2015, Number 4
<< Back Next >>
Revista Cubana de Educación Médica Superior 2015; 29 (4)
Effects of the personalized teaching system in the evaluation of competencies in handling of neonate
Agudelo SI, Maldonado MJ, Orozco C, Restrepo J, Gamboa O
Language: English
References: 29
Page: 725-741
PDF size: 338.98 Kb.
ABSTRACT
Introduction: interventions and procedures that have been properly executed during the neonatal stage decreases risk, damage, and sequela during neonatal
stage. The acquisition of clinical skills during premedical training is of the upmost importance and has a favourable impact in the decrease of neonatal morbimortality.
Objective: in this study, a personalized teaching system for the development of the skills in the immediate handling of newborns by medicine students was
evaluated, using an Objective Standardized Clinical Exam (OSCE).
Methods: a study was done using a before and after design, where a personalized teaching system with immediate constructive feedback and retraining with a Master class after 8 days was used with medicine students of the Universidad de La Sabana. For hypothesis testing of the variable with normal distribution a paired T
test was used, and for variables with abnormal distribution the Wilcoxon signedrank
test was used. The information processed using the program Stata. A p value of less than 0.05 was considered as statistically significant.
Results: improvement was observed in the acquisition of competence after intervention. The overall result (theoretical and practical) improved from 60.3% to
83.14% after the intervention education, with a difference of 22.82% in favor of the intervention (p ‹ 0.001).
Conclusions: there is evidence of improvement in the practical skills and theoretical knowledge for the immediate handling of newborns during birth after
the personalized educational intervention.
REFERENCES
Lawn JE, Cousens S, Zupan J. 4 million neonatal deaths: When? Where? Why? The Lancet. 2005;365(9462):891-900.
Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, de Bernis L. Evidencebased, cost-effective interventions: how many newborn babies can we save? The Lancet. 12;365(9463):977-88.
Nacimientos 2013-preliminar [Internet]. [citado 29 Oct 2014]. Disponible en: https://www.dane.gov.co/index.php/es/poblacion-y-registros-vitales/nacimientosy- defunciones/nacimientos-y-defunciones/118-demograficas/estadisticasvitales/ 4647-nacimientos-2013
Knippenberg R, Lawn JE, Darmstadt GL, Begkoyian G, Fogstad H, Walelign N, et al. Systematic scaling up of neonatal care in countries. The Lancet. 2005;365(9464):1087-98.
Committee Opinion No. 543: Timing of Umbilical Cord Clamping After Birth. Obstetrics & Gynecology [Internet]. 2012;120(6). Disponible en: http://journals.lww.com/greenjournal/Fulltext/2012/12000/Committee_Opinion_No __543___Timing_of_Umbilical.45.aspx
Effect of timing of umbilical cor... [Cochrane Database Syst Rev. 2012] - Clipboard - PubMed - NCBI [Internet]. [citado 22 May 2013]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/clipboard
Ola Andersson, Lena Hellström-Westas, Dan Andersson, Magnus Domellöf. Effect of delayed versus early umbilical cord clamping on neonatal outcomes and iron status at 4 months: a randomised controlled trial. BMJ. 2011;343.
Cuttano A, Scaramuzzo RT, Gentile M, Ciantelli M, Sigali E, Boldrini A. Education in neonatology by simulation: Between reality and declaration of intent. Journal of Maternal-Fetal and Neonatal Medicine. 2011;24(Suppl.1):97-8.
Rovamo L, Mattila M-M, Andersson S, Rosenberg P. Assessment of newborn resuscitation skills of physicians with a simulator manikin. Archives of Disease in Childhood: Fetal and Neonatal Edition. 2011;96(5):F383-9.
Anderson JM, Warren JB. Using Simulation to Enhance the Acquisition and Retention of Clinical Skills in Neonatology. Seminars in Perinatology. 2011;35(2):59-67.
Dieckmann P, Friis SM, Lippert A, Řstergaard D. The art and science of debriefing in simulation: Ideal and practice. Med Teach. 2009;31(7):e287-94.
Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007;2(2):115-25.
Stafford F. The significance of de-roling and debriefing in training medical students using simulation to train medical students. Med Educ. 2005;39(11):1083-5.
Meaney PA, Topjian AA, Chandler HK, Botha M, Soar J, Berg RA, et al. Resuscitation training in developing countries: A systematic review. Resuscitation. 2010;81(11):1462-72.
Missen K, Sparkes L, Porter J, Cooper S, McConnell-Henry T. Developing team based acute care scenarios: A rural hospital experience. International Emergency Nursing [Internet]. 2012. [Citado 29 Oct 2014] Disponible en: http://www.scopus.com/inward/record.url?eid=2-s2.0- 84870058589&partnerID=40&md5=4522066a071a07d8ff648d19654ed05c
Res-8430/1993-Salud.pdf [Internet]. [citado 29 Oct 2014]. Disponible en: http://www.unisabana.edu.co/fileadmin/Documentos/Investigacion/comite_de_etic a/Res__8430_1993_-_Salud.pdf
GPC-Completa-RNSano.pdf [Internet]. [citado 29 Oct 2014]. Disponible en: http://gpc.minsalud.gov.co/Documents/Guias-PDFRecursos/ RN%20sano/GPC_Completa_RNSano.pdf
McClure EM, Carlo WA, Wright LL, Chomba E, Uxa F, Lincetto O, et al. Evaluation of the educational impact of the WHO Essential Newborn Care course in Zambia. Acta Paediatrica. 2007;96(8):1135-8.
Suely Arruda Vidal, Ronfani L, Suzana da Mota Silveira, Mello MJ. Comparison of two training strategies for essential newborn care in Brazil. World Health Organization Bulletin of the World Health Organization. 2001;79(11):1024-31.
Bhutta ZA, Darmstadt GL, Hasan BS, Haws RA. Community-based interventions for improving perinatal and neonatal health outcomes in developing countries: a review of the evidence. Pediatrics. 2005;115(Suppl.2):519-617.
Carlo WA, McClure EM, Chomba E, Chakraborty H, Hartwell T, Harris H, et al. Newborn Care Training of Midwives and Neonatal and Perinatal Mortality Rates in a Developing Country. Pediatrics. 2010;126(5):e1064-71.
Carlo WA, Goudar SS, Jehan I, Chomba E, Tshefu A, Garces A, et al. Newborn- Care Training and Perinatal Mortality in Developing Countries. N Engl J Med. 2010;362(7):614-23.
Meaney PA, Topjian AA, Chandler HK, Botha M, Soar J, Berg RA, et al. Resuscitation training in developing countries: A systematic review. Resuscitation. 2010;81(11):1462-72.
Missen K, Sparkes L, Porter J, Cooper S, McConnell-Henry T. Developing team based acute care scenarios: A rural hospital experience. International emergency nursing. 2013;21(3):186-9.
Moss W, Darmstadt GL, Marsh DR, Black RE, Santosham M. Research priorities for the reduction of perinatal and neonatal morbidity and mortality in developing country communities. Journal of Perinatology. 2002;22(6):484-95.
Weller JM, Nestel D, Marshall SD, Brooks PM, Conn JJ. Simulation in clinical teaching and learning. Med J Aust. 2012;196(9):594.
Simulation in clinical teaching and learning. [Med J Aust. 2012] - Clipboard - PubMed - NCBI [Internet]. [citado 6 Mar 2013]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/clipboard
López JG, Spirko LV. Simulación, herramienta para la educación médica. Salud Uninorte. 2007;23:79-95.
Barry Issenberg S, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Medical teacher. 2005;27(1):10-28.