The effect of competency-based education in obstetric emergencies on midwifery students in clinical skill lab, based on Kirkpatrick evaluation model: A randomized controlled trial

AbstractBackgroundObstetric emergency is one of the most important causes of maternal and neonatal mortality, and competency-based education is one of the efficient approaches to cover this. Objective structured clinical examination is one of the valid methods in measuring students’ competency and performance. Kirkpatrick evaluation model is a great method to assess a training impact.ObjectivesThis study was designed to determine the effect of competency-based education on midwifery students based on Kirkpatrick evaluation model.DesignRandomized controlled trialSettingNursing and Midwifery School in Islamic Republic of Iran (Iran University of Medical Sciences)Participantseighty students in third to fifth term of associate and bachelor’s degree in midwifery (intervention group=40, control group=40)MethodsUsing stratified random sampling, research team trained learners of intervention group in 4 sessions, 5 hours/day in a month in emergency obstetric cares. Both groups had been receiving the routine schedule of the faculty. Knowledge, skills, and self-confidence were assessed three times, before, immediately and 6 weeks after training by researcher made questionnaire, Objective Structured Clinical Examination (OSCE) and self-reported questionnaire respectively. Data were analyzed with descriptive, inferential statistics.ResultsThe level of knowledge, skills, and self-confidence increased significantly in the intervention group, in immediate and 6 weeks after intervention (P&lt;0.001). In intervention group, Mean ± S.D of all variables were 5.05±2.074, 143.30±12.146 and 11.65±2.045, which increased to 10.17±1.318, 527.70±19.995 and 18.97±1.980 and remained at the same levels 6 weeks later, 9.37±2.215, 521.80±19.784 and 19.00±2.631; in the control group, this trend was not significant (P=0.380, P=0.455 and P=0.191).ConclusionCompetency-based education can be used in midwifery education and in-service training. We need to use new educational approaches such as competency-based to have a valuable impact on knowledge skills and self-confidence. This may affect health indexes indirectly.</jats:sec

The Effect of Face-to-face Sex Education on the Sexual Function of Adolescent Female Afghan Immigrants

Background: Access to precise information about sexual behaviors is an essential need for a favorable marital life. In the context of Afghan society culture, unawareness about sex issues in offspring on the verge of marriage could lead to an undesirable sexual function. The present study aimed to determine the effect of face-to-face sex education on the sexual function of adolescent female Afghan immigrants. Methods: This was a quasi-experimental study with a Pre-test-Post-test and a control group design. This research was conducted in the immigrant neighborhoods of Mashhad City, east of Iran, in 2018. Two charity centers with the largest numbers of Afghan immigrants were randomly selected as the case and control centers. A continuous sampling technique was applied to select the study participants. Besides, women who met the study inclusion criteria completed a demographic questionnaire and the Female Sexual Function Index (FSFI) before and at 4 and 8 weeks after the intervention. In addition to the center’s routine programs, the experimental group received face-to-face education through PowerPoint slides, while the control group only received routine training of the center. The collected data were analyzed by SPSS using descriptive and inferential statistics. Results: There was no significant difference in the sexual function scores between the two study groups before the intervention (P=0.850), while there was a significant difference between them after 4 (P=0.003) and 8 weeks (P&lt;0.001) of intervention provision. Conclusion: Face-to-face sexual training improved sexual function in adolescent female Afghan migrants; therefore, this training method could be used for sexual education in young female immigrants.</jats:p