Effectiveness Of Simulatıon Methods Used For Teaching Vaginal Examinatıon to Midwifery Students; Systematıc Rewiew

Yıl 2022, Cilt: 2 Sayı: 1, 88 - 98, 28.01.2022

Ayşenur Kahraman , Melek Şen Aytekin , Öznur Çetin

Öz

Aim: The aim of this study was to evaluate the effectiveness of different simulation methods used to teach vaginal examination to midwifery students.
Method: In this study, which is a systematic review, the searches were performed between October 10 and October 25, 2021 in Science Direct, Pubmed, Scopus, ClinicKey databases with the keywords "midwifery student, simulation, teaching, vaginal examination, training" in English, Tr Dizin, Turkey The citation index was scanned with the keywords "midwifery student, simulation, learning, vaginal examination, practice" in Google Scholar search engines.
Results: A total of 199 studies were reached from the databases in the systematic review. Within the scope of the research, 2 studies with 547 students were examined. It was determined that simulation supported skill training stations were used in one of the studies, and a low, medium and high-fidelity vaginal examination simulation model was used in the other. In both studies examined within the scope of the study, it was found that it was effective in learning the vaginal touch. In the study, in which a simulation-supported vaginal examination skill station was used, midwifery students emphasized that both their skills and their confidence levels in practice were positively effective. In the study conducted with high medium and low reality simulation models, it was found that high reality simulation was the most effective method for midwifery students to gain vaginal examination skills.
Conclusion: In this systematic review, it was concluded that the simulation methods used in the teaching of vaginal examination are effective in helping students gain vaginal examination skills and that more experimental studies on the subject should be done.

Anahtar Kelimeler

Midwifery, Student, Simulation, Vaginal examination, Skill

Ebelik Öğrencilerine Vajinal Tuşeyi Öğretmeye Yönelik Kullanılan Simülasyon Yöntemlerinin Etkinliği; Sistematik Derleme

Öz

Amaç: Bu çalışma ile ebelik bölümü öğrencilerine vajinal muayeneyi öğretmeye yönelik kullanılan farklı simülasyon yöntemlerinin etkinliğini değerlendirmek amaçlanmıştır.
Yöntem: sistematik derleme olan bu çalışmada, taramalar 10 Ekim ve 25 Ekim 2021 tarihleri arasında Science Direct, Pubmed, Scopus, ClinikalKey veri tabanlarında İngilizce ‘’midwifery student, simulatıon, teaching, vaginal examination, training’’ anahtar kelimeleri ile Tr Dizin, Türkiye atıf dizini, Google Akademik arama motorları ‘’ebelik öğrencisi, simülasyon, öğrenme, vajinal muayene, uygulama’’ anahtar kelimeleri ile taranmıştır.
Bulgular: Sistematik derlemede veri tabanlarından toplamda 199 çalışmaya ulaşılmıştır. Araştırma kapsamında 547 öğrenci ile yapılan 2 çalışma incelenmiştir. Çalışmalardan birinde simülasyon destekli beceri eğitim istasyonlarının kullanıldığı, diğerinde ise düşük, orta ve yüksek gerçeklikli vajinal muayene simülasyon maketinin kullanıldığı belirlenmiştir. Çalışma kapsamında incelenen her iki araştırmanında vajinal tuşeyi öğrenmede etkili olduğu bulmuştur. Simülasyon destekli vajinal muayene beceri istasyonunun kullanıldığı araştırmada ebelik öğrencileri hem beceri hem de uygulamaya yönelik güven düzeylerinin olumlu yönde etkili olduğunu vurgulamışlardır. Yüksek orta ve düşük gerçeklikli simülasyon maketleri ile yapılan çalışmada ebelik bölümü öğrencilerinin vajinal muayene becerisini kazanmasında yüksek gerçeklikli simülasyonun en etkili yöntem olduğu bulunmuştur.
Sonuç: Bu sistematik derlemede vajinal muayenenin öğretilmesinde kullanılan simülasyon yöntemlerinin öğrencilerin vajinal muayene becerisi kazanmalarında etkili olduğu ve konuyla ilgili daha fazla deneysel çalışmaların yapılması gerektiği sonucuna ulaşılmıştır.

Anahtar Kelimeler

Ebelik, Öğrenci, Simülasyon, Vajinal muayene, Beceri

Kaynakça

• Bonilla-Escobar FJ, Ortega-Lenis D, Rojas-Mirquez JC, Ortega-Loubon. Panamanian women’s experience of vaginal examination in labour: A questionnaire validation. Midwifery. 2016;36(1): 8–13. https://doi.org/10.1016/j.midw.2016.02.022
• Pratinidhi A, Patange R, Patil S, Salunkhe J, Samson S, Kakade S. Testing of simulation training device for assessment of cervical dilatation among nursing student of Karad, India. Health Science Journal. 2014;8(4):495–501.
• Downe S, Gyte GM, Dahlen HG, Singata M. Routine vaginal examinations for assessing progress of labour to improve outcomes for women and babies at term. Cochrane Database Syst Rev. 2013;(7):CD010088. Published 2013 Jul 15. doi:10.1002/14651858.CD010088.pub2
• Muliira RS, Seshan V, Ramasubramaniam S. Improving vaginal examinations performed by midwives. Sultan Qaboos Univ Med J. 2013;13(3):442-449.
• Nizard J, Haberman S, Paltieli Y, Gonen R. Ohel G, Nicholson D ve diğ. How reliable is the determination of cervical dilation? Comparison of vaginal examination with spatial position-tracking ruler. Am J Obstet Gynecol. 2009;200(4):402.e1-402.e4024. https://doi.org/10.1016/j.ajog.2009.01.002
• Roosevelt L, Diebel M, Zielinski RE. Achieving competency in vaginal examinations: The challenge of balancing student learning needs with best practice in maternity care. Midwifery. 2018;61:39-41. doi:10.1016/j.midw.2018.02.016
• Arias T, Tran A, Breaud J, Fournier JP, Bongain A, Delotte, J. A prospective study into the benefits of simulation training in teaching obstetric vaginal examination. International Journal of Gynecology and Obstetrics. 2016;133(3):380–384. https://doi.org/10.1016/j.ijgo.2015.08.028
• Huhn KA, Brost BC. Accuracy of simulated cervical dilation and effacement measurements among practitioners. Am J Obstet Gynecol. 2004;191(5):1797-1799. https://doi.org/10.1016/j.ajog.2004.07.062
• Cass GK, Crofts JF, Draycott TJ. The use of simulation to teach clinical skills in obstetrics. Seminars in perinatology. 2011;35(2): 68–73. https://doi.org/10.1053/j.semperi.2011.01.005
• Tiffen J, Graf N, Corbridge S. Effectiveness of a Low-fidelity Simulation Experience in Building Confidence among Advanced Practice Nursing Graduate Students. Clinical Simulation in Nursing. 2009;5(3): e113–e117. https://doi.org/10.1016/j.ecns.2009.01.009
• Demirel G, Evcili F, Kaya N, Doganer A. The Effect of Episiotomy Repair Simulation on the Anxiety and Self-Efficacy levels of Midwifery Students. Journal of Midwifery & Reproductive Health. 2020;8(1);2050–2057. https://doi.org/10.22038/jmrh.2019.42024.1479
• Guler H, Cetin P, Yurtsal ZB, et al. Effect of episiotomy training with beef tongue and sponge simulators on the self-confidence building of midwifery students. Nurse Educ Pract. 2018;30:1-6.
• Kumar A, Gilmour C, Nestel D, Aldridge R, McLelland G, Wallace E. Can we teach core clinical obstetrics and gynaecology skills using low fidelity simulation in an interprofessional setting?. Aust N Z J Obstet Gynaecol. 2014;54(6):589-592. doi:10.1111/ajo.12252
• Güngör Tavşanlı N, Kosova F, Bolsoy N, Altıparmak S, Demirci H, Şen S. ve diğ. (2018). Tam donanımlı doğum simulasyon sisteminin öğrencilerin ders başarısına ve problem çözme yeteneklerine etkisinin değerlendirilmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2018;5(2):22-27.
• Brady S, Bogossian F, Gibbons K. The effectiveness of varied levels of simulation fidelity on integrated performance of technical skills in midwifery students - A randomised intervention trial. Nurse Education Today. 2015;35(3):524–529. https://doi.org/10.1016/j.nedt.2014.11.005
• Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann T, Mulrow Cd. Ve Diğ. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. J Clin Epidemiol. 2021;134:178-189. doi:10.1016/j.jclinepi.2021.03.001
• https://jbi.global/critical-appraisal-tools
• https://jbi.global/critical-appraisal-tools
• Snilstveit B, Oliver S, Vojtkova M. Narrative approaches to systematic review and synthesis of evidence for international development policy and practice. Journal of development effectiveness. 2012;4(3):409-429.
• Alparslan Ö, Çetin Ö, Çataloluk A, Kahraman A. The Effect of Vocational Skill Training Model Given by Simulators on Academic Achievement and Anxiety Levels of Midwifery Students. International Scientific and Vocational Studies Journal. 2021;5(1):50-61.
• Erkek ZY, Altınayak SÖ. The Effect of Simulation Teaching Technique on the Improvement of Episiotomy Performance Skills and State Anxiety of Midwifery Students in Turkey: RCT. Clinical Simulation in Nursing. 2021;54: 62-69.
• Durmaz A, Elem E, Unutkan A, Keskin N. The effect of simulation on vaginal delivery skills and self-sufficiency levels. J Curr Res Health Secto. 2017;7(2): 41-52.
• Erfanian F, Khadivzadeh T. O272 Effects of simulation-based and traditional edu- cation on midwifery students' skill in pelvic examinations. Int. J. Gynecol. Obstet.(2009) 107 (Supplement 2(0)), S170 (http://dx.doi.org/10.1016/S0020-7292(09)60644-5).