Table 2

Data from the pre-Q and post-Q questionnaires: perceptions of healthcare professionals before (2003–2006) and after (2007–2008) the implementation of unannounced in situ simulation (ISS) (referred to as ‘unannounced drill’ in the questionnaires)

Unannounced drills in obstetric emergencies are a good ideaUnannounced drills in obstetric emergencies are stressful and unpleasant
Before implementation
2003–2006
After implementation
2007–2008
After implementation
2007–2008
Before implementation
2003–2006
After implementation
2007–2008
After implementation
2007–2008
All staff(*part of all staff for statistical analysis of paired data)All staff, including staff participating in ISS(*part of all staff for statistical analysis of paired data)Staff not participating in ISS(*part of staff not participating in ISS for statistical analysis of paired data)All staff(*part of all staff for statistical analysis of paired data)All staff including staff participating in ISS(*part of all staff for statistical analysis of paired data)Staff not participating in ISS(*part of staff not participating in ISS for statistical analysis of paired data)
Strongly disagree1 (1%)(1*(1%))2 (1%)(1*(1%))1 (1%)(0)27 (14%)(17*(18%))48 (31%)(32*(33%))39 (29%)(26*(31%))
Disagree16 (8%)(8*(8%))6 (4%)(4*(4%))5 (4%)(3*(4%))75 (38%)(33*(34%))33 (22%)(21*(22%))30 (22%)(19*(23%))
Uncertain42 (21%)(23*(24%))10 (7%)(6*(6%))10 (7%)(6*(7%))45 (23%)(29*(30%))22 (14%)(10*(10%))19 (14%)(9*(11%))
Agree55 (28%)(25*(26%))30 (20%)(22*(23%))27 (20%)(21*(25%))41 (21%)(13*(14%))44 (29%)(30*(32%))42 (31%)(28*(33%))
Strongly agree82 (42%)(38*(40%))105(69%)(62*(65%))92 (68%)(53*(64%))11 (6%)(4*(4%))6 (4%)(3*(3%))5 (4%)(2*(2%))
Total196(95*)153(95*)135(83*)199(96*)153(96*)135(84*)
Non- responders24/220 (11%)25/178 (14%)20/155 (13%)21/220 (10%)25/178 (14%)20/155 (13%)
κ0.30 (0.17–0.42) p<0.0001 (N=95*)
 0.23 (0.09–0.36) p=0.0001 (N=96*)
 
κ0.33 (0.19–0.47) p<0.0001 (N=83*)
0.27 (0.12–0.41) p=0.0003 (N=84*)
  • Responses were rated on a five-point Likert scale from strongly disagree to strongly agree. The questionnaire statements are shown in bold.

  • * () represents the number of respondents included in the statistical test, as the test is based on paired data and only respondents who completed both pre-Q and post-Q questionnaires were part of the statistical analysis. Annual staff turnover due to, for example, maternity leave and job changes reduced staff able to responds twice to both pre-Q and post-Q questionnaires .