Chen Shao-Hua, Lin Bin-Bin, Wang Xiao-Yan, Xu Gui-Ru, Song Ji-Hong
School of Nursing, Fujian Medical University, Fuzhou, Fujian, China.
School of Nursing, Fujian Medical University, Fuzhou, Fujian, China.
Nurse Educ Today. 2025 Sep;152:106754. doi: 10.1016/j.nedt.2025.106754. Epub 2025 Apr 17.
Midwives play a crucial role in maternal and newborn health, highlighting the need for quality education. Guided by the International Confederation of Midwives' core competencies, the Comprehensive Midwifery Skills Practice (CMSP) course integrates simulation-based learning (SBL) to bridge theory and practice, enhancing students' midwifery competence.
To construct and implement the CMSP course using SBL, and to investigate its effectiveness on the level of core competence among undergraduate midwifery students.
An action research design was employed. Teachers constructed and optimized the CMSP course by formulating two cycles of "plan-action-observation-reflection" among midwifery students from the 2020 and 2021 classes. Competency was evaluated before and after the course, impressions were gathered through simulated teaching evaluations, and different kinds of qualitative data were collected.
The CMSP course included 12 lessons, 37 teaching cases, 128 midwifery activity scenes, and a resource library. It won the provincial Teaching Innovation Competition and was recognized as a first-class undergraduate course. Midwifery competency evaluation showed significant improvements in professional skills (P = 0.039, Cohen's d = 0.554) and behavior (P = 0.024, Cohen's d = 0.457) for the 2020 cohort, and in total score, knowledge, skills, and behavior for the 2021 cohort (all P < 0.05, Cohen's d > 0.5). Simulated teaching evaluations improved across all dimensions, with notable enhancements in Learning Methods and Expectations (2020) and in Active Learning, Cooperation, Learning Methods, and Simulation (2021) (all P < 0.05). Overall, the students' rich experiences translated to gaining professional growth while experiencing learning difficulties.
The constructed and refined CMSP course is both feasible and effective in enhancing midwifery students' core competencies, promoting systematic clinical and research thinking, strengthening teamwork skills, improving adaptability, and fostering professional confidence and growth. Additionally, given the reported learning dilemmas, it is recommended that teachers actively guide and encourage flexible, independent learning while continuously enriching and optimizing the course resource library.
助产士在孕产妇和新生儿健康方面发挥着关键作用，这凸显了高质量教育的必要性。在国际助产士联合会核心能力的指导下，综合助产技能实践（CMSP）课程整合了基于模拟的学习（SBL），以弥合理论与实践之间的差距，提高学生的助产能力。
构建并实施采用SBL的CMSP课程，并调查其对本科助产专业学生核心能力水平的有效性。
采用行动研究设计。教师通过在2020级和2021级助产专业学生中制定两个“计划 - 行动 - 观察 - 反思”循环，构建并优化了CMSP课程。在课程前后对能力进行评估，通过模拟教学评估收集意见，并收集了不同类型的定性数据。
CMSP课程包括12节课、37个教学案例、128个助产活动场景和一个资源库。该课程获得了省级教学创新竞赛奖项，并被认定为一流本科课程。助产能力评估显示，2020级学生在专业技能（P = 0.039，科恩d值 = 0.554）和行为（P = 0.024，科恩d值 = 0.457）方面有显著提高，2021级学生在总分、知识、技能和行为方面均有提高（所有P < 0.05，科恩d值 > 0.5）。模拟教学评估在所有维度上都有所改善，在学习方法和期望方面（2020年）以及主动学习、合作、学习方法和模拟方面（2021年）有显著提升（所有P < 0.05）。总体而言，学生们丰富的经历转化为在经历学习困难的同时实现了专业成长。
构建并完善的CMSP课程在提高助产专业学生的核心能力、促进系统的临床和研究思维、加强团队合作技能、提高适应能力以及培养专业信心和成长方面既可行又有效。此外，鉴于所报告的学习困境，建议教师积极引导和鼓励灵活、自主学习，同时不断丰富和优化课程资源库。
