P14.02 An electronic behaviour diary: Monitoring the effects of advanced obstetric surgical skills training

Allott, Helen, Smith, A and Ameh, Charles ORCID: https://orcid.org/0000-0002-2341-7605 (2023) 'P14.02 An electronic behaviour diary: Monitoring the effects of advanced obstetric surgical skills training' in XXIV FIGO World Congress of Gynecology and Obstetrics, Paris, France, 9 to 12 October 2023.

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Abstract

Objective:
Training should lead to improvements in the quality of clinical care delivery. It is essential to follow up participants after a training intervention to monitor changes in behaviour associated with adoption of lessons learned into clinical practice. We introduced an electronic diary to facilitate monitoring whilst minimising effort for participants.

Method:
An electronic diary was created using a freely available on-line platform. Following a training intervention on advanced obstetric surgical skills, obstetric residents from Kenya were invited to pilot completing the diary after their labour ward shifts. Entries were anonymised. Participants were asked to enumerate the times they utilised specific skills, or to state why they had been unable to do so, using tick box options. Reflections on skills used were entered using free comments.

Results:
All participants reported changed behaviours, for example, improved surgical knot-tying, safer needle handling, separate closure of uterine incision angles and techniques for delivery of the impacted fetal head. 6 reported conducting vaginal breech birth and 6 performed vacuum-assisted birth. All reported improvements in use of the safe surgical checklist, obtaining consent and respectful maternity care. 7 had participated in newborn resuscitation. Reflections suggested participants experienced improved levels of confidence and satisfaction when implementing new skills.

Conclusion:
This pilot study has demonstrated the feasibility of monitoring clinical behaviour change following training using an electronic platform. Monitoring the effect of training is essential to prove that training results in improvements to clinical practice. We plan to roll out this intervention following future training interventions.

Item Type:	Conference or Workshop Item (Poster)
Subjects:	WQ Obstetrics > WQ 100 General works WQ Obstetrics > Pregnancy > WQ 200 General works WQ Obstetrics > Labor > WQ 300 General works
Faculty: Department:	Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI):	https://doi.org/10.1002/ijgo.15058
Depositing User:	Rachel Dominguez
Date Deposited:	31 Oct 2023 16:09
Last Modified:	31 Oct 2023 16:09
URI:	https://archive.lstmed.ac.uk/id/eprint/23373

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