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Int J Gynaecol Obstet. 2017 Apr;137(1):99-105. doi: 10.1002/ijgo.12084. Epub 2017 Jan 16.

The use of instructional design guidelines to increase effectiveness of postpartum hemorrhage simulation training.

Author information

1
Faculdade Pernambucana de Saúde and Centro de Atenção à Mulher, Instituto de Medicina Integral Prof. Fernando Figueira, Centro de Atenção à Mulher, Recife, Brazil.
2
School of Health Professions Education, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands.

Abstract

OBJECTIVE:

To compare learning outcomes of postpartum hemorrhage simulation training based on either instructional design guidelines or best practice.

METHODS:

A pretest-post-test non-equivalent groups study was conducted among obstetrics and gynecology residents in Recife, Brazil, from June 8 to August 30, 2013. The instructional design group included 13 teams, whereas the best practice group included seven teams. A standardized task checklist was used for scenario analysis and the proportion of correctly executed tasks compared (post-test minus pretest).

RESULTS:

The instructional design group scored higher than the best practice group for total number of tasks completed (median difference 0.46 vs 0.17; P<0.001; effect size [r]=0.72). Similar results were observed for communication (median difference 0.56 vs 0.22; P=0.004; r=0.58), laboratory evaluation (median difference 0.83 vs 0.00; P<0.001; r=0.76), and mechanical management (median difference 0.25 vs -0.15; P=0.048; r=0.39). Speed of learning was also increased. The median differences were 0.20 for the instructional design group compared with 0.05 for the best practice group at 60 seconds (P=0.015; r=0.49), and 0.49 versus 0.26 (P=0.001; r=0.65) at 360 seconds.

CONCLUSION:

The use of simulation training for postpartum hemorrhage that was based on instructional design guidelines yielded better learning outcomes than did training based on best practice.

KEYWORDS:

Education; Instructional design; Postpartum hemorrhage; Simulation training; Situational awareness; Training

PMID:
28090643
DOI:
10.1002/ijgo.12084
[Indexed for MEDLINE]

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