Document Detail

A randomised-controlled trial evaluating a fetal monitoring education programme.
MedLine Citation:
PMID:  16876921     Owner:  NLM     Status:  MEDLINE    
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.
Declan Devane; Joan G Lalor
Publication Detail:
Type:  Controlled Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2006-07-31
Journal Detail:
Title:  Midwifery     Volume:  22     ISSN:  0266-6138     ISO Abbreviation:  Midwifery     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-30     Completed Date:  2007-02-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8510930     Medline TA:  Midwifery     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  296-307     Citation Subset:  N    
School of Nursing and Midwifery, Trinity College Dublin, 24, D'Olier St., Dublin 2, Ireland.
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MeSH Terms
Cardiotocography / nursing*
Clinical Competence*
Confidence Intervals
Education, Nursing, Continuing / methods*
Educational Measurement / methods
Health Knowledge, Attitudes, Practice*
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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