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Table 2 Proportion of simulated preeclampsia and eclampsia cases in which nurse mentees completed key history, diagnostic, and management steps (N = 39 matched pairs)

From: Simulation-enhanced nurse mentoring to improve preeclampsia and eclampsia care: an education intervention study in Bihar, India

  First simulation Last simulation  
History questions n (%)§ p-value
Headache 28 (71.8) 32 (82.1) 0.25
Blurry vision 17 (43.6) 20 (51.3) 0.49
Epigastric pain 1 (2.6) 7 (17.9) 0.01
Asks gestational age 8 (20.5) 12 (30.8) 0.14
Total steps completed (median, IQR*) 1.0 (1.0–2.0) 2.0 (1.0–2.0) 0.03
Diagnostic tests
 BP assessed 39 (100.0) 39 (100.0) NA
 FHR assessed 29 (74.4) 30 (76.9) 0.08
 Fundal height measured 3 (7.7) 7 (17.9) 0.15
 Clonus or DTR 9 (23.1) 6 (15.4) 0.44
 Edema 8 (20.5) 12 (30.8) 0.30
 Urine protein test 12 (30.8) 11 (28.2) 0.80
 Total steps completed (median, IQR*) 3.0 (2.0–3.0) 3.0 (2.0–3.0) 0.39
Management steps
 Magnesium sulfate given 33 (86.4) 32 (82.1) 0.74
 Antihypertensive given 22 (56.4) 28 (71.8) 0.20
 Intravenous catheter placed 16 (41.0) 24 (61.5) 0.08
 Foley catheter inserted 15 (38.5) 22 (56.4) 0.06
 Total steps completed (median, IQR*) 2.0 (1.5–3.0) 3.0 (2.0–4.0) 0.03
Airway management steps (N = 13 matched pairs^)
 Oxygen given 9 (34.6) 9 (34.6) NA
 Patient repositioned 19 (73.1) 17 (65.4) 0.56
 Total steps completed (median, IQR*) 1.0 (0.25–2.0) 1.0 (0.25–1.75) 0.71
  1. §n = Frequency of first and last simulated cases in which mentees completed key EBPs
  2. % = Proportion of first and last simulated cases in which mentees completed key EBPs
  3. *IQR = interquartile range of total number of steps completed
  4. #Difference in proportion of EBPs completed from first to last participation in simulated case
  5. GEE logistic regression adjusted for duration (in days) between first and last simulations
  6. GEE linear regression adjusted for duration (in days) between first and last simulations
  7. ^Airway management steps analyzed in simulated eclampsia cases only