Centre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Queensland, Australia.
Sunshine Coast University Hospital, Sunshine Coast, Queensland, Australia.
Aust N Z J Obstet Gynaecol. 2024 Feb;64(1):63-71. doi: 10.1111/ajo.13743. Epub 2023 Aug 8.
The IMPROVE (IMproving Perinatal Mortality Review and Outcomes Via Education) eLearning, developed by the Stillbirth Centre of Research Excellence in partnership with the Perinatal Society of Australia and New Zealand was launched in December 2019. Based on the successful face-to-face program, the eLearning aims to increase availability and accessibility of high-quality online education to healthcare professionals providing care for families around the time of perinatal death, to improve the delivery of respectful and supportive clinical care and increase best practice investigation of perinatal deaths.
To evaluate participants' reported learning outcomes (change in knowledge and confidence) and overall acceptability of the program.
Pre- and post-eLearning in-built surveys were collected over two years (Dec. 2019-Nov. 2021), with a mix of Likert and polar questions. Pre- and post-eLearning differences in knowledge and confidence were assessed using McNemar's test. Subgroup analysis of overall acceptability by profession was assessed using Pearson's χ .
One thousand, three hundred and thirty-nine participants were included. The majority were midwives (80.2%, n = 1074). A significant improvement in knowledge and confidence was shown across all chapters (P < 0.01). The chapter showing the greatest improvement was perinatal mortality audit and classification (21.5% pre- and 89.2% post-education). Over 90% of respondents agreed the online education was relevant, helpful, acceptable, engaging. Importantly, 80.7% of participants considered they were likely to change some aspect of their clinical practice after the eLearning. There was no difference in responses to relevance and acceptability of the eLearning program by profession.
The IMPROVE eLearning is an acceptable and engaging method of delivery for clinical education, with the potential to improve care and management of perinatal deaths.
IMPROVE（通过教育改善围产期死亡评审和结局）电子学习课程由卓越的死产研究中心与澳大利亚和新西兰围产学会合作开发，于 2019 年 12 月推出。该电子学习课程基于成功的面对面课程，旨在为围产期死亡时为家庭提供护理的医疗保健专业人员提供更多高质量的在线教育，提高尊重和支持性临床护理的提供，并增加围产期死亡的最佳实践调查。
评估参与者报告的学习成果（知识和信心的变化）和对该计划的总体接受程度。
在两年内（2019 年 12 月至 2021 年 11 月）收集了电子学习前后的内置调查，采用了 Likert 和极性问题的混合形式。使用 McNemar 检验评估知识和信心在电子学习前后的差异。使用 Pearson χ 对专业的整体可接受性进行亚组分析。
共有 1339 名参与者被纳入研究。大多数参与者是助产士（80.2%，n=1074）。所有章节的知识和信心均显著提高（P<0.01）。知识和信心提高幅度最大的章节是围产期死亡率审核和分类（教育前为 21.5%，教育后为 89.2%）。超过 90%的受访者认为在线教育具有相关性、有用性、可接受性和吸引力。重要的是，80.7%的参与者认为他们在电子学习后可能会改变临床实践的某些方面。电子学习课程的相关性和可接受性在不同专业之间没有差异。
IMPROVE 电子学习是一种可接受和吸引人的临床教育提供方式，有可能改善围产期死亡的护理和管理。
