Development and Application of “Cervical Dilatation Model for Teaching and Training” (original) (raw)
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Teaching cervical dilation measurement to family medicine residents
Family medicine
Cervical dilation measurement is difficult to teach. This pilot study's objective was to determine if residents participating in an innovative workshop improved their cervical measurement accuracy when using soft cervical models in the classroom. Resident physicians measured cervical models before and after the workshop. We compared pre-workshop and post-workshop coefficients of variation using a standard t test. Residents reduced their measurement error from 38.2% to 15.6%.
Effectiveness of a Labor Cervical Exam Model in Family Medicine and OB-GYN Residents
Family medicine, 2017
Labor cervical exam accuracy is an essential skill for family medicine and OB-GYN residents to master. To determine the effectiveness of simulation on labor cervical exam training, family medicine and OB-GYN residents were trained using a self-constructed PVC pipe-based cervical exam model during a short and intensive simulation workshop or "boot camp." A task trainer was constructed that allows for the blind examination of cervical dilation and effacement. This model was used in the training of first-year family medicine and OB-GYN residents during an 8 day simulation course. A longitudinal comparison of pre- and post-training accuracy was performed. Using a cohort design, the post-training accuracy of first-year family medicine and OB-GYN residents (interns) was also compared to second-fourth year OB-GYN residents. Use of the model by interns (n=25) resulted in significant improvements in the accuracy of their assessments of cervical dilation, but not effacement, and dec...
PPE is protective clothing, goggles, or other garments or equipment designed to protect the wearer's body from injury or infection. According to Occupational Safety and Health Administration(OSHA), "Personal protective equipment commonly refer to as PPE, is equipment worn to minimize exposure to hazards that cause serious workplace injuries and illnesses". PPE should be used by all health care providers, supporting staffs, laboratory staffs and family members who provides care to the patients in situation where they have contact with blood, body fluids, secretions and excretions. It is one of the common preventive measures which can be demonstrated as well as can be shown through video to the practical skills of students. Lecturing also remains one of the most popular method to transmit information and ideas by teachers, trainers and speakers.. A comparative study was undertaken with the objective "To evaluate the effectiveness of Video Assisted Teaching Programme and Traditional demonstration on nursing student's knowledge and learning skill on performing PPE at Arya School of Nursing, Kamrup®, Assam". 40 students were selected by using Non-probability Purposive Sampling Technique. The tool used in this study was semi-structure knowledge questionnaire, rating scale. The study findings revealed that mean for the knowledge and skill score of the participants of Video Assisted Teaching was 17.25& 20.75 in pre-test and 24.45 & 46.6 in post-test. For traditional demonstration, the mean for the knowledge and skill score of the participants was 17.6& 22.95 in pre-test and 24.65 and 49.35 in post-test. The study concludes that the students had poor knowledge and skill level in pre-test and excellent knowledge and good skill level in post-test. The study had several implications in various field of nursing.
Peripheral Venipuncture Education Strategies for Nursing Students
Journal of Infusion Nursing, 2020
The Art and Science of Infusion Nursing P eripheral venipuncture is a commonly performed procedure for patients receiving infusion care, but because it is so common, improperly trained staff have the potential to adversely affect many patients in a short amount of time. 1-3 Poor practices put patients at risk of complicating their treatment by developing phlebitis, thrombosis, and thrombophlebitis. 1,4-6 Bloodstream infections (BSIs) are among the most common health care-associated infections, with many bacteremia cases associated with the use of vascular access devices. 7 These are preventable complications when nursing students are adequately trained during their education. In a systematic review from the United States, the incidence of BSIs related to the use of short peripheral ABSTRACT This integrative literature review identified strategies to teach peripheral venipuncture to nursing students. The following databases were searched for primary studies: Biblioteca Virtual em Saúde (BVS), PubMed, Web of Science, Education Resources Information Center (ERIC), SCOPUS, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). The final sample was composed of 24 studies. The literature ranged from descriptive studies to controlled clinical trials and methodologic studies to construct products/instruments for teaching peripheral venipuncture. The most frequently identified teaching strategies were theoretical contents taught via theoretical lecture, e-learning courses, video lessons, and demonstration by specialists combined with practical exercises using a mannequin, human arms, and/or haptic devices. Despite the different methods used currently, the best patient outcomes were achieved when the student received the theoretical content in an educational setting before the practical training on a mannequin and/or a virtual simulator.
https://www.ijhsr.org/IJHSR\_Vol.10\_Issue.4\_April2020/IJHSR\_Abstract.014.html, 2020
Background: Body mechanics is a term used to describe the ways we move as we go about our daily lives. Poor body mechanics are often the cause of back problems. Nurses do experience a significantly increased incidence of back problems, back pain, or injury, in comparison with other occupational groups. The study is to find the effectiveness of a planned teaching programme on body mechanics in selected nursing interventions in terms of knowledge and practice among staff nurses working in general ward of selected hospitals, Kolkata, West Bengal. Materials and Methods: Pre-experimental one group pre-test post-test design was adopted for the study. In this study 30 staff nurses who were working in general ward were selected by using convenience sampling technique. The tool used for the study were observational check list on practice of body mechanics in selected nursing interventions and Structured knowledge questionnaire on body mechanics in selected nursing Interventions. The analysis was done by using both descriptive and inferential statistics in terms of frequency distribution, percentage, mean, standard deviation, paired‘t’ test and chi-square and Co-efficient correlations. Result: Result shows that in practice of occupied bed making the mean, median of the post-test practice score ( 17.7, 18.3) were found to be slightly higher than the mean, median of pre-test practice score ( 10.4, 10.3 ). In lifting and shifting of client from bed to stretcher, the mean, median of the post-test practice score (9.8, 9.9) were found to be slightly higher than the mean, median of pre-test practice score ( 5.7, 6.3 ). Also shows that the mean, median of post-test knowledge score were (28, 28.4) was higher than the mean, median of pre-test knowledge score (17.3, 16.7). The data also shows that the mean difference of pre-test and post-test practice score of occupied bed making was 7.3 Computed ‘t’ (18.7) was found statistically significant at the level of 0.05 significance (‘t’ (29) =2.05 p<0.05) and data also shows that the mean difference of pre-test and post-test practice score In lifting and shifting of client from bed to stretcher, was 4.1 Computed ‘t’ (12.8) was found statistically significant at the level of 0.05 significance (‘t’ (29) =2.05 p<0.05). The mean difference of pre-test and post-test knowledge score was 10.7. Computed‘t’ (11.8) was found statistically significant at the level of 0.05 significance (‘t’ (29) =2.05 p<0.05). So, study findings revealed that structured teaching programme regarding body mechanics in selected nursing intervention is effective in improving knowledge and practice of staff nurses. The study showed that there was no significant association between pre-test level of knowledge and practice with selected variables. But there is significant association between pre-test level of knowledge with selected variable like total year of clinical experience in general ward. Study also revealed that there is correlation between the improvement knowledge and practice of staff nurses regarding body mechanics in selected nursing interventions. Conclusion: The structured teaching programme will help to improve the knowledge and practice of staff nurses and thereby prevented the staff nurses from developing musculoskeletal injuries.
Cervical dilation assessment in simulators compared to a visual tool: A randomized study
Revista Latino-Americana de Enfermagem
Objective: to verify the correct assessment rate when using direct visual comparison in the cervical dilation measures in hard-consistency cervix simulation models. Method: an open-label and randomized study conducted with 63 Obstetrics students that were designated either to use direct visual comparison in a dilation guide or not. The students estimated cervical dilation blindly in simulators with different dilations. The primary outcome was the correct assessment rate. Results: the students performed 141 tests. A higher correct assessment rate was found in the Experimental Group than in the Control Group (47.3% versus 27.2%; p<0.001; Odds Ratio = 2.41; 95% Confidence Interval = 1.62-3.58). Conclusion: the direct visual comparison increased precision of the cervical dilation assessment in cervix simulation models, with the possibility of being beneficial in laboratory training. Brazilian Registry of Clinical Trials No. U1111-1210-2389.
See One, Do One, Teach One? A Better Way to Teach Vaginal Exam/Cervical Assessment
Journal of Obstetric, Gynecologic, & Neonatal Nursing, 2012
Proceedings of the 2012 AWHONN Convention fetal stress, improved teamwork, and greater nurse satisfaction. Implications for Nursing Practice Implications for nursing practice include knowing that working within uniform processes in a strong teamwork environment enhances safety during a critical time in labor. Implications also include a sense of empowerment to support both laboring women and each other, especially during a prolonged second stage of labor.
Introduction. Requirements for Patient Safety suggest that students encounter patients well prepared. In clinical laboratory practice (CLP), the students simulate patient situations as a preparation for internship. Various CLP models have been tried out to meet the students' prerequisites and learning strategies. Objectives. The purpose of this study was to try out two different learning sessions related to the bed bath procedure. Design and Methods. The study has a descriptive, quantitative design with elements from clinically controlled trials. Sample. The population of 160 first-year students was randomly divided into two classes. Questionnaires. Two questionnaires were answered with six-month intervals: Form 1 immediately after the first training session and Form 2 a short time after clinical practice. Findings. A majority of the nursing students reported that the exercises in the clinical lab were a good way to prepare for the practice, although most of them did not perceive that the procedure conducted at the university resembled how it is conducted in clinical practice. Age or level of discomfort related to organization of the skills training did not have impact on the students' confidence in mastering bed bath in clinical practice. Students without previous experience were less confident to master the procedure in clinical practice, but the results evened out during the internship. Conclusions. The results from this study could indicate that the students' age to a larger extent should be considered in the universities' facilitation of nursing students' clinical preparations, to improve the transition to "real life" as smoothly and meaningfully as possible to nursing students.
Nurse Education Today, 2021
Objectives: 1) To assess nursing students' evidence-based knowledge on the use of PVCs, and 2) to examine the perception of learning and teaching strategies aimed at this skill. Background: Insertion and care of Peripheral Venous Catheters (PVCs) are essential skills in undergraduate nursing education. Appropriate knowledge of this skill is crucial to improve clinical practice and patient safety. Therefore, training becomes an enabler for safe practice. Design: A multi-centre convergent parallel mixed-methods. Setting and participants: A total of 675 second-, third-and fourth-year nursing students from 3 nursing schools took part in the study. Methods: Quantitative data collection used a validated 15-question survey on knowledge of PVC management, and a descriptive and inferential analysis was carried out. Qualitative data were collected via a questionnaire consisting of 4 open-ended questions assessing knowledge, teaching methodologies and scenarios, and points for improvement. Results: Most participants were female (74.04%), with a mean age of 22.45 (SD = 4.65), who had no experience in the health field (61.8%). They obtained a mean knowledge score of 7.27 (SD = 2.64) out of 15. The students who obtained higher scores had a mean professional experience of 7.96, SD = 2.66 (p 0.000) and were in their final year, with a mean of 8.59, SD = 2.56, (p 0.000). On the other hand, the students assessed their knowledge as basic but improving year by year. They also identified a need to apply more active and experiential methodologies that would allow for reflection. Conclusion: Level of educational level and experience is associated with increased knowledge. In order to improve knowledge, changes must be made in the training process to incorporate methodologies such as simulation and online training. There is a need to develop programmes that favour the alignment of theory with clinical practice.