Pilot Utilization of Simulation-based Training among Interprofessional Teams in Proning Pregnant and Obese/Overweight Patients Experiencing Acute Respiratory Failure

Authors

  • Maria Julieta V. Germar, MD Department of Obstetrics and Gynecology, College of Medicine and Philippine General Hospital, University of the Philippines Manila https://orcid.org/0000-0002-3339-0530
  • Maria Antonia E. Habana, MD, MSc Department of Obstetrics and Gynecology, College of Medicine and Philippine General Hospital, University of the Philippines Manila
  • Albert B. Albay, MD Department of Medicine, College of Medicine and Philippine General Hospital, University of the Philippines Manila
  • Bernadette Cris L. Festejo-Dela Cruz MD Department of Obstetrics and Gynecology, College of Medicine and Philippine General Hospital, University of the Philippines Manila
  • Hanz Deihl B. Carmona, MD Department of Obstetrics and Gynecology, College of Medicine and Philippine General Hospital, University of the Philippines Manila
  • Jean Michael L. Castillo, MD Department of Obstetrics and Gynecology, College of Medicine and Philippine General Hospital, University of the Philippines Manila
  • Ma. Romina Jiselle A. Lirio, MD Department of Obstetrics and Gynecology, College of Medicine and Philippine General Hospital, University of the Philippines Manila
  • Karen Anne L. Claridad, MD Department of Medicine, College of Medicine and Philippine General Hospital, University of the Philippines Manila
  • Carlos Diego A. Rozul RPm, MclinAud Research Implementation and Development Office, College of Medicine, University of the Philippines Manila

DOI:

https://doi.org/10.47895/

Keywords:

prone positioning, pregnant, interprofessional simulation-based training, simulation, supportive pillow

Abstract

Background. The Prone Pillow for Pregnant Patients using the (4P) 2.0 prototype was developed to address the unique challenges in proning pregnant patients with COVID-19 in a tertiary hospital. A lack of training in proning particularly pregnant and overweight patients has led to patients with severe ARDS not receiving this life-saving intervention.

Objective. The current study aimed to evaluate the impact of an interprofessional simulation-based training program on providers' perception, knowledge, and confidence in proning of pregnant patients with Acute Respiratory Distress Syndrome due to COVID -19 or other causes.

Methods. A total of 124 healthcare workers who took part in the management of patients in COVID wards and ICUs participated in the study. The simulation workshop was conducted on May 2022 and the participants were divided into interprofessional teams. Standardized patients and mannequins were used to simulate patients with ARDS. Standardized checklists for proning were used. The participants were debriefed after. The participants completed pre- and post-simulation questionnaires.

Results. After the simulation workshop, the participants’ perception on the benefit of prone position in the ventilation of patients with ARDS, level of confidence in handling proning of pregnant patients, comfort in speaking to patient and next of kin regarding prone ventilation, and knowledge on proning significantly improved. Subgroup analysis showed statistically significant improvements in knowledge scores among registered nurses, resident physicians, and participants with varying degrees of experience managing COVID-19 patients and proning pregnant patients. Majority of participants deemed it was easy to turn patients in the prone position using the supportive pillow as well as expressed confidence in doing the procedure.

Conclusion. Interprofessional simulation-based training of healthcare workers improved providers' knowledge and confidence in proning pregnant patients. Simulation based training also improved the comfort of the healthcare professional in advising the patient and next of kin on the benefits of proning.

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Published

2025-07-31

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Section

Articles

How to Cite

1.
Pilot Utilization of Simulation-based Training among Interprofessional Teams in Proning Pregnant and Obese/Overweight Patients Experiencing Acute Respiratory Failure. Acta Med Philipp [Internet]. 2025 Jul. 31 [cited 2025 Aug. 2];. Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/11614