Simulation as an Innovative Teaching Pedagogy for Baccalaureate Male Students Undertaking a Maternal Health Course in the Arab world: A Pilot Project

Abstract

Background: The nursing profession is attracting more male students at the baccalaureate level. Nursing faculty face difficulty in finding appropriate clinical opportunities in obstetrics for male baccalaureate nursing students in the conservative Arab culture.
Methods: A simulated environment was created comprising four beds in a ward setting. A standardized patient (SP) was placed on each bed. Each SP was trained to provide a history and respond to triggers based on questions posed by male students. The scenarios were: an antenatal patient admitted for induction of labor, a primipara with edema and severe headache, a multigravida who delivered spontaneously and was preparing for discharge, and a cesarian case on the first postoperative day. In the latter two scenarios, newborns were placed in bassinettes near the SP’s and the male students were also expected to take care of the baby. This innovative educational project highlighted simulation using low fidelity manikins and SPs. Male students reported simulation was an effective teaching strategy to acquire obstetric knowledge and develop critical thinking as they responded to cues given by the SP (e.g., antenatal abdominal pain). In addition, the students gained a level of proficiency in examining antenatal and postnatal women. Furthermore, they reported that debriefing following the training consolidated their learning.
Conclusion: Male students reported they would not have been able to achieve the course outcomes for the
maternity clinical rotation without the introduction of simulation. This project sets the stage for introducing
simulation into other clinical courses across the baccalaureate curriculum.