The effect of direct observation of procedural skills method on learning clinical skills of midwifery students of medical sciences

نویسندگان

1 Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

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چکیده

INTRODUCTION: Clinical education is one of the most important parts of medical students’ education,and it is a major part of the education of qualified and professional people. Therefore, this study wasconducted to determine the effect of applying Direct Observation of Procedural Skills (DOPS) onmidwifery students’ clinical skills.MATERIALS AND METHODS: This is a quasi‑experimental, two‑group study conducted as apre‑ and post‑study on midwifery students in 2017–2018. Cluster and randomized sampling methodwas used. The processors involved in this study were three main skills of vaginal examination, pelvicexamination, and vaginal delivery. The DOPS method was used to assess the practical skills in theinterventional group during three times the process at day, 1 day, and at least 1 week later; theusual logbook method was used in the control group. Two groups were evaluated at the end of themidwifery course by Comprehensive Final Midwifery checklist. The tools were checked for validityand reliability, and data were analyzed using descriptive and analytical statistics.RESULTS: There was no statistically significant difference between the two groups in termsof important demographic variables such as age, grade, marital status, and initial assessmentscore (P > 0.05). The mean of final scores in the normal delivery, vaginal examination, and pelvimetrywas statistically significantly higher in the interventional group (P < 0.001). On the other hand, thefunctional field of the students in the interventional group was statistically significantly improvedin normal delivery and pelvimetry (P < 0.05), and this difference was not significant in the vaginalexamination. In addition, the mean scores of students before and after the DOPS method werestatistically significantly different in every skill in Comprehensive Final Midwifery checklist (P < 0/05).CONCLUSIONS: The DOPS assessment methodology is not only a useful tool of clinical evaluation,but also an effective tool for clinical learning of students. For this purpose, it is suggested thateducational members of midwifery take enough time to design DOPS method in the same process.