Evaluation of the Effectiveness of Teaching Method With Simulation in Electronic Fetal Monitoring Management (EFM)

The Effect Of Simulation Teaching Method On Students' Knowledge, Satisfaction, And Self-Efficacy İn Electronic Fetal Monitoring Follow Up And Management

Electro fetal monitor monitoring in the antepartum and intrapartum periods is one of the most important responsibilities of midwives, who have important roles and responsibilities in maintaining and managing the health of women and newborns before, during and after delivery. Although midwives receive training on EFM monitoring with classical methods before graduation, they may experience problems in EFM monitoring in the clinical field after graduation. For this reason, midwife students should have the knowledge, skills and self-efficacy about a good level of EFM monitoring during their undergraduate education. In recent years, simulation-based education in the field of health has increased rapidly. This method creates an opportunity for health professionals, students, patient assessment, interaction and holistic care without compromising patient safety, and develops participants' critical thinking, clinical decision making and problem solving skills.

In this context, it is very important to evaluate the EFM trace in the antepartum and intrapartum periods, to determine the possible risks, to plan, implement and evaluate the interventions, to provide the emergency crisis management in a short time without affecting the fetal health, and to increase the self-confidence of the midwives.

The research was planned quantitatively in the form of randomized control-intervention of the scenario-based realistic simulation method, to increase the satisfaction and self-confidence levels of midwifery students in learning, to evaluate the simulation design and educational effectiveness, in EFM management. The research will facilitate midwifery students to intervene with the patient in a shorter time, with confidence and with sufficient clinical skills, and patient safety will be increased. It will also allow for the reduction of erroneous clinical practices and malpractices.

This research aims to evaluate the effect of high-fidelity simulation teaching method on knowledge, satisfaction and self-efficacy of midwifery students in EFM follow-up.

Study Overview

• Status: Completed
• Conditions: Cardiotocography; High Fidelity Simulation Training; Electronic Fetal Monitoring
• Intervention / Treatment: Behavioral: Simulation training in electronic fetal monitor management

• Study Type: Interventional
• Enrollment (Actual): 68
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Istanbul, Turkey (Türkiye), 34220
    • Neriman
  • Istanbul
    • Fatih, Istanbul, Turkey (Türkiye), 34200
      • Iffet Güler Kaya

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Agreeing to participate in the research,
• Being a midwifery second year student and taking the "Risky pregnancy" course,
• Attending training with simulation for the first time

Exclusion Criteria:

• Incomplete filling of data collection forms,
• Not participating in all applications of simulation teaching,
• Desire to leave the research.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Basic Science
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental Group; Investigation of the effectiveness of scenario-based standardized patient simulation training and electronic fetal monitor management of midwifery students	Behavioral: Simulation training in electronic fetal monitor management; Simulation training in electronic fetal monitor management
No Intervention: Control Group; Behavioral: Examining the effectiveness of electronic fetal monitor management of midwifery students with theory training

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Student Satisfaction and Self-Confidence Scale in Learning	The scale is a 13-item measurement tool designed to measure student satisfaction with simulation and self-confidence during practices. It is a 5-point Likert type and is scored as strongly disagree 1, disagree 2, undecided 3, agree 4, strongly agree 5.	immediately after the first simulation application
Student Satisfaction and Self-Confidence Scale in Learning	The scale is a 13-item measurement tool designed to measure student satisfaction with simulation and self-confidence during practices. It is a 5-point Likert type and is scored as strongly disagree 1, disagree 2, undecided 3, agree 4, strongly agree 5.	immediately after the second simulation application
information evaluation form	The information evaluation form is in a multiple-choice format consisting of 50 questions by scanning the literature by the researchers. Each question is worth 2 points	immediately before simulation
information evaluation form	The information evaluation form is in a multiple-choice format consisting of 50 questions by scanning the literature by the researchers. Each question is worth 2 points	5 weeks after the first simulation application
Self-efficacy scale in monitoring and management of electronic fetal monitoring	It has been determined that the 32-item scale .Electro Fetal Monitor Monitoring Scale can be used as a valid and reliable scale in health professionals. Minimum 0, maximum 32. As the score increases, it is determined that the self-efficacy is higher.	immediately after the second simulation application

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Simulation Design Scale	The simulation method applied and designed to the intervention group is used in the evaluation of the participants. The simulation design scale consists of 20 items in total. Evaluation of the scale is done in two stages. In the first stage, in order to evaluate whether the items used in the simulation method were given in the best way for the participant, they were expressed as strongly disagree, disagree, undecided, agree, strongly agree. In the second stage, there are statements that will determine the level of importance of the scale items for the participant, not important, partially important, undecided, important, very important. In the evaluation phase, the scale score is calculated by dividing the total and the total of the sub-dimensions by the number of items.	immediately after the first simulation application
Simulation Design Scale	The simulation method applied and designed to the intervention group is used in the evaluation of the participants. The simulation design scale consists of 20 items in total. Evaluation of the scale is done in two stages. In the first stage, in order to evaluate whether the items used in the simulation method were given in the best way for the participant, they were expressed as strongly disagree, disagree, undecided, agree, strongly agree. In the second stage, there are statements that will determine the level of importance of the scale items for the participant, not important, partially important, undecided, important, very important. In the evaluation phase, the scale score is calculated by dividing the total and the total of the sub-dimensions by the number of items.	immediately after the second simulation application
Self-efficacy scale in monitoring and management of electronic fetal monitoring	It has been determined that the 32-item scale. Electro Fetal Monitor Monitoring Scale can be used as a valid and reliable scale in health professionals. Minimum 0, maximum 32. As the score increases, it is determined that the self-efficacy is higher.	immediately after the first simulation application

Collaborators and Investigators

• Sponsor: Saglik Bilimleri Universitesi

Study record dates

Study Major Dates

• Study Start (Actual): December 15, 2022
• Primary Completion (Actual): July 5, 2023
• Study Completion (Actual): August 10, 2024

Study Registration Dates

• First Submitted: April 17, 2023
• First Submitted That Met QC Criteria: June 13, 2023
• First Posted (Actual): June 15, 2023

Study Record Updates

• Last Update Posted (Actual): April 27, 2026
• Last Update Submitted That Met QC Criteria: April 24, 2026
• Last Verified: June 1, 2024

More Information

Terms related to this study

• Keywords: satisfaction; high-fidelity simulation; self-confidence; Electro fetal monitor
• Additional Relevant MeSH Terms: Behavior; Personal Satisfaction
• Other Study ID Numbers: IGULER

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: This research aims to evaluate the effect of high-fidelity simulation teaching method on knowledge, satisfaction and self-efficacy of midwifery students in EFM follow-up.
• IPD Sharing Time Frame: Can be used for a long time
• IPD Sharing Access Criteria: Undecided
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No