Development and Validation of a Clinical Simulation Scenario to Enhance Postpartum Hemorrhage Management.

PURPOSE: To develop and validate a clinical simulation scenario for postpartum hemorrhage management.

BACKGROUND

Postpartum hemorrhage remains the leading cause of maternal mortality globally, despite being preventable in most cases. Structural deficiencies, limited access to care, and inadequate professional training contribute to its persistence. Clinical simulation offers an effective strategy for professional training in a safe, controlled, and context-appropriate environment.

METHODS

This methodological study was conducted in three phases: systematic review, scenario updating, and validation by 22 experts and 24 target audience professionals. The study followed Jeffries' theoretical framework and INACSL guidelines.

Results

The expert validation instrument showed an intraclass correlation coefficient (ICC) and Cronbach's alpha of 0.872, indicating strong internal consistency and reliability. For the target audience, the ICC was 0.844 and Cronbach's alpha .841, also reflecting good reliability. The Binomial Test demonstrated agreement above 0.85 for all items, confirming expert consensus on the scenario's content and appearance.

CONCLUSIONS

The scenario was deemed suitable for implementation, with expert recommendations successfully integrated.

IMPLICATIONS: The validated clinical simulation scenario is effective, reliable, and implementation-ready, supporting improved professional training and contributing to reduced maternal mortality.