Table 2.
Theme | Responses | Comments |
Communication | 87 | ‘Allocating task to a certain individual and not to someone!’ ‘Use closed loop communication’ ‘Use team members’ names’ ‘Use specific terminology’ ‘Effective communication between team members leads to effective management’ ‘Communication becomes even more important in an emergency situation’ ‘Asking who is in charge (of the situation)’ ‘To ask what’s happening for documentation, to tell when observations/anything is to be done’ |
Knowledge of equipment and procedure | 78 | ‘I learnt where things are kept so they can be accessed immediately in an emergency’ ‘Familiarity with the ward and procedures to initiate emergency responses’ ‘Need to spend time learning to hook up the resuscitation cot to the gases in birth rooms’ ‘Using the resuscitaire, turning it on’ ‘Familiarise yourself with the content of the emergency boxes’ ‘It was difficult to find the equipment like the IV pump for the simulation. I understand we need to know where these things are’. |
Learning leadership and followership | 73 | ‘Put hand up if free when already completed a task in an emergency situation’ ‘It’s ok to not have a job and wait’ ‘Learned to identify the importance of clarifying leadership role in every scenario’ ‘Step in with a helicopter leader role’ ‘Ask who is the leader/what is going on/what can I do?’ ‘I needed to be more assertive as team leader’ ‘Clear instructions and explicitly determining who the emergency leader is’ |
Supportive learning environment | 68 | ‘Useful to practise these things in team prior to the real deal’ ‘It consolidated training/knowledge that I have come across in pieces’ ‘It identifies my weaknesses so I can work on them’ ‘Learning about eclampsia and PPH in a relaxed environment’ |
Realism in simulation | 48 | ‘Having a serious actress helped to keep it real’ ‘Stay calm in a stressful emergency’ ‘Practical experience of emergencies we don’t normally get to manage’ |
Interprofessional roles and teamwork | 46 | ‘Teamwork improves working together’ ‘My specific role as a RMO (junior doctor) in an emergency situation….’ ‘….taking on roles/tasks that I can do instead of RMO’ ‘That you could have a small role that makes up effective care’ |
Prioritisation | 33 | ‘(checking) Fetal heart rate during eclamptic fit is not a priority’ ‘Think of first line of management in a maternity emergency’ ‘IV fluids very important in PPH, possibly more than drugs’ ‘The importance of airway and fluid resuscitation’ ‘The first steps in managing an eclamptic woman’ |
PROMPT, Practical Obstetric Multi-Professional Training.