Sharma K Aparna, Murry L Levis, Bharti Juhi, Kaur Ravneet, Meena Jyoti, Kulshrestha Vidushi, Mansoor Sadia, Soni Snigdha, Kumar Sunesh
Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, IND.
College of Nursing, All India Institute of Medical Sciences, New Delhi, IND.
Cureus. 2023 Jun 6;15(6):e40062. doi: 10.7759/cureus.40062. eCollection 2023 Jun.
Context The concept of simulation-based teaching has become a standard practice for health education in the present era. However, there is a paucity of literature on integrating simulation-based teaching in the conventional training of undergraduate medical and nursing students. Aim To explore the effectiveness and benefits of e-learning along with low-fidelity simulation in obstetrics and gynecology among undergraduate medical and nursing students at a tertiary care center in India. Methodology It was a prospective study conducted on 53 final-year undergraduate medical students and 61 final-year undergraduate nursing students. All students underwent a knowledge-based pre-test followed by exposure to an e-learning module on four selected obstetrics and gynecology skills, namely, conducting normal delivery, episiotomy suturing, pelvic examination, and insertion of intrauterine device. Students practiced these four skills on low-fidelity simulators. After this, they underwent a post-test assessment and gave feedback. A focused group discussion was conducted to explore their experiences. Results There was a statistically significant difference between the pre-test and post-test knowledge scores of all the students (p =< 0.001). Students found this teaching strategy useful and reported an increase in self-assessed confidence. Focused group discussion revealed various themes like improved satisfaction and ability to practice repeatedly without fear of harming patients. Conclusions Based on the results, this teaching methodology should be integrated as an adjunct method of teaching in the undergraduate curriculum from the first year itself, which will motivate students to participate in clinical care and will result in quality improvement of health care.
背景 在当今时代，基于模拟的教学理念已成为健康教育的标准做法。然而，关于将基于模拟的教学整合到本科医学和护理专业学生的传统培训中的文献却很少。
目的 探讨在印度一家三级医疗中心，电子学习与低保真模拟相结合在本科医学和护理专业学生妇产科教学中的有效性和益处。
方法 这是一项对53名本科医学专业最后一年学生和61名本科护理专业最后一年学生进行的前瞻性研究。所有学生都进行了基于知识的预测试，然后接触一个关于四项选定的妇产科技能的电子学习模块，即进行正常分娩、会阴切开缝合、盆腔检查和宫内节育器置入。学生们在低保真模拟器上练习这四项技能。在此之后，他们进行了后测评估并提供了反馈。进行了焦点小组讨论以探讨他们的经历。
结果 所有学生的预测试和后测试知识得分之间存在统计学上的显著差异（p <= 0.001）。学生们发现这种教学策略很有用，并报告自我评估的信心有所提高。焦点小组讨论揭示了各种主题，如满意度提高以及能够在不担心伤害患者的情况下反复练习。
结论 根据结果，这种教学方法应从本科课程的第一年起就作为一种辅助教学方法加以整合，这将激励学生参与临床护理并提高医疗保健质量。
