MSc of Midwifery, Department of Midwifery, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran.
Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
BMC Med Educ. 2023 May 19;23(1):353. doi: 10.1186/s12909-023-04319-9.
Vaginal birth management is vital to midwifery education and practice in which midwives are most likely to be directly involved. This situation requires strong cognitive, technical, communicational, and teamwork skills. Therefore, the present study was conducted to evaluate the effect of normal vaginal birth simulation training before formal clinical education on the clinical skills of midwifery students compared with routine clinical education.
This quasi-experimental study was conducted at the Shoushtar Faculty of Medical Sciences from September 2018 to August 2021. Sixty-one midwifery students participated in the intervention group (n = 31) and in the control group (n = 30). The intervention group participated in the simulation-based training before entering the formal clinical education courses. The control group received no simulation-based training before their formal clinical education. The clinical skills of these students for performing normal vaginal birth in the real field were evaluated by observational examination in the three years (fourth, fifth, and sixth semesters). Data were analyzed by descriptive (mean, SD, and percentage) and inferential statistics (independent t-test and chi-square). A P-value less than 0.05 was considered significant.
The mean score of midwives' skills in the control group was (28.10 ± 3.42) and in the intervention group, it was (31.15 ± 4.30). The difference in the skill score between the groups was statistically significant (3.40 ± 0.68). The results showed that in the intervention group, 29 students (93.93%) were evaluated from a good to an excellent level, while only ten students (32.71%) in the control group achieved a good level, and others (n = 30) were evaluated at a low level (p < .001).
The results of the present study indicated that the simulation situation for critical skills, such as vaginal birth skills, was significantly more effective than workplace-based learning situations.
阴道分娩管理对于助产教育和实践至关重要，助产士最有可能直接参与其中。这种情况需要强大的认知、技术、沟通和团队合作技能。因此，本研究旨在评估与常规临床教育相比，在正式临床教育之前进行正常阴道分娩模拟训练对助产学生临床技能的影响。
这项准实验研究于 2018 年 9 月至 2021 年 8 月在舒什塔尔医科大学进行。61 名助产学生参加了干预组（n=31）和对照组（n=30）。干预组在进入正式临床教育课程之前参加了基于模拟的培训。对照组在正式临床教育之前没有接受基于模拟的培训。这些学生在真实环境中进行正常阴道分娩的临床技能通过观察性检查在三年（第四、第五和第六学期）进行评估。数据采用描述性（平均值、标准差和百分比）和推断性统计（独立 t 检验和卡方检验）进行分析。P 值小于 0.05 被认为具有统计学意义。
对照组助产士技能平均得分为（28.10±3.42），干预组平均得分为（31.15±4.30）。两组技能得分差异有统计学意义（3.40±0.68）。结果表明，在干预组中，29 名学生（93.93%）被评为良好至优秀水平，而对照组中只有 10 名学生（32.71%）达到良好水平，其余学生（n=30）被评为较差水平（p<0.001）。
本研究结果表明，对于阴道分娩等关键技能的模拟情况明显比基于工作场所的学习情况更有效。
