Results of nursing competency development program for delivery room to prevent postpartum hemorrhage in pregnant women at risk of postpartum hemorrhage at Inburi Hospital, Singburi Province.

Abstract

     This study was quasi-experimental research using a One Group Pretest-Posttest Design aimed to examine the effects of a nursing competency development program for labor room nurses in preventing postpartum hemorrhage among women at risk of postpartum hemorrhage. The study was conducted from January to September 2025, spanning 9 months. The qualitative sample for program development consisted of labor room nurses, physicians, and experts, totaling 15 participants. The quantitative sample for program evaluation included 8 registered nurses and 64 women at risk of postpartum hemorrhage. Research instruments comprised a nursing competency development program for labor room nurses, general information questionnaires, nursing competency assessment forms, satisfaction assessment forms, risk assessment forms, and clinical data recording forms. Quantitative data were analyzed using descriptive and inferential statistics (Paired t-test, X²test), while qualitative data were analyzed using content analysis.

     The findings revealed that the developed program consisted of 8 core components: risk assessment, clinical practice guidelines development, scenario simulation and emergency drills, evaluation and follow-up, technology and equipment utilization, teamwork and coordination, knowledge transfer, and evaluation and improvement. Following program implementation, nursing competency in labor care increased to 138.7±12.4 points, patient satisfaction with care increased to 68.9±6.7 points, postpartum hemorrhage incidence decreased to 0.8%, maternal mortality rate decreased to 0%, and complication rates decreased to 6.2%, all statistically significant at the .05 level (t = 8.45, 12.34, X²= 4.87, 5.23, 6.15 respectively).