A protocol for evaluating progressive levels of simulation fidelity in the development of technical skills, integrated performance and woman centred clinical assessment skills in undergraduate midwifery students

Journal article


Brady, Sussanah, Bogossian, Fiona, Gibbons, Kristen, Wells, Andrew, Lyon, Pauline, Bonney, Donna, Barlow, Melanie Louise and Jackson, Anne. (2013). A protocol for evaluating progressive levels of simulation fidelity in the development of technical skills, integrated performance and woman centred clinical assessment skills in undergraduate midwifery students. BMC Medical Education. 13(1), pp. 1-7. https://doi.org/10.1186/1472-6920-13-72
AuthorsBrady, Sussanah, Bogossian, Fiona, Gibbons, Kristen, Wells, Andrew, Lyon, Pauline, Bonney, Donna, Barlow, Melanie Louise and Jackson, Anne
Abstract

Background
Simulation as a pedagogical approach has been used in health professional education to address the need to safely develop effective clinical skills prior to undertaking clinical practice. However, evidence for the use of simulation in midwifery is largely anecdotal, and research evaluating the effectiveness of different levels of simulation fidelity are lacking.

Woman centred care is a core premise of the midwifery profession and describes the behaviours of an individual midwife who demonstrates safe and effective care of the individual woman. Woman centred care occurs when the midwife modifies the care to ensure the needs of each individual woman are respected and addressed. However, a review of the literature demonstrates an absence of a valid and reliable tool to measure the development of woman centred care behaviours. This study aims to determine which level of fidelity in simulated learning experiences provides the most effective learning outcomes in the development of woman centred clinical assessment behaviors and skills in student midwives.

Methods/Design
Three-arm, randomised, intervention trial.
In this research we plan to:
a) trial three levels of simulation fidelity - low, medium and progressive, on student midwives performing the procedure of vaginal examination;
b) measure clinical assessment skills using the Global Rating Scale (GRS) and Integrated Procedural Performance Instrument (IPPI); and
c) pilot the newly developed Woman Centred Care Scale (WCCS) to measure clinical behaviors related to Woman-Centredness.

Discussion
This project aims to enhance knowledge in relation to the appropriate levels of fidelity in simulation that yield the best educational outcomes for the development of woman centred clinical assessment in student midwives. The outcomes of this project may contribute to improved woman centred clinical assessment for student midwives, and more broadly influence decision making regarding education resource allocation for maternity simulation.

KeywordsClinical assessment; Education; Global rating scale; Integrated procedural performance instrument; Midwifery; Simulation; Simulation fidelity; Vaginal examination; Woman centred care
Year01 Jan 2013
JournalBMC Medical Education
Journal citation13 (1), pp. 1-7
PublisherBMC (BioMed Central) Springer
ISSN1472-6920
Digital Object Identifier (DOI)https://doi.org/10.1186/1472-6920-13-72
Web address (URL)https://bmcmededuc.biomedcentral.com/articles/10.1186/1472-6920-13-72
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-7
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online24 May 2013
Publication process dates
Accepted21 May 2013
Deposited17 May 2024
Additional information

© 2013 Brady et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Place of publicationUnited Kingdom
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