Related Experiment Video
Updated: Jan 16, 2026
A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
Published on: February 13, 2020
Development and pilot test of a CTG skills test for midwives
Maija Männistö1, Kristiina Heinonen2, Marja Härkänen1
1Department of Nursing Science, University of Eastern Finland, Kuopio Finland; Research Centre for Nursing Science and Social and Health Management, Kuopio University Hospital, Wellbeing Services County of North Savo, Kuopio, Finland.
A new cardiotocography (CTG) skills test was developed and piloted to assess midwives' interpretation abilities. This validated tool is crucial for ensuring high-quality obstetric care and improving childbirth safety.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Medical Education
Background:
- High-quality obstetric care is vital for maternal and fetal well-being.
- Cardiotocography (CTG) interpretation has evolved to focus on fetal physiology, aiming to reduce interventions.
- Misinterpretation of CTG remains a significant factor in substandard perinatal care, highlighting the need for skills assessment.
Purpose of the Study:
- To develop and pilot a skills test for assessing midwives' cardiotocography (CTG) interpretation skills.
Main Methods:
- The CTG skills test was developed using existing literature.
- Content validity was assessed by an expert panel (n=8) via online surveys.
- A pilot study with midwives (n=12) evaluated test feasibility, with data analyzed using content analysis and descriptive statistics.
Main Results:
- The CTG skills test demonstrated excellent content validity (S-CVI/Ave = 0.94).
- Experts and midwives found the test relevant but challenging, particularly regarding fetal physiology.
- Revisions enhanced the test's clarity and usability, confirming its suitability for assessing CTG competence and identifying training needs.
Conclusions:
- Midwives' competence in CTG interpretation is essential for safe childbirth and quality obstetric care.
- The validated CTG skills test effectively assesses interpretation abilities and identifies areas for targeted training.
- This tool contributes to enhancing the safety and quality of childbirth delivery.
