Self-perceived long-term transfer of learning after postpartum hemorrhage simulation training

Brena Carvalho Pinto de Melo*, Ana Rodrigues Falbo, Jette Led Sorensen, Jeroen J. G. van Merrienboer, Cees van der Vleuten

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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ObjectiveTo explore long-term transfer (application of acquired knowledge and skills on the job) after postpartum hemorrhage simulation training based on either instructional design (ID) principles or conventional best practice.

MethodsIn this qualitative study, semi-structured interviews with obstetrics and gynecology healthcare practitioners were conducted between August 7 and September 26, 2015, in Recife, Brazil. The participants were randomly selected from each of two postpartum hemorrhage simulations attended 2years earlier (one ID and one conventional best practice). Thematic analysis was used to explore (1) residents' perceptions of long-term transfer of learning, (2) ID elements influencing the perceived long-term transfer, and (3) differences in the participants' perceptions according to the type of simulation attended.

ResultsThere were 12 interview participants. After either simulation format, residents perceived long-term transfer effects. Training design factors influencing transfer were, in their opinion, related to trainees' characteristics, simulation design, and workplace environment. Trainees who participated in the ID-based simulation perceived better communication skills and better overall situational awareness: I didn't do that before.

ConclusionAll residents perceived long-term transfer after simulation training for postpartum hemorrhage. Those who attended the ID format additionally perceived improvements in communication skills and situational awareness, which are fundamental factors in the management of postpartum hemorrhage.

Residents perceived better long-term transfer of learning (improved situational awareness and communication skills) after postpartum hemorrhage simulation training based on instructional design principles. This article includes a Video abstract, available at . This article includes a Portuguese translation of the Abstract, available in the Supporting Information section.

Original languageEnglish
Pages (from-to)261-267
Number of pages7
JournalInternational Journal of Gynecology & Obstetrics
Issue number2
Publication statusPublished - May 2018


  • Communication
  • Instruction
  • Postpartum hemorrhage
  • Simulation training
  • Situational awareness
  • Training transfer


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