Management of Shoulder Dystocia in Flipped Learning

The Effect of a Flipped Learning Approach on Midwifery Students Learning Shoulder Dystocia Management: A Randomized Controlled Trial.

Flipped learning is an innovative learning method in midwifery education. Studies that apply this learning method together with shoulder dystocia training have not been found in the current literature. For this reason, the study was designed as a randomized controlled study to examine the effectiveness of the flipped learning technique in shoulder dystocia management using high-valid simulation in midwifery undergraduate education.

Study Overview

• Status: Completed
• Conditions: Shoulder Dystocia - Delivered
• Intervention / Treatment: Other: flipped learning training group

Detailed Description

Flipped learning is an innovative learning method in midwifery education. Studies that apply this learning method together with shoulder dystocia training have not been found in the current literature. For this reason, the study was designed as a randomized controlled study to examine the effectiveness of the flipped learning technique in shoulder dystocia management using high-valid simulation in midwifery undergraduate education.

Hypotheses of the research;

First Hypothesis H1: The use of flipped learning model in midwifery education has an effect on midwifery students' shoulder dystocia knowledge levels.

Second Hypothesis H1: The use of flipped learning model in midwifery education has an effect on midwifery students' levels of Student Satisfaction and Self-Confidence in Learning.

Third Hypothesis H1: The use of flipped learning model in midwifery education has an effect on midwifery students' Pagana Clinical Stress levels.

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

Contacts and Locations

Study Locations

• Turkey
  • Karabuk, Turkey, 78500
    • Reyhan Aydin Doğan

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• - Agreeing to participate in the study,
• Being a 4th year student at the Department of Midwifery,

Exclusion Criteria:

• - Refusing to participate in the study,
• Being a 1st, 2nd and 3rd year student in the midwifery department

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Basic Science
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: flipped learning group; In addition to the traditional theory training to be given within the scope of the study, two hours of video-supported shoulder dystocia training will be given using the university's corporate Microsoft teams program, one day before the simulation application. The videos used in the training consist of previously shot training videos. There is no copyright or legal problem in using the videos.	Other: flipped learning training group; flipped learning training group. Applying a flipped learning model in addition to routine training in a fully equipped simulation
No Intervention: routine training group- control group; The control group will be given shoulder dystocia theory training before the simulation training within the routine course protocol within the scope of the routine risky birth and postpartum period course.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
H1	Using the flipped learning model in midwifery education increases the knowledge level score of midwifery students on shoulder dystocia.	12 months
H1	Using the flipped learning model in midwifery education reduces the PANAGA clinical stress level score of midwifery students.	12 months
H1	Using the flipped learning model in midwifery education increases midwifery students' oStudent Satisfaction and Self-Confidence in Learning Scale scores.	12 months

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Measurement and evaluation materials to be used in the study	In the study, a personal data form containing students' personal information,	Scales will be administered immediately after the educational intervention.
Measurement and evaluation materials to be used in the study	Shoulder Dystocia and Management Information Form	Scales will be administered immediately after the educational intervention.
Measurement and evaluation materials to be used in the study	Shoulder Dystocia Management Individual Evaluation Form will be used to determine the effectiveness of the training.	Scales will be administered immediately after the educational intervention.
Measurement and evaluation materials to be used in the study	The Student Satisfaction and Self-Confidence Scale in Learning will be used to determine students' simulation competencies and satisfaction,	Scales will be administered immediately after the educational intervention.
Measurement and evaluation materials to be used in the study	The Pagana Clinical Stress Survey will be used to determine the stress caused by application techniques on students.	Scales will be administered immediately after the educational intervention.

Collaborators and Investigators

• Sponsor: Karabuk University

Publications and helpful links

General Publications

• Golaki SP, Kamali F, Bagherzadeh R, Hajinejad F, Vahedparast H. The effect of Flipped Classroom through Near Peer Education (FC through NPE) on patient safety knowledge retention in nursing and midwifery students: a solomon four-group design. BMC Med Educ. 2022 Feb 19;22(1):112. doi: 10.1186/s12909-022-03144-w.
• Saritas E, Baykara ZG. The effect of flipped learning approach on nursing students' learning of patient safety: A randomized controlled trial. Nurse Educ Pract. 2023 Oct;72:103742. doi: 10.1016/j.nepr.2023.103742. Epub 2023 Aug 10.

Helpful Links

• Flipped Classroom Learning Experiences of Graduate Nursing Students in Advanced Pathophysiology and Pharmacology in Midwifery Course

Study record dates

Study Major Dates

• Study Start (Actual): June 6, 2024
• Primary Completion (Actual): June 10, 2024
• Study Completion (Actual): June 30, 2025

Study Registration Dates

• First Submitted: October 16, 2023
• First Submitted That Met QC Criteria: October 23, 2023
• First Posted (Actual): October 27, 2023

Study Record Updates

• Last Update Posted (Actual): July 28, 2025
• Last Update Submitted That Met QC Criteria: July 24, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: Shoulder Dystocia; midwifery student; flipped learning
• Additional Relevant MeSH Terms: Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Obstetric Labor Complications; Pregnancy Complications; Shoulder Dystocia; Dystocia
• Other Study ID Numbers: 2022/1141

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED
• IPD Plan Description: It will be shared when the work is completed.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No