A protocol for evaluating progressive levels of simulation fidelity in the development of technical skills, integrated performance and woman centred clinical assessment skills in undergraduate midwifery students

BMC Medical Education

Anne Jackson⁴  Melanie Barlow⁴  Donna Bonney⁴  Pauline Lyon⁴  Andrew Wells⁴  Kristen Gibbons¹  Fiona Bogossian²  Susannah Brady³ 

[1] Mater Research Office, Mater Medical Research Institute, South Brisbane, QLD 4101, Australia;School of Nursing and Midwifery, The University of Queensland, Herston Campus, Edith Cavell Building, Fourth Avenue,, Brisbane, Herston, QLD 4029, Australia;School of Nursing & Midwifery, The University of Queensland, Ipswich Campus, Salisbury Road, Ipswich, QLD 4035, Australia;Mater Education, Mater Health Services, Mater Education Practice Improvement Center (MEPIC), Corporate Services Building, Level 4, Raymond Terrace, South Brisbane, QLD 4101, Australia

关键词: Woman centred care;    Vaginal examination;    Simulation fidelity;    Simulation;    Midwifery;    Integrated procedural performance instrument;    Global rating scale;    Education;    Clinical assessment;   

Others  :  1138912
DOI  :  10.1186/1472-6920-13-72

 received in 2013-01-02, accepted in 2013-05-21,  发布年份 2013

【 摘 要 】

Background

Simulation as a pedagogical approach has been used in health professional education to address the need to safely develop effective clinical skills prior to undertaking clinical practice. However, evidence for the use of simulation in midwifery is largely anecdotal, and research evaluating the effectiveness of different levels of simulation fidelity are lacking.

Woman centred care is a core premise of the midwifery profession and describes the behaviours of an individual midwife who demonstrates safe and effective care of the individual woman. Woman centred care occurs when the midwife modifies the care to ensure the needs of each individual woman are respected and addressed. However, a review of the literature demonstrates an absence of a valid and reliable tool to measure the development of woman centred care behaviours. This study aims to determine which level of fidelity in simulated learning experiences provides the most effective learning outcomes in the development of woman centred clinical assessment behaviors and skills in student midwives.

Methods/Design

Three-arm, randomised, intervention trial.

In this research we plan to:

a) trial three levels of simulation fidelity - low, medium and progressive, on student midwives performing the procedure of vaginal examination;

b) measure clinical assessment skills using the Global Rating Scale (GRS) and Integrated Procedural Performance Instrument (IPPI); and

c) pilot the newly developed Woman Centred Care Scale (WCCS) to measure clinical behaviors related to Woman-Centredness.

Discussion

This project aims to enhance knowledge in relation to the appropriate levels of fidelity in simulation that yield the best educational outcomes for the development of woman centred clinical assessment in student midwives. The outcomes of this project may contribute to improved woman centred clinical assessment for student midwives, and more broadly influence decision making regarding education resource allocation for maternity simulation.

【 授权许可】

   
2013 Brady et al.; licensee BioMed Central Ltd.

【 图 表 】

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