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Table 5 Summary of participant tool and artifact use by participant role

From: An activity theory perspective of how scenario-based simulations support learning: a descriptive analysis

Primary scenario goal

Role

Physical clinical tools and artifacts

Structured interventions

Conduct an uncomplicated postpartum assessment

Primary nurse

Alcohol gel, gloves, vital sign monitor, stethoscope, disposable underwear, peri-pad

Postpartum assessment, apply alcohol gel, palpate, auscultate, visualize, assess blood loss (peri-pad), change peri-pad

Support nurse

Alcohol gel, gloves, patient ID band, vital sign monitor, pulse oximetry monitor, thermometer, vital signs readings, heart rate, respiratory rate)

Apply alcohol gel, identify patient, assess vital signs (mother), assess blood oxygen, assess urine output, visualization, auscultation, hand washing

Escalate care and treat a patient experiencing post-epidural hypotension

Primary nurse

Alcohol gel, gloves, vital sign monitor, electronic fetal monitor (EFM), IV pump, thermometer, stethoscope

Intrapartum assessment, apply alcohol gel, auscultation, assess vital signs (mother), interpret EFM tracings, lower head of bed, roll patient, give fluid bolus

Support nurse

Alcohol gel, gloves, electronic fetal monitor (EFM), pillow, IV pump

Apply alcohol gel, interpret EFM tracings, roll patient, fluid bolus

Recognize and treat a patient experiencing a postpartum hemorrhage

Primary nurse

Alcohol gel, gloves, Chux, vital sign monitor, pulse oximetry monitor, vital sign readings, straight catheter kit

Postpartum assessment, apply alcohol gel, assess vital signs (mother), assess blood oxygen, visualization, assess blood loss, perform straight catheterization

Support nurse 1

Alcohol gel, gloves, Chux, IV fluids, IV tubing, IV pump

Fluid administration

 

Support nurse 2

Alcohol gel, gloves

Fundal massage

Conduct an intrapartum assessment of a patient experiencing a fetal demise in utero

Primary nurse

Alcohol gel, gloves, vital sign monitor, pulse oximetry monitor, thermometer, vital sign readings, pulse oximetry reading, stethoscope

Intrapartum assessment, apply alcohol gel, apply gloves, assess vital signs, auscultate (lung sounds), assess blood oxygen

  1. Italics indicate structured interventions with greater complexity