Susanna R. Cohen
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View article: Experiences of healthcare providers caring for pregnant individuals with substance use disorder
Experiences of healthcare providers caring for pregnant individuals with substance use disorder Open
Despite the challenges described, many providers expressed strong dedication to delivering compassionate, person-centered care. The findings underscore the need for targeted provider education, institutional policies that reduce care barri…
View article: Precepting Through Perinatal Emergencies: A Simulation‐Based Training for Midwifery Educators
Precepting Through Perinatal Emergencies: A Simulation‐Based Training for Midwifery Educators Open
The growth of the midwifery model of care depends on the preparation of new midwives, which necessitates skilled midwifery clinical preceptors. The University of Utah, Rutgers University, and PRONTO International supported by the New Jerse…
View article: Childbirth experiences for women living with HIV in Kilimanjaro, Tanzania: a mixed method study on respectful maternity care
Childbirth experiences for women living with HIV in Kilimanjaro, Tanzania: a mixed method study on respectful maternity care Open
Background Respectful maternity care (RMC) is important for women living with human immunodeficiency virus (WLHIV) to promote their well-being and long-term healthcare engagement. This descriptive mixed-methods study explored the experienc…
View article: <scp>HIV</scp> Stigma and Self‐Efficacy Caring for Women Living With <scp>HIV</scp>: A Mixed‐Methods Study of Labour and Delivery Providers—Empirical Research Mixed Methods
<span>HIV</span> Stigma and Self‐Efficacy Caring for Women Living With <span>HIV</span>: A Mixed‐Methods Study of Labour and Delivery Providers—Empirical Research Mixed Methods Open
Aim To understand HIV stigma and self‐efficacy of labour and delivery (L&D) providers in caring for women living with HIV (WLHIV). Design Cross‐sectional descriptive mixed methods. Methods Data were collected in six primary healthcare faci…
View article: Burnout Among Labor and Birth Providers in Northern Tanzania: A Mixed‐Methods Study
Burnout Among Labor and Birth Providers in Northern Tanzania: A Mixed‐Methods Study Open
Background Burnout, characterized by emotional exhaustion, depersonalization, and a diminished sense of accomplishment, is a serious problem among healthcare workers. Burnout negatively impacts provider well‐being, patient outcomes, and he…
View article: Gender and Sex Inclusive Approaches for Discussing Predicted Fetal Sex: A Call for Reflection and Research
Gender and Sex Inclusive Approaches for Discussing Predicted Fetal Sex: A Call for Reflection and Research Open
Technology has rapidly transformed the centuries-old practice of fetal sex prediction, and significant social and medical progress is changing the way prenatal health care providers (HCPs) address the often-asked question, "Am I having a b…
View article: Factors associated with respectful maternity care and influence of <scp>HIV</scp> status among women giving birth in Kilimanjaro, Tanzania
Factors associated with respectful maternity care and influence of <span>HIV</span> status among women giving birth in Kilimanjaro, Tanzania Open
Background Respectful maternity care (RMC) is a rights‐based approach to childbirth that centers the dignity, autonomy, and well‐being of birthing women. This study aimed to examine factors associated with RMC among women giving birth in T…
View article: Childbirth experiences among women living with HIV in Kilimanjaro, Tanzania:A mixed method study on respectful maternity care
Childbirth experiences among women living with HIV in Kilimanjaro, Tanzania:A mixed method study on respectful maternity care Open
Background This mixed-method study explored the experiences of respectful maternity care (RMC) during childbirth among women living with HIV (WLHIV) in Tanzania. Method We recruited 103 WLHIV from six healthcare facilities within 48 hours …
View article: Burnout among labor and birth providers in northern Tanzania: A mixed-method study
Burnout among labor and birth providers in northern Tanzania: A mixed-method study Open
Burnout, characterized by emotional exhaustion, depersonalization, and a diminished sense of accomplishment, is a serious problem among healthcare workers. Burnout negatively impacts provider well-being, patient outcomes, and healthcare sy…
View article: A comic based interactive digital intervention to enhance facilitation skills of nurse mentors in public facilities – results of a pilot intervention in Bihar, India
A comic based interactive digital intervention to enhance facilitation skills of nurse mentors in public facilities – results of a pilot intervention in Bihar, India Open
Findings suggest that this interactive comic series was successful in a resource limited setting at engaging simulation educators and helped to maintain their facilitation knowledge over time.
View article: A simulation and experiential learning intervention for labor and delivery providers to address HIV stigma during childbirth in Tanzania: study protocol for the evaluation of the MAMA intervention
A simulation and experiential learning intervention for labor and delivery providers to address HIV stigma during childbirth in Tanzania: study protocol for the evaluation of the MAMA intervention Open
View article: A simulation and experiential learning intervention for labor and delivery providers to address HIV stigma during childbirth in Tanzania: Study protocol for the evaluation of the MAMA intervention
A simulation and experiential learning intervention for labor and delivery providers to address HIV stigma during childbirth in Tanzania: Study protocol for the evaluation of the MAMA intervention Open
Background : The experience of HIV stigma during intrapartum care can impact women’s trust in the health care system and undermine their long-term commitment to HIV care engagement. Delivery of respectful maternity care (RMC) to WLHIV can …
View article: Context Matters: Factors Affecting Implementation of Simulation Training in Nursing and Midwifery Schools in North America, Africa and Asia
Context Matters: Factors Affecting Implementation of Simulation Training in Nursing and Midwifery Schools in North America, Africa and Asia Open
Shared constructs reported in diverse settings provide lessons to implementing evidence-based, flexible simulation trainings in pre-service curriculum.
View article: Training nurse simulation educators at scale to improve maternal and newborn health: a case study from Bihar, India
Training nurse simulation educators at scale to improve maternal and newborn health: a case study from Bihar, India Open
View article: Improving access to highly effective emergency contraception: an assessment of barriers and facilitators to integrating the levonorgestrel IUD as emergency contraception using two applications of the Consolidated Framework for Implementation Research
Improving access to highly effective emergency contraception: an assessment of barriers and facilitators to integrating the levonorgestrel IUD as emergency contraception using two applications of the Consolidated Framework for Implementation Research Open
View article: Facility-based simulation as a programmatic tool for implementing a statewide contraceptive initiative
Facility-based simulation as a programmatic tool for implementing a statewide contraceptive initiative Open
View article: Simulation and nurse-mentoring in a statewide nurse mentoring program in Bihar, India: diagnosis of postpartum hemorrhage and intrapartum asphyxia
Simulation and nurse-mentoring in a statewide nurse mentoring program in Bihar, India: diagnosis of postpartum hemorrhage and intrapartum asphyxia Open
Background: Mentoring programs that include simulation, bedside mentoring, and didactic components are becoming increasingly popular to improve quality. These programs are designed with little evidence to inform the optimal composition of …
View article: Improving access to highly effective emergency contraception: an assessment of barriers and facilitators to integrating levonorgestrel IUD as emergency contraception using two applications of the Consolidated Framework for Implementation Research
Improving access to highly effective emergency contraception: an assessment of barriers and facilitators to integrating levonorgestrel IUD as emergency contraception using two applications of the Consolidated Framework for Implementation Research Open
Background: Emergency contraception prevents unwanted pregnancy after sexual intercourse. New evidence has demonstrated that the 52 mg levonorgestrel IUD is a highly effective method of emergency contraception. However, translating this re…
View article: Super Divya to the rescue! Exploring Nurse Mentor Supervisor perceptions on a digital tool to support learning and engagement for simulation educators in Bihar, India
Super Divya to the rescue! Exploring Nurse Mentor Supervisor perceptions on a digital tool to support learning and engagement for simulation educators in Bihar, India Open
Background Since 2014, the Government of Bihar and CARE India have implemented a nurse mentoring program that utilizes PRONTO International’s simulation and team trainings to improve obstetric and neonatal care. Together they trained simul…
View article: Training nurse simulation educators at scale to improve maternal and newborn health: a case study from Bihar, India
Training nurse simulation educators at scale to improve maternal and newborn health: a case study from Bihar, India Open
Background Simulation has been shown to improve clinical and behavioral skills of birth attendants in low-resource settings at a low scale. Populous, low-resource settings such as Bihar, India, require large cadres of simulation educators …
View article: Super Divya, an Interactive Digital Storytelling Instructional Comic Series to Sustain Facilitation Skills of Labor and Delivery Nurse Mentors in Bihar, India—A Pilot Study
Super Divya, an Interactive Digital Storytelling Instructional Comic Series to Sustain Facilitation Skills of Labor and Delivery Nurse Mentors in Bihar, India—A Pilot Study Open
To improve the quality of intrapartum care in public health facilities of Bihar, India, a statewide quality improvement program was implemented. Nurses participated in simulation sessions to improve their clinical, teamwork, and communicat…
View article: Simulation and team training embedded nurse mentoring programme and improvement in intrapartum and newborn care in a low-resource setting in Bihar, India
Simulation and team training embedded nurse mentoring programme and improvement in intrapartum and newborn care in a low-resource setting in Bihar, India Open
Background Improvement of the quality of maternal and child health care remains a focus in India.Working with the Government of Bihar, CARE-India facilitated a comprehensive set of quality of care improvement initiatives.PRONTO's simulatio…
View article: Simulation and team training embedded nurse mentoring programme and improvement in intrapartum and newborn care in a low-resource setting in Bihar, India.
Simulation and team training embedded nurse mentoring programme and improvement in intrapartum and newborn care in a low-resource setting in Bihar, India. Open
ClinicalTrials.gov number NCT02726230.
View article: Cohort study of neonatal resuscitation skill retention in frontline healthcare facilities in Bihar, India, after PRONTO simulation training
Cohort study of neonatal resuscitation skill retention in frontline healthcare facilities in Bihar, India, after PRONTO simulation training Open
Background Use of simulation in neonatal resuscitation (NR) training programmes has increased throughout low-income and middle-income countries. Many of such programmes have demonstrated a positive impact on NR knowledge and skill acquisit…
View article: Training and evaluating simulation debriefers in low-resource settings: lessons learned from Bihar, India
Training and evaluating simulation debriefers in low-resource settings: lessons learned from Bihar, India Open
View article: Diagnosis and management of postpartum hemorrhage and intrapartum asphyxia in a quality improvement initiative using nurse-mentoring and simulation in Bihar, India
Diagnosis and management of postpartum hemorrhage and intrapartum asphyxia in a quality improvement initiative using nurse-mentoring and simulation in Bihar, India Open
The nurse-mentoring program appears to have built providers' capacity to identify PPH and intrapartum asphyxia cases but diagnosis levels are still not on par with levels observed in Southeast Asia and globally.
View article: Can integrated clinical simulation trainings improve person-centred maternity care? Results from a pilot project in Ghana
Can integrated clinical simulation trainings improve person-centred maternity care? Results from a pilot project in Ghana Open
Background: Person-centred maternity care (PCMC) is maternity care that is responsive to and respectful of women's needs and values. It is a key dimension of quality, capturing the experience of interpersonal dimensions of care. Poor PCMC …
View article: Can an integrated obstetric emergency simulation training improve respectful maternity care? Results from a pilot study in Ghana
Can an integrated obstetric emergency simulation training improve respectful maternity care? Results from a pilot study in Ghana Open
Background Few evidence‐based interventions exist on how to improve respectful maternity care (RMC) in low‐resource settings. We sought to evaluate the effect of an integrated simulation‐based training on provision of RMC. Methods The pilo…
View article: Logistical, cultural, and structural barriers to immediate neonatal care and neonatal resuscitation in Bihar, India
Logistical, cultural, and structural barriers to immediate neonatal care and neonatal resuscitation in Bihar, India Open
Interacting logistical, cultural and structural barriers affect all aspects of immediate neonatal care and resuscitation in Bihar. These barriers must be addressed in any intervention focused on improving providers' clinical skills. Strate…
View article: The power of practice: simulation training improving the quality of neonatal resuscitation skills in Bihar, India
The power of practice: simulation training improving the quality of neonatal resuscitation skills in Bihar, India Open
PRONTO simulation training had a positive impact on the quality of key skills in simulated and live resuscitations throughout Bihar. Nevertheless, there is need for ongoing improvement that will likely require both further clinical trainin…