Comparing the effects of simulation‑based training, blended, and lecture on the simulated performance of midwives in preeclampsia and eclampsia
نویسندگان
1 Department of Midwifery, Evidence-Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences,
2 Ovulation Disorders Research Center, School of Medicine, Mashhad University of Medical Sciences,
3 Department of Medical Statistics, Mashhad University of Medical Sciences,
4 Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
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doi
چکیده
INTRODUCTION: Preeclampsia is the most common medical complication in pregnancy; alongwith bleeding and infection, it is one of the three causes of death in pregnant women. Most of thesedeaths were due to delays in the diagnosis and improper midwifery management and care. Onthe other hand, the quality of midwifery education has a profound effect on the proper provision ofservices. Therefore, the present study has been done to compare the effect of simulation‑, blended‑,and lecture‑based education on simulated midwife performance in the management of preeclampsiaand eclampsia.MATERIALS AND METHODS: This three‑group clinical trial study was performed on 90 midwivesof selected hospitals in Mashhad in 2016. Midwives were divided into three groups of simulation‑,blended‑, and lecture‑based education using the random number table. The simulation group wastrained for 6 h at the Center for Clinical Skills, the blended group was trained for 4 h by lecture, and6 weeks through the educational website, and the lecture group was trained for 6 h through lecture.An objective structured clinical test was performed before and 2 weeks after the intervention. Datawere analyzed using SPSS Version 16 software and descriptive statistics, paired t‑test, one‑wayANOVA, and Wilcoxon and Kruskal–Wallis tests. Significance level was considered to be P < 0.05in all cases.RESULTS: The mean score of midwives’ performance was not statistically significant before educationin all three groups (P < 0.05). The mean score of midwives’ performance was significantly increasedin all three groups 2 weeks after education (P < 0.001), and the results of intergroup comparisonshowed that the mean score of performance in the simulation group was significantly higher than theblended group and the lecture group (P < 0.001), and it was higher in the blended group comparedto the lecture group (P < 0.001).CONCLUSION: Education increased the midwives’ simulated performance in preeclampsia andeclampsia. The performance of the management of preeclampsia and eclampsia in the simulationeducational group is more than that of the blended and lecture groups, so we can use the simulationeducation which is a self‑centered method.
