دورية أكاديمية

Effectiveness of simulation-based cesarean section education on improving non-physician clinician midwife's competency in performing cesarean section in Ethiopia: a quasi-experimental study.

التفاصيل البيبلوغرافية
العنوان: Effectiveness of simulation-based cesarean section education on improving non-physician clinician midwife's competency in performing cesarean section in Ethiopia: a quasi-experimental study.
المؤلفون: Alemu FM; Ethiopian Midwives Association, Addis Ababa, Ethiopia., Yimer NB; Department of Midwifery, College of Health Sciences, Woldia University, Weldiya, Ethiopia., Kasegn BB; Ethiopian Midwives Association, Addis Ababa, Ethiopia., Kassie BA; Department of Midwifery, College of Health Sciences, University of Gondar, Gondar, Ethiopia., Ibrahim IY; Ethiopian Midwives Association, Addis Ababa, Ethiopia., Abdo AA; Department of Public Health, School of Public Health, Hawassa University, Hawassa, Ethiopia., Worke MD; Department of Midwifery, College of Health Sciences, Debre Tabor University, Debra Tabor, Ethiopia. muliedile@gmail.com.
المصدر: BMC medical education [BMC Med Educ] 2023 Dec 14; Vol. 23 (1), pp. 961. Date of Electronic Publication: 2023 Dec 14.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Midwifery* , Physicians*, Humans ; Female ; Pregnancy ; Adult ; Young Adult ; Ethiopia ; Cesarean Section ; Students ; Clinical Competence
مستخلص: Background: Simulation-based education enhances fundamental and clinical knowledge, procedural abilities, teamwork, and communication skills, as well as quality of care and patient safety. Due to excessive clinical loads and a lack of physicians, even classic teaching methods like bedside instruction are constrained in low-income settings. Thus, this study aimed to ascertain if simulation-based cesarean section education successfully raises non-physician clinician midwives' competency in Ethiopia.
Methods: A quasi-experimental study design triangulated with a qualitative design was implemented. Sixty Masters Clinical Midwifery students (29 intervention and 31 control) were taken in 5 universities. Three questionnaires (knowledge, confidence levels, and skills) were used. Qualitative data was also collected from 14 participants. The data were analyzed using SPSS version 25. Descriptive and inferential analyses were conducted. P < 0.05 was used for statistical significance. A difference-in-difference with a 95% confidence level was employed to control the potential confounders for knowledge and self-confidence. Multiple linear regression was fitted to identify the independent effect of simulation-based education interventions while controlling for other variables. Thematic analysis was performed using MAXQDA 2020.
Result: The age of the respondents varies from 24 to 34 years, with the control group's mean age being 28.8 (± 2.3) years and the intervention group's mean age being 27.2 (± 2.01) years. The intervention and control groups' pre-intervention and post-intervention knowledge scores showed a statistically significant difference. There was a substantial increase in self-confidence mean scores in both the intervention and control groups and between the pre-intervention and post-intervention periods in both the intervention and control groups. Furthermore, there was a substantial improvement in cesarean section skills in the intervention group as compared to the control group (59.6 (3.3) vs. 51.5 (4.8). The qualitative findings supported these.
Conclusions: The study showed that simulation-based education improved students' procedural knowledge, self-confidence, and skills. As a result, professional care teams can create simulation-based teaching packages to help students prepare for their residency.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Ethiopia; Mamabirthie; NPCMs; Quasi-experimental; Simulation-based education; Simulator
تواريخ الأحداث: Date Created: 20231215 Date Completed: 20231216 Latest Revision: 20231217
رمز التحديث: 20231218
مُعرف محوري في PubMed: PMC10722683
DOI: 10.1186/s12909-023-04968-w
PMID: 38098058
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6920
DOI:10.1186/s12909-023-04968-w