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Simulation training is a valuable method to improve maternity nurses knowledge, performance skills and clinical judgment to saving the women health outcome who are deteriorating from postpartum hemorrhage. Therefore, this study aimed to evaluate the effect of a medium fidelity simulation based training on nurses' knowledge, performance and clinical judgment of postpartum hemorrhage management. Research Design: It was an quasi-experimental study The setting the study was conducted at two of Alexandria University Hospitals: Elshatby Maternity hospitals, and Borg El Arab hospital, The sample comprised a conveniently chosen 100 maternity nurses working in the previously mentioned setting, they were randomly assigned equally into either a study or a control group. The tools, three tools were validated and used to collect data; Tool I: Maternity nurses' knowledge about primary postpartum hemorrhage Questionnaire Tool II: Maternity nurses' performance skills for the management of primary postpartum hemorrhage observational checklist: Tool III clinical judgment rubric (LCJR) checklist observation sheet. The results accordingly proved that the majority of nurses had fair and poor knowledge and unsatisfactory performance skills and low mean score of clinical judgment about management of PPH before simulation training with no statistically significant difference between the study and control groups. Yet, after one and three months from the simulation training the nurses' knowledge, performance and clinical judgment were significantly improved among the study group than control one. It can be concluded that simulation training for maternity nurses had a positive effects in improving nurses knowledge, performance skills and, capture the skills to construct effective clinical judgment. Consequently, it was recommended to conduct ongoing in service simulation training program based on evidence-based practices for maternity nurses about obstetric emergency situation.

Effect of a Medium Fidelity Simulation Based Training on Nurses' Knowledge, Performance and Clinical Judgment of Postpartum Hemorrhage Management