Teaching Electronic Fetal Monitoring to Midwifery Students With Peer Teaching Method

The Effect of Electronic Fetal Monitoring Training Given to Midwifery Students With Peer Education Method on the Knowledge, Skills and Self-Efficacy Levels of the Students

706 / 5.000 The aim of the study is to examine the effects of Electronic Fetal Monitoring (EFM) (a test that evaluates fetal health during pregnancy) training given to midwifery students through peer education method on the knowledge, skills and self-efficacy levels of the students. It is being conducted as an experimental study with a randomized controlled pre-test-post-test design. Students were given standard training on EFM. Students in the peer teaching group were given peer education. Students continue to be evaluated while applying EFM to pregnant women in clinical practice. Personal information form, achievement test for EFM, skill form and Electronic Fetal Monitoring Self-Efficacy Scale were used in the evaluation of the students.

Study Overview

• Status: Recruiting
• Conditions: Educational Problems
• Intervention / Treatment: Other: Peer Tutoring

Detailed Description

The aim of the study was to examine the effects of Electronic Fetal Monitoring (EFM) training given to midwifery students through peer education method on the knowledge, skill and self-efficacy levels of the students. It is being conducted as an experimental study with a randomized controlled pre-test-post-test design.

The Electronic Fetal Monitoring Achievement Test and Electronic Fetal Monitoring Skill Form to be used within the scope of the study were created in line with the literature and presented to the opinions of experts in the field. The necessary arrangements were made in line with the opinions of expert instructors and the final version of the achievement test and skill form was created. The Electronic Fetal Monitoring Self-Efficacy Scale is a valid and reliable scale developed by researchers in Turkey in 2023.

After the measurement tools were completed, standard training on EFM was given to the 2nd year students of the midwifery department within the scope of the Prenatal Period I course. After the standard training, the students were informed about the research. The students included in the study were provided with the Personal information formi achievement test and Electronic Fetal Monitoring Self-Efficacy Scale for EFM as a pre-test. The students included in the study were randomized and assigned to Peer Tutoring and Standard Education groups. Then, peer education was given to the students in the Peer Tutoring group.

After the peer education was completed, all students began to be evaluated while performing EFM on pregnant women in clinical practice. Students are evaluated with a skill form by the researcher while performing EFM on pregnant women. After the application is completed, students complete the EFM achievement test and Electronic Fetal Monitoring Self-Efficacy Scale as a post-test. Evaluation of students continues in clinical practice.

• Study Type: Interventional
• Enrollment (Estimated): 72
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Melek Ş Sen Aytekin, RA; Phone Number: +90 5071616044; Email: meleksenaytekin@gmail.com
• Study Contact Backup: Name: Özgür Alparslan, Prof. Dr.; Phone Number: 3940 +9003562521616; Email: ozgralp60@gmail.com

Study Locations

• Turkey
  • Tokat, Turkey
    • Recruiting
    • Tokat Gaziosmanpasa University
    • Contact: Fazlı Demirtürk, Prof. Dr.; Phone Number: 1280 +903562521616; Email: fazli.demirturk@gop.edu.tr
    • Sub-Investigator: Fazlı Demirtürk, Prof. Dr.

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• volunteers to participate in the study,
• those taking the Prenatal Period-I course for the first time,
• those who have not received any EFM training before,
• those who are second year Midwifery students

Exclusion Criteria:

• Students who are absent on the day the EFM topic is taught.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Standard Education Group; This group received standard training given within the scope of the Prenatal Period I course. A powerpoint presentation consisting of 80 slides was prepared within the scope of this training. The training was given as 2 lessons of 50 minutes each. Powerpoint presentation and "Leopold Maneuver Palpation Model" were used during the training.
Experimental: Peer Tutoring Group; This group received standard training as part of the Prenatal Period I course. A powerpoint presentation consisting of 80 slides was prepared as part of this training. The training was given as 2 lessons of 50 minutes each. A powerpoint presentation and "Leopold Maneuver Palpation Model" were used during the training. Peer training was given two days after the standard training was completed. During the peer training, the powerpoint presentation and the Leopold Maneuver Palpation Model used in standard training were also used.	Other: Peer Tutoring; Peer tutoring is defined as "individuals who are in a similar social group and are not professional teachers helping each other to learn and teach". For peer tutoring, the subject of EFM was grouped under 6 headings. The students in the Peer tutoring group were divided into groups of 6. The researcher explained a heading of the EFM subject to each of these 6 groups. Then, new groups were formed by taking one student from each group. In these new groups, each student explained his/her own subject to his/her peers.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Electronic Fetal Monitoring Self-Efficacy Scale	The scale consists of 32 items on a 4-point Likert scale ranging from "Very sure" to "Not sure". A general score is obtained by summing up all items. A high score indicates that EFM Follow-up self-efficacy is high. The lowest score to be obtained from the scale varies between 32 and the highest score varies between 128. There is no cut-off score for the scale.	It will be used as a pre-test 10 minutes after the standard training. As a post-test, it will be filled out within 30 minutes after students complete the EFM application to pregnant women.
Success Test for Electronic Fetal Monitoring Success Test for Electronic Fetal Monitoring	Electronic Fetal Monitoring Achievement Test was prepared in accordance with the literature with multiple choice (4 options) questions in order to measure the knowledge, skills and abilities acquired by the students. The opinions of 11 faculty members who are experts in the field of midwifery were taken for the achievement test that was created. The content validity of the Electronic Fetal Monitoring Achievement Test was calculated in accordance with the opinions received from the experts. There are 22 questions in the final version of the achievement test. One point is taken for each question answered correctly and 0 points are taken for each question answered incorrectly. The highest score from the achievement test is 22 and the lowest is 0. The higher the total score from the achievement test, the higher the success towards EFM.	It will be used as a pre-test 10 minutes after the standard training. As a post-test, it will be filled out within 30 minutes after students complete the EFM application to pregnant women.
Skill Form for Electronic Fetal Monitoring	The form was used to evaluate the application that students will perform during clinical practice. The form includes sections that include welcoming the pregnant woman, connecting her to EFM, following her up, interpreting the EFM trace, determining risks and interventions. The researcher who observed the form evaluated the students as "did not do it (0): The step was applied incorrectly" and "did (1): The step was done correctly". Opinions were received from 11 midwifery experts for the form. In line with the opinions of the experts, the scope validity of the Skill Form for Electronic Fetal Monitoring was calculated. Necessary arrangements were made in terms of language and expression in line with the expert opinions. The final form consists of 39 items. The highest score that can be obtained from the form is 39 and the lowest score is 0. High scores indicate that the skill for EFM is high.	The EFM application process takes approximately 30 minutes. Students are monitored through this form throughout the process (approximately 30 minutes).

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Personal Information Form	Personal Information Form Personal Information Form was created by the researcher in line with the literature to determine the socio-demographic characteristics of the students (age, education level, employment status, health insurance, parents' education status, parents' profession, etc.). There are 7 questions.	It is filled out as a pre-test 10 minutes after the standard training.

Collaborators and Investigators

• Sponsor: Tokat Gaziosmanpasa University
• Investigators: Principal Investigator: Melek Ş Aytekin, RA, Tokat Gaziosmanpaşa Universty

Study record dates

Study Major Dates

• Study Start (Actual): December 3, 2024
• Primary Completion (Estimated): February 2, 2025
• Study Completion (Estimated): February 2, 2025

Study Registration Dates

• First Submitted: December 23, 2024
• First Submitted That Met QC Criteria: January 8, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 13, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: education; midwifery; cardiotocography; peer group; Clinical Skill
• Other Study ID Numbers: GaziosmanpasaU-EBE-MŞA-01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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