| A randomised-controlled trial evaluating a fetal monitoring education programme. | |
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MedLine Citation:
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PMID: 16876921 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: to evaluate the effectiveness of a fetal monitoring education programme on midwives' fetal monitoring knowledge and intrapartum cardiotocograph interpretation skills. DESIGN: two group, before-after, randomised-controlled trial. SETTING: two maternity hospitals in the Republic of Ireland. PARTICIPANTS: 55 midwives were randomly assigned to either the experimental group (n=27) or the control group (n=28). INTERVENTIONS: the experimental group participated in a 1.5 hr fetal monitoring education programme, whereas the control group attended an alternative education programme consisting of a non-fetal-monitoring-related video presentation. MEASUREMENTS: the primary outcomes of interest were fetal monitoring knowledge and intrapartum cardiotocograph interpretation skills test. FINDINGS: in the fetal monitoring knowledge post-test, the median percentage correct responses for the control and experimental groups were 56% (IQR 18.75) and 88% (IQR 12.5), respectively. This difference, 31.2%, was statistically significant (U=78.5, 95.1% CI -31.25 to -18.75, p<0.001). In the intrapartum cardiotocograph interpretation skills post-test, the median percentage correct responses for the control and experimental groups were 55.6% (IQR 16.7) and 66.7% (IQR 22.2), respectively. This difference, of 11.1%, was statistically significant (U=186, 95.2% CI -16.67 to -5.56, p<0.001). KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: attendance at a short (1.5 hr), in-service fetal monitoring education programme can increase midwives' fetal monitoring knowledge and cardiotocograph interpretation skills. The availability of in-service fetal monitoring education programmes is sporadic, often less than recommended, and is a cause for concern. |
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Authors:
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Declan Devane; Joan G Lalor |
Publication Detail:
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Type: Controlled Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2006-07-31 |
Journal Detail:
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Title: Midwifery Volume: 22 ISSN: 0266-6138 ISO Abbreviation: Midwifery Publication Date: 2006 Dec |
Date Detail:
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Created Date: 2006-11-30 Completed Date: 2007-02-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8510930 Medline TA: Midwifery Country: Scotland |
Other Details:
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Languages: eng Pagination: 296-307 Citation Subset: N |
Affiliation:
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School of Nursing and Midwifery, Trinity College Dublin, 24, D'Olier St., Dublin 2, Ireland. ddevane@tcd.ie |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cardiotocography / nursing* Clinical Competence* Confidence Intervals Education, Nursing, Continuing / methods* Educational Measurement / methods Female Health Knowledge, Attitudes, Practice* Humans Ireland Middle Aged Midwifery / education* Nursing Evaluation Research Odds Ratio Prenatal Care / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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