respondents received had equipped them for the job once the Birth Center opened, we found that 72% felt fully equipped while 26. 8% did not. • Of the 26. 8% of respondents who did not feel well-equipped to do their jobs, 25% wanted more OTJ training; 25% wanted more coaching/mentoring; 21% wanted increased preceptorship opportunities; 13% wanted more simulation training; 12% wanted additional classroom instruction; and 4% wanted additional online modules (4%). • The quantitative data was supported by qualitative comments and themes including the need for more hands-on training and simulation, as well as OTJ training/preceptorships. • Altogether, this data shows that most Birth Center staff felt prepared for their role in the Birth Center when it opened, and that simulation training was an effective tool in preparing them. Type of Training [VALUE] % 80 % Useful 60 Simulation 81% On the Job Training 61% 40 Preceptorship 57% 20 Coaching/Mentoring 56% 0 Classroom/Didactic 55% Online Modules 47% [VALUE] % No Scale: 1 = not at all useful; 2 = somewhat useful; 3 = useful; 4 = extremely useful Effectiveness of Each Type of Training Received to Prepare for Roles Within Birth Center Training Types Mean + SD Classroom (didactic) instruction 2. 69 + 0. 89 On-the-job (OTJ) training 2. 88 + 1. 19 Online modules 2. 53 + 0. 86 Simulation training 3. 19 + 0. 88 Coaching / mentoring 2. 78 + 1. 13 Preceptorship 2. 67 + 1. 28 P < 0. 05 * There was no statistically significant difference between training modalities. Supported by the Center for Experiential & Applied Learning (CEAL) Did the preparation/training you received equip you for the job once the Birth Center Opened? Yes If answered NOT prepared, what type of training would you like to receive more of? Increased Preceptorship Opportunities Additional Classroom Instruction 12% 21% 25% More Coaching/ Mentorship More On-the-Job Training 25% 4% 13% Additional Online Modules More Simulation Training Acknowledgments: Ian Saunders; Vernon Williams; Troy Mc. Millan, RN; Joel Ferris