Educational needs for traumatic perinatal events among labor and delivery nurses in Korea: a survey study

Purpose : The present study was conducted to identify the traumatic perinatal events, provision of related education, and education needs of nurses` working in the labor and delivery room. Method: Nurses working in the labor and delivery room (LDR) were invited to participate in the suvery, delivered via paper or online. The data were collected from October 1 to November 25, 2022. Data from 129 nurses were analyzed using frequency, Chi-square test, Fisher exact test, t-test, and ANOVA. Result : This study assessed the following six traumatic perinatal events: difficult birth, postpartum bleeding, baby with abnormality, serious injury of mother/baby, stillbirth by dismembering, and loss of mother/baby. Virtually all participants (98.6%) reported having experienced one or more since working in the LDR. The most shocking traumatic perinatal event experienced was the loss of mother and baby (40.3%), yet 24.8% did not recall ever having received education on the topic. About 63% of participants experienced traumatic perinatal events within a year of working in the delivery room. The average education needs for traumatic perinatal events is 3.67±0.37 out of 4 and the effective educational method that is preferred by nurses in the delivery room is simulation education. Conclusion : Since most of the participants experience various traumatic perinatal events in the early stages of work in the LDR and have a high educational demand for traumatic perinatal events, it is necessary to provide more effective stimulation education programs in the early days of labor and delivery experience.

研究目的：本研究旨在明确产房（Labor and Delivery Room，LDR）在岗护士所遭遇的围产期创伤性事件、相关教育供给现状及护士的教育需求。
研究方法：本研究邀请产房在岗护士参与调研，调研形式涵盖纸质问卷与线上问卷两类，数据收集时段为2022年10月1日至11月25日。最终共纳入129份护士有效数据，并采用频数分析、卡方检验、Fisher精确检验、t检验以及方差分析进行统计处理。
研究结果：本研究共评估了6类围产期创伤性事件，分别为难产、产后出血、新生儿异常、母婴严重损伤、解体性死产以及母婴丧失。结果显示，几乎所有受访者（98.6%）表示在产房工作期间曾遭遇过至少1起此类事件。其中，最具冲击性的围产期创伤性事件为母婴丧失（占比40.3%），但仍有24.8%的受访者表示未曾接受过该主题的相关教育。约63%的受访者在进入产房工作的1年内便遭遇了围产期创伤性事件。产房护士对围产期创伤性事件相关教育的平均需求得分为3.67±0.37（满分4分），护士更青睐的高效教育方式为模拟教学。
研究结论：鉴于多数受访者在产房工作初期便遭遇了各类围产期创伤性事件，且对相关教育存在较高需求，因此有必要在护士的产房从业早期阶段，提供更为高效的模拟教育方案。