Clinical Trials Logo

Clinical Trial Summary

The goal of this research was to evaluate the effectiveness and implementation outcomes of the Simulation Based Mentorship Program (SBMP) which was implemented in four districts of Nepal. The main questions it aims to answer are: 1. What is the reach of the Simulation Based Mentorship Program? 2. What is the effect of Simulation Based Based Mentorship Program on knowledge, clinical skills, and confidence of nurses working in Birthing Centers of four district of Nepal? 3. How was the program adopted by the Birthing Centers? 4. How was the program implemented? 5. What is the perception regarding the maintenance of the program? The nurses working in the Birthing Centers were the study participants, and they received simulation-based monthly mentorship on following seven modules related to essential obstetric and newborn care every month: 1. Infection prevention 2. Antenatal care and counseling 3. Essential care of labor and birth 4. Helping babies breathe 5. Bleeding after birth 6. Pre-eclampsia and eclampsia management 7. Postnatal care and counseling


Clinical Trial Description

As the evidence showed gaps in the knowledge and skills of existing maternal and newborn health providers, we designed a Simulation-Based Mentorship Program (SBMP) to bridge the gaps. In this program, local-level mentors were developed to provide regular mentorship using a low-dose high-frequency approach in contrast to one-time coaching in a long gap. This program combined the existing package of the continuum of care along with Helping Babies Survive (HBS) & Helping Mothers Survive (HMS) guidelines, adopting a simulation-based onsite mentoring and coaching approach. The main aim of this mentorship program was to improve the quality of essential obstetric and newborn care provided by the nurses and Auxiliary Nurse Midwives (ANMs) irrespective of their pre-service and in-service training exposure by identifying gaps, providing regular technical support on the site, building close relationships between mentors and mentees, and increasing communication, backed up by regular practice in simulation labs to help in skill retention. In this mentorship program, mentorship was provided to both the Skilled Birth Assistants (SBAs) and non-Skilled Birth Attendants in their workstations to capacitate them in promoting mother and newborn health outcomes. Reach, Effectiveness, Adoption, Implementation, and Maintenance (REAIM) Dimensions in the study were: Reach 1. Number and percentage of Birthing centers intervened in the district 2. Number and percentage of nurses trained as district-level mentors 3. Number and percentage of nurses (and Auxiliary Nurse Midwives) receiving the intervention (simulation-based mentorship) 4. Perception regarding the representativeness of participants in the program Effectiveness 1. Immediate change in knowledge, skills, and confidence (midline results)- compared with control group 2. Perceived reasons for program effectiveness Adoption 1. Number and percentage of intervention sites completing all 6 monthly sessions 2. Number and percentage of mentees participating in all 6 monthly sessions 3. Number and percentage of mentees participating in weekly sessions 4. Reasons for participation/ non-participation Implementation 1. Plan vs. actual implementation (duration between monthly sessions) 2. Perception regarding various components of the program (content, teaching and learning methods, mentors) 3. Challenges encountered during implementation, adaptations made/ mitigation measures adopted Maintenance 1. Number and percentage of mentors and mentees remaining after 4 to 6 months of Simulation Based Mentorship Program (SBMP) implementation (end-line) 2. Retention of knowledge, skills, and confidence 4 to 6 months after completion of the intervention (end-line results) compared with the control group 3. Capital cost and recurrent cost required for continuation at government level 4. Application of learnings in a real setting (during and after the program implementation) 5. Willingness to implement the program in the health facilities of Simulation Based Mentorship Program (SBMP) implemented local levels after completion of the intervention 6. Continuation of mentoring/ learning in the simulation labs/ using manikins after completion of monthly sessions by mentors and mentees 7. Challenges and recommendations for continuation ;


Study Design


Related Conditions & MeSH terms


NCT number NCT06414629
Study type Interventional
Source One Heart Worldwide
Contact
Status Completed
Phase N/A
Start date November 1, 2020
Completion date December 31, 2023

See also
  Status Clinical Trial Phase
Recruiting NCT05555095 - Examining Digital Health Care Delivery Models Through Medicaid Collaborative
Completed NCT04089800 - Using a Mobile Phone-based Multimedia Technology to Support Maternal Health in Rural Southwestern Uganda N/A
Completed NCT04208867 - Quality Improvement Project for Reproductive Health Services in India, Phase 1 N/A
Not yet recruiting NCT05910580 - Improving Alcohol and Substance Use Care Access, Outcome, Equity During the Reproductive Years N/A
Recruiting NCT03256591 - Implementation of HBB Training With Facilitators That Have Undergone Simulation Methodology Training N/A
Recruiting NCT03228875 - Boston Birth Cohort Study
Completed NCT02400671 - Mobile Strategies for Women's and Children's Health: Optimizing Adherence and Efficacy of PMTCT/ART N/A
Recruiting NCT05916534 - We Care About Brooklyn - A Digital Behavioral Intervention to Optimize Engagement in Maternal Healthcare N/A
Recruiting NCT05119166 - International Milk Composition (IMiC) Consortium
Recruiting NCT05940831 - Mobile Health Intervention (Support-moms) in Antenatal Care to Improve Maternal Health in Uganda N/A
Recruiting NCT05154331 - Antenatal and Postnatal Care Research Collective - Household Survey (ARCH)
Recruiting NCT05716178 - Effectiveness of Trained Religious Leaders' Engagement in Maternal Health Education in Ethiopia N/A
Not yet recruiting NCT05697822 - Using Advanced Data Systems to Improve Health in Early Life in Rural Nepal N/A
Completed NCT02620436 - Impact Evaluation of Maternity Homes Access in Zambia N/A
Completed NCT01802957 - Health Facility Networking for Maternal Health N/A
Completed NCT01006317 - Intervention on Maternal Health Care in Rural China N/A
Enrolling by invitation NCT06085105 - Caring for Providers to Improve Patient Experience (CPIPE) Trial N/A
Recruiting NCT05924633 - A Study of a Dietary Supplement in Breastfeeding Mothers (WellFed) N/A
Recruiting NCT05484804 - Accountability for Care Through Undoing Racism & Equity for Moms N/A
Completed NCT02517008 - The Impact of Non-monetary Incentives on Facility Delivery in Rural Zambia N/A