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Published on: June 21, 2010
Effectiveness of an educational program for clinical educators to promote novice midwives' clinical judgment: A
Mami Yamamoto1, Yaeko Kataoka1
1St. Luke's International University, 10-1 Akashi-cho Chuo-ku, Tokyo 104-0044, Japan.
Background:
There has been little research on education for clinical educators and particularly on education to promote clinical judgment. Therefore, the purpose of this study was to examine the effectiveness of an educational program for clinical educators to promote the clinical judgment of novice midwives during delivery.
Methods:
A cluster randomized controlled trial was conducted in which a facility was considered a cluster. Eleven facilities (44 participants) were randomly assigned to the intervention group with the educational intervention and 10 facilities (33 participants) to the control group without the educational intervention. Inclusion criteria were midwives who had become clinical educators within five years. The educational program consisted of e-learning and a seminar. The primary outcome was educational skills. The secondary outcomes were attitude, knowledge, and satisfaction. Data on the satisfaction was collected only for the intervention group. Intention-to-treat and multi-model analyses using a random intercept model were used to analyze data. St. Luke's International University ethics review committee approved the study (20-A016).
Results:
No differences in baseline characteristics of participants and facilities were noted. There was no significant difference in educational skills scores at post-test between the intervention and control group (MD 1.88, 95 % CI [-0.55-4.31]). There was no significant difference in attitude scores at post-test between the two groups (MD 2.38, 95 % CI [-0.76, 5.51]). The knowledge scores at post-test were significantly higher in the intervention group (intervention group 2.68 ± 0.26, control group 1.57 ± 0.25; MD 1.10, 95 % CI [0.41-1.80], p = .002).
Conclusion:
The intervention group improved only in knowledge scores, with no effect on educational skills or attitudes compared to the control group. It is necessary to evaluate the effectiveness of the program by conducting long-term follow-up and evaluation.
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