Hybrid simulated patient methodology: managing maternal deterioration

Simon JR Cooper, Mary Anne Biro

Research output: Chapter in Book/Report/Conference proceedingChapter (Book)Otherpeer-review


Concerns have been raised about midwives’ ‘failure to rescue’ and their ability to manage maternal deterioration, with questions over clinical skills and knowledge
and the implications for morbidity and mortality. With these issues in mind, we worked with simulated patients (SPs) to examine student midwives’ ability to assess and manage maternal deterioration using measures of knowledge, skill, situation awareness and decision-making. SPs wearing ‘birthing suits’ simulated women in maternal deterioration. In total 35 students were assessed. Knowledge scores averaged 75% (range 46 – 91%) but skill performance was low, averaging 54% (range 39 – 70%) and with notable performance decrements as the women’s condition deteriorated. Students’ evaluations indicated significant benefits of the programme and the high psychological fidelity of the scenarios and SPs.
Original languageEnglish
Title of host publicationSimulated Patient Methodology
Subtitle of host publicationTheory, Evidence and Practice
EditorsDebra Nestel, Margaret Bearman
Place of PublicationOxford UK
PublisherJohn Wiley & Sons
Number of pages6
ISBN (Print)9781118761007
Publication statusPublished - 2015

Cite this