Implementation of a Postpartum Hemorrhage Simulation Training Program in the Emergency Department

Background: Emergency department (ED) nurses are often the first point of contact for pregnant patients experiencing obstetric emergencies, especially in hospitals without dedicated obstetric units. However, ED nurses frequently lack specialized training in obstetric care. Local Problem: At the project site, no formal obstetrics training program existed specifically for ED nurses, creating a critical gap in preparedness for managing obstetric emergencies. Methods: A simulation-based educational intervention was implemented in a rural ED to improve nurse confidence in managing postpartum hemorrhage (PPH). The intervention utilized the Self-Confidence in Learning instrument to assess participants’ confidence levels. Intervention: Educational content was developed using guidelines from the American College of Obstetrics and Gynecologists and training materials from the California Maternal Quality Care Collaborative for PPH management. Participants completed a self-confidence survey and the Simulation Effectiveness Tool-Modified to evaluate the impact of the intervention. Results: Twenty of the 34 eligible nurses completed the PPH module (58.8%). Post simulation assessments demonstrated improved nurse self-confidence in managing obstetric emergencies. Nurse Self-Confidence Scale scores increased post intervention, confirming the simulation’s effectiveness. Participants perceived the simulation as realistic, relevant, and beneficial. Conclusion: Findings suggest that targeted simulation-based education can enhance self-confidence. Ongoing reinforcement and expansion of training opportunities are recommended to sustain and broaden the impact.