An Active Teaching Approach for Fetal and Maternal Assessment in Delivery Room: A Randomized Clinical Trial

Document Type : Original Article

Authors

School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

ABSTRACT
Background: A modern teaching method has been used for educating the midwifery students. Regarding the importance of accuracy and speed among the midwifery students, especially in the stressful condition of childbirth, this study aimed to investigate the effect of time management and precaution techniques on the midwifery student's clinical performance in the labour ward.
Methods: This study was conducted on 40 midwifery students during November 2015-March 2016. The participants were randomly assigned into the control and experimental groups that were trained using the traditional method and time management techniques, respectively. The subjects’ clinical performance regarding the fetal heart rate monitoring, contraction check, and physical examination was assessed using a checklist during the intervention and four months after the intervention. The data analysis was performed using the independent and paired t-tests through the SPSS version 14. P-value less than 0.05 was considered statistically significant.
Results: According to the results of the present study, there was no significant difference between the two groups regarding the speed of performing the examined clinical care before the intervention. However, following the intervention, there was a significant difference between the two groups in this regard (P=0.010). Additionally, the paired t-test revealed a statistically significant difference in the speed of performing the clinical care between the two groups after the intervention (P=0.018).
Conclusion: As the findings of the present study indicated, the time management technique could improve the speed in the midwifery students. Therefore, this technique as a modern method is recommended to be employed in the emergency wards such as the labour and delivery wards.

Keywords


References
1. Bagherian A, Sadeghi M. Assessment of the effect of Tell-demonstration-observation-action educational method on dental students' quality of learning. Iran J Med Educ. 2012; 11(7):764-6.
2. Mohamadirizi S, Bahadoran P, Fahami F, Ehsanpour S. The effect of teaching through demonstration on midwifery student's self-efficacy in delivery management. Iran J Med Educ. 2014; 14(4):282-90.
3. Hosseininasab D, Abdullahzadeh F, Feizullahzadeh H. The effect of computer assisted instruction and demonstration on learning vital signs measurement in nursing students. Iran J Med Educ. 2007; 7(1):23-30.
4. Karimi-Moneghi H, Valaei N, Mortazavi F. The effect of video-based instruction versus demonstration on learning of clinical skills. J Gorgan Univ Med Sci. 2003; 5(2):77-82.
5. Mohamadirizi S, Kordi M, Shakeri MT, Salehi Fadardi J, Hafizi L. Relationship between job stress with menstrual bleeding pattern among midwives. Hayat. 2012; 18(5):1-11.
6. Fathi M, Shafiean M, Gharibi F. Clinical education stressors from the perspective of students of nursing, midwifery, and operating room: a study in Kurdistan university of medical sciences. Iran J Med Educ. 2012; 11(7):675-84.
7. Mohamadiriz S, Khani B, Mohamadirizi S. Role playing approach vs. traditional method about neonatal admission skills among midwifery students. Int J Pediatr. 2015; 3(5.2):965-70.
8. Hossein KM, Fatemeh D, Fatemeh OS, Katri VJ, Tahereh B. Teaching style in clinical nursing education: a qualitative study of Iranian nursing
teachers’ experiences. Nurse Educ Pract. 2010; 10(1):8-12.
9. Mohamadirizi S, Fahami F, Bahadoran P, Ehsanpour S. The effect of four-phase teaching method on midwifery students’ emotional intelligence in managing the childbirth. J Educ Health Promot. 2015; 4:47.
10. Mohammadi Rizi S, Mohammadi Rizi S, Mohammadi Rizi M. The effectiveness of the 4-stage approach compared to traditional clinical teaching among midwifery student's about delivery management skills. J Clin Nurs Midwifery. 2015; 4(3):32-9.
11. Sotto JA, Ayuste EC, Bowyer MW, Almonte JR, Dofitas RB, Lapitan MC, et al. Exporting simulate on technology to the Philippines: a comparative study of traditional versus simulation methods for teaching intravenous cannulation. Stud Health Technol Inform. 2009; 142:346-51.
12. Bitsika E, Karlis G, Iacovidou N, Georgiou M, Kontodima P, Vardaki Z, et al. Comparative analysis of two venipuncture learning methods on nursing students. Nurse Educ Today. 2014; 34(1):15-8.
13. Orde S, Celenza A, Pinder M. A randomized trial comparing a 4stage to 2 stage teaching technique for laryngeal mask insertion. Resuscitation. 2010; 81(12):1687-91.
14. Jenko M, Frangez M, Manohin A. Four-stage teaching technique and chest compression performance of medical students compared to conventional technique. Croat Med J. 2012; 53(5):486–95.
15. Abraham A, Cheng TL, Wright JL, Addlestone I, Huang Z, Greenberg L. Assessing an educational intervention to improve physician violence screening skills. Pediatrics. 2001; 107(5):e68.
16. Foronda C, Gattamorta K, Snowden K, Bauman EB. Use of virtual clinical simulation to improve communication skills of baccalaureate nursing students: a pilot study. Nurse Educ Today. 2014; 34(6):e53–7.