School of Nursing & Midwifery, The University of Queensland, Ipswich Campus, Salisbury Road, Ipswich, QLD 4035, Australia.
BMC Med Educ. 2013 May 24;13:72. doi: 10.1186/1472-6920-13-72.
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); andc) pilot the newly developed Woman Centred Care Scale (WCCS) to measure clinical behaviors related to Woman-Centredness.
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.
模拟作为一种教学方法已在卫生专业教育中得到应用，以解决在进行临床实践之前安全地发展有效的临床技能的需求。然而，模拟在助产学中的应用证据主要是轶事证据，缺乏评估不同模拟逼真度水平效果的研究。以妇女为中心的护理是助产学的核心前提，描述了个体助产士表现出对个体妇女安全有效的护理的行为。当助产士调整护理以确保尊重和满足每个妇女的需求时，就会发生以妇女为中心的护理。然而，文献综述表明，缺乏一种有效和可靠的工具来衡量以妇女为中心的护理行为的发展。本研究旨在确定在学生助产学中发展以妇女为中心的临床评估行为和技能方面，哪种逼真度水平的模拟学习体验提供最有效的学习成果。
方法/设计：三臂、随机、干预试验。在这项研究中，我们计划：a）在学生助产学进行阴道检查程序时，试验三种逼真度水平-低、中、高；b）使用全球评定量表（GRS）和综合程序表现量表（IPPI）测量临床评估技能；c）试用新开发的以妇女为中心的关怀量表（WCCS）来衡量与以妇女为中心有关的临床行为。
本项目旨在增强与模拟中适当逼真度水平相关的知识，这些水平可为学生助产学中以妇女为中心的临床评估发展带来最佳教育成果。该项目的结果可能有助于改善学生助产学的以妇女为中心的临床评估，并更广泛地影响关于产妇模拟教育资源分配的决策。
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