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首页> 外文期刊>BMC Medical Education >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
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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

机译：用于评估本科助产士技术技能，综合表现和以女性为中心的临床评估技能发展中模拟逼真度的渐进水平的协议

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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.
机译：背景模拟作为一种教学方法已用于卫生专业教育中，以解决在进行临床实践之前安全地发展有效的临床技能的需求。然而，在助产士中使用模拟的证据大多是轶事，并且缺乏评估不同级别的模拟保真度有效性的研究。以妇女为中心的护理是助产士行业的核心前提，它描述了一个单独的助产士的行为，这些行为证明了对单个妇女的安全有效的护理。当助产士修改护理以确保尊重和满足每个女性的需求时，就会发生以妇女为中心的护理。但是，对文献的回顾表明，缺乏一种有效且可靠的工具来衡量以女性为中心的护理行为的发展。这项研究旨在确定模拟学习经历中的逼真度在以学生为中心的助产士中以女性为中心的临床评估行为和技能的发展中提供最有效的学习成果。方法/设计三臂随机干预试验。在这项研究中，我们计划：a）在执行阴道检查程序的助产士上，对模拟保真度的三个级别进行测试：低，中和渐进; b）使用全球评分表（GRS）和综合程序绩效工具（IPPI）来衡量临床评估技能; c）试行新开发的“以妇女为中心的护理量表”（WCCS），以测量与“以妇女为中心”有关的临床行为。讨论该项目旨在增强与模拟保真度相关的知识，从而为以助产士为中心的女性临床评估的发展提供最佳的教育成果。该项目的成果可能有助于改进以助产士为中心的以妇女为中心的临床评估，并更广泛地影响有关孕产假教育资源分配的决策。

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