全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
Health  2022 

Feasibility of an Educational Program for Clinical Educators to Promote Novice Midwives’ Clinical Judgment: A Feasibility Study

DOI: 10.4236/health.2022.146048, PP. 660-674

Keywords: Clinical Reasoning, Education, Midwifery

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background: The COVID-19 pandemic greatly impacted the clinical practicum programs of student midwives. It is very important for clinical educators to educate novice midwives in clinical settings. The purpose of this study was to develop an educational program for clinical educators to promote clinical judgment of novice midwives during delivery and to evaluate the feasibility of its practicality, acceptability and implementation. Methods: This feasibility study used an exploratory descriptive design with data generated from a questionnaire. The inclusion criteria were midwives assigned to the delivery ward who were newly scheduled to educate novice midwives in 2019 or had become a clinical educator within a year or two. The program consisted of e-learning (30 minutes) and lecture, simulation and discussion (about 2.5 hours). Descriptive statistics were performed for participant characteristics and evaluation of feasibility. Responses to the open-ended question were sorted into categories. Results: There were nine participants from two facilities. Practicality and acceptability received mostly positive evaluations. However, for a few the simulation scenarios were difficult to understand. Implementation of all the e-learning content was successful, and seminar attendance was 100% from start to finish. Conclusion: We found this e-learning program feasible in terms of practicality, acceptability and implementation. Most of the comments were positive opinions regarding future utilization of novice midwives’ education and clinical utilization of the program, suggesting that the clinical significance of this program was extremely high.

References

[1]  Luyben, A., Fleming, V. and Vermeulen, J. (2020) Midwifery Education in COVID-19-Time: Challenges and Opportunities. Midwifery, 89, Article ID: 102776.
https://doi.org/10.1016/j.midw.2020.102776
[2]  Ministry of Health, Labour and Welfare (2020) Response to the Outbreak of Coronavirus Infection by Schools and Training Facilities for Medical Professions.
https://www.mhlw.go.jp/content/000603666.pdf
[3]  Japan Society Midwifery Education (2020) Status of Midwifery Practice That Was Cancelled/Interrupted.
https://www.zenjomid.org/wp-content/uploads/2021/02/cancell_list20200608.pdf
[4]  Furuta, M. (2020) 2020 International Year of Midwifery—In the Midst of a Pandemic. Midwifery, 87, Article ID: 102739.
https://doi.org/10.1016/j.midw.2020.102739
[5]  Duchscher, J.E.B. (2009) Transition Shock: The Initial Stage of Role Adaptation for Newly Graduated Registered Nurses. Journal of advanced nursing, 65, 1103-1113.
https://doi.org/10.1111/j.1365-2648.2008.04898.x
[6]  Aldosari, N., Pryjmachuk, S. and Cooke, H. (2021) Newly Qualified Nurses’ Transition from Learning to Doing: A Scoping Review. International Journal of Nursing Studies, 113, Article ID: 103792.
https://doi.org/10.1016/j.ijnurstu.2020.103792
[7]  International Confederation of Midwives (2013) Global Standards for Midwifery Education 2010 Amended 2013.
https://www.internationalmidwives.org/assets/files/general-files/2018/04/icm-standards-guidelines_ammended2013.pdf
[8]  Japanese Nursing Association (2012) Midwife Training Guide. Japanese Nursing Association, Tokyo.
https://www.mhlw.go.jp/file/06-Seisakujouhou-10800000-Iseikyoku/0000078005.pdf
[9]  Cappelletti, A., Engel, J.K. and Prentice, D. (2014) Systematic Review of Clinical Judgment and Reasoning in Nursing. Journal of Nursing Education, 53, 453-458.
https://doi.org/10.3928/01484834-20140724-01
[10]  Tanner, C.A. (2006) Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing. Journal of Nursing Education, 45, 204-211.
https://doi.org/10.3928/01484834-20060601-04
[11]  Tanner, C.A., Benner, P., Chesla, C. and Gordon, D.R. (1993) The Phenomenology of Knowing the Patient. Image: The Journal of Nursing Scholarship, 25, 273-280.
https://doi.org/10.1111/j.1547-5069.1993.tb00259.x
[12]  Lasater, K. (2007) Clinical Judgment Development: Using Simulation to Create an Assessment Rubric. Journal of Nursing Education, 46, 496-503.
https://doi.org/10.3928/01484834-20071101-04
[13]  Lasater, K. (2011) Clinical Judgment: The Last Frontier for Evaluation. Nurse Education in Practice, 11, 86-92.
https://doi.org/10.1016/j.nepr.2010.11.013
[14]  Nielsen, A., Lasater, K. and Stock, M. (2016) A Framework to Support Preceptors’ Evaluation and Development of New Nurses’ Clinical Judgment. Nurse Education in Practice, 19, 84-90.
https://doi.org/10.1016/j.nepr.2016.03.012
[15]  Yamamoto, M. and Kataoka, Y. (2019) Education for Novice Midwives to Promote Noticing and Interpreting Data Occurring during Delivery. Journal of Japan Academy of Midwifery, 33, 38-49. (In Japanese)
https://doi.org/10.3418/jjam.JJAM-2018-0045
[16]  Yamamoto, M. and Kataoka, Y. (2020) Actions Taken by Practicum Instructors Whoare Not Promoting Noticing and Interpreting Data for Novice Midwives: Focusing on Deliveries. Japanese Journal of Maternal Health, 60, 674-682. (In Japanese)
[17]  Bonk, C.J. and Graham, C.R. (2012) The Handbook of Blended Learning: Global Perspectives, Local Designs. John Wiley & Sons, Hoboken.
[18]  Profetto-McGrath, J., Smith, K.B., Day, R.A. and Yonge, O. (2004) The Questioning Skills of Tutors and Students in a Context Based Baccalaureate Nursing Program. Nurse Education Today, 24, 363-372.
https://doi.org/10.1016/j.nedt.2004.03.004
[19]  INACSL Standards Committee (2016) INACSL Standards of Best Practice: SimulationSM Simulation Design. Clinical Simulation in Nursing, 12, S5-S12.
https://doi.org/10.1016/j.ecns.2016.09.005
[20]  INACSL Standards Committee (2016) INACSL Standards of Best Practice: SimulationSM Outcomes and Objectives. Clinical Simulation in Nursing, 12, S13-S15.
https://doi.org/10.1016/j.ecns.2016.09.006
[21]  Bowen, D.J., Kreuter, M., Spring, B., Cofta-Woerpel, L., Linnan, L., Weiner, D., Bakken, S., Kaplan, C.P., Squiers, L. and Fabrizio, C. (2009) How We Design Feasibility Studies. American Journal of Preventive Medicine, 36, 452-457.
https://doi.org/10.1016/j.amepre.2009.02.002
[22]  Ministry of Health, Labour and Welfare (2017) Guidelines for the Establishment of a Perinatal Care System.
https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000186912.html
[23]  Association Texas Midwives (n.d.) Clinical and Skills Requirements.
https://www.texasmidwives.com/clinical-skills-requirements.asp
[24]  Ambrose, S., Bridges, M., DiPietro, M., Lovett, M., Norman, M.K. and Mayer, R.E. (2010) How Learning Works: 7 Research-Based Principles for Smart Teaching. Jossey Bass, San Francisco.
[25]  Jacobs, P.J. (2017) Using High-Fidelity Simulation and Video-Assisted Debriefing to Enhance Obstetrical Hemorrhage Mock Code Training. Journal for Nurses in Professional Development, 33, 234-239.
https://doi.org/10.1097/NND.0000000000000387
[26]  Zhang, H., Morelius, E., Goh, S.H.L. and Wang, W. (2019) Effectiveness of Video-Assisted Debriefing in Simulation-Based Health Professions Education: A Systematic Review of Quantitative Evidence. Nurse Educator, 44, E1-E6.
https://doi.org/10.1097/NNE.0000000000000562
[27]  Bock, A., Kniha, K., Goloborodko, E., Lemos, M., Rittich, A.B., Mohlhenrich, S.C., Rafai, N., Holzle, F. and Modabber, A. (2021) Effectiveness of Face-to-Face, Blended and E-Learning in Teaching the Application of Local Anaesthesia: A Randomised Study. BMC Medical Education, 21, Article No. 137.
https://doi.org/10.1186/s12909-021-02569-z
[28]  Mossenson, A.I., Bailey, J.G., Whynot, S. and Livingston, P. (2021) Qualities of Effective Vital Anaesthesia Simulation Training Facilitators Delivering Simulation-Based Education in Resource-Limited Settings. Anesthesia & Analgesia, 133, 215-225.
https://doi.org/10.1213/ANE.0000000000005584

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133