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CTRI Number  CTRI/2025/02/080324 [Registered on: 11/02/2025] Trial Registered Prospectively
Last Modified On: 24/01/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Process of Care Changes
Behavioral 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Improving Obstetrical Emergency Skills in Final-Year Nursing Students Through Peer Coaching: A Study on Training Effectiveness 
Scientific Title of Study   Evaluating the effectiveness of simulation based peer coaching on obstetric emergency management skills in final year nursing students - A mixed method approach. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Deviga T 
Designation  Assistant Professor 
Affiliation  AIIMS Gorakhpur 
Address  Faculty room number: 4 4th floor MNC building College of Nursing AIIMS Gorakhpur Uttar Pradesh PIN 273008

Gorakhpur
UTTAR PRADESH
273008
India 
Phone  8003991332  
Fax    
Email  deviga.thirush@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Deviga T 
Designation  Assistant Professor 
Affiliation  AIIMS Gorakhpur 
Address  Faculty room number: 4 4th floor MNC building College of Nursing AIIMS Gorakhpur Uttar Pradesh PIN 273008

Gorakhpur
UTTAR PRADESH
273008
India 
Phone  8003991332  
Fax    
Email  deviga.thirush@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Deviga T 
Designation  Assistant Professor 
Affiliation  AIIMS Gorakhpur 
Address  Faculty room number: 4 4th floor MNC building College of Nursing AIIMS Gorakhpur Uttar Pradesh PIN 273008

Gorakhpur
UTTAR PRADESH
273008
India 
Phone  8003991332  
Fax    
Email  deviga.thirush@gmail.com  
 
Source of Monetary or Material Support  
College of Nursing AIIMS Gorakhpur Gorakhpur Uttar Pradesh India PIN: 273008 
 
Primary Sponsor  
Name  Dr Deviga T 
Address  College of Nursing AIIMS Gorakhpur Gorakhpur Uttar Pradesh India PIN: 273008 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Deviga T  All India Institute of Medical Sciences Gorakhpur  4th floor Skill lab College of Nursing MNC building
Gorakhpur
UTTAR PRADESH 
8003991332

deviga.thirush@gmail.com  
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee, AIIMS Gorakhpur, India  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Students 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Simulation-Based Training  1.Simulation Scenarios: oParticipants will engage in simulated scenarios of obstetric emergencies similar to those in the experimental group. oScenarios will be designed to provide exposure to obstetric emergencies and allow participants to practice their clinical skills. 2.Facilitated Debriefing: oFollowing each simulation session, participants will engage in facilitated debriefing sessions. oFacilitators will lead discussions to review the simulation experience, identify learning points, and discuss areas for improvement. 3.No Peer Coaching: oUnlike the experimental group, participants in the control group will not receive peer coaching during the simulation sessions. Feedback and discussion will be led by facilitators rather than peers. 
Intervention  Simulation-Based Peer Coaching  1.Simulation Scenarios: Participants will engage in simulated scenarios of obstetric emergencies such as postpartum haemorrhage, eclampsia, and maternal CPR Scenarios will be designed to mimic real-life situations encountered in clinical practice. 2.Peer Coaching Sessions: oEach simulation session will be followed by a peer coaching session. oPeer coaches, selected from among the participants, will observe their peers performance during the simulation and provide constructive feedback. oFeedback will focus on clinical skills, decision-making processes, communication, and teamwork.3.Facilitated Reflection: oFollowing feedback from peer coaches, participants will engage in facilitated reflection sessions. oFacilitators will guide discussions to encourage participants to reflect on their performance, identify areas for improvement, and discuss strategies for enhancing their skills. 4.Repeated Practice: oParticipants will have multiple opportunities to engage in simulation-based scenarios and peer coaching sessions throughout the intervention period. The repetition of practice sessions aims to reinforce learning and skill acquisition. 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  30.00 Year(s)
Gender  Female 
Details  1.Final-year B.Sc. nursing students studying at AIIMS Gorakhpur.
2.Students who have completed all required OBG clinical rotations of third-year.
3.Availability to attend training sessions and participate in assessments. 
 
ExclusionCriteria 
Details  1.Students not willing to participate.
2.Previous formal training in obstetric emergency management beyond the standard curriculum.
3.Any medical condition or circumstance interfering with participation.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Improved obstetric emergency management skills in the experimental group.
 
5 weeks 
 
Secondary Outcome  
Outcome  TimePoints 

•Enhanced confidence and knowledge levels among peer-coached students.
•Valuable qualitative insights into the effectiveness of peer coaching in simulation training. 
5 weeks 
 
Target Sample Size   Total Sample Size="56"
Sample Size from India="56" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   12/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This study will be conducted among final-year nursing students at AIIMS Gorakhpur. The participants will be divided into two groups: the experimental group (n=26) will undergo simulation-based peer coaching, while the control group (n=26) will receive conventional simulation training led by faculty. Participants will be recruited using a total enumerative sampling technique, and randomization will be performed using a computer-generated random allocation method. The study will focus on basic obstetrical emergency procedures, including the initial management of postpartum hemorrhage, eclampsia, and maternal CPR. Training for both the experimental and control groups will be conducted simultaneously. A pretest and posttest will be administered to assess knowledge and skills before and after the training. Additionally, a focus group discussion will be held after the training to gather qualitative insights into the students’ experiences with simulation-based peer coaching in managing obstetrical emergencies. Quantitative and qualitative findings will be integrated to provide a comprehensive understanding of the intervention’s impact.


 
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