Effect of episiotomy training with beef tongue and sponge simulators on the self-confidence building of midwifery students

Güler, Handan; Çetin, Perihan; Yurtsal, Zeliha Burcu; Cesur, Büşra; Bekar, Mine; Uçar, Tuba; Evcılı, Funda; Çetin, Ali

doi:10.1016/j.nepr.2018.02.004

Cited by 19 publications

(14 citation statements)

References 31 publications

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“…A notably relevant prior study was conducted by Guler et al 19 to compare midwifery student confidence in repairing episiotomy with suturing after practicing with both cow tongue tissue and synthetic suture practice models. This investigation determined that students’ confidence in their ability to repair an episiotomy was significantly higher after practice with the cow tongue tissue compared to the synthetic model.…”

Section: Discussionmentioning

confidence: 99%

“… 6 – 13 Soft embalmed cadavers, which are cadavers preserved in a more lifelike manner than traditionally preserved cadavers, simulate natural tissue more effectively for surgical procedures than traditionally preserved cadavers. 6 – 19 With these known benefits of soft-embalmed cadavers in medical trainee procedural skills practice, medical students would benefit greatly from practicing their suturing skills on soft-embalmed cadavers prior to suturing in the operating room.…”

Section: Introductionmentioning

confidence: 99%

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Suture Education with Soft-Embalmed Cadavers: A Cut Above the Rest

Braasch

Minchew²,

Riffel³

et al. 2022

kjm

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Introduction. Assess the efficacy of a surgical skills curriculum for third-year medical students focused on suturing training on soft embalmed cadavers, which simulate natural tissue more effectively for surgical procedures than traditionally preserved cadavers or surgical practice pads. Methods. We performed a retrospective cohort study comparing pre- and post-survey results at a premier, accredited, nationally ranked academic medical center. Study participants were third-year medical students completing their required surgical clerkship rotation who participated in suturing sessions on both synthetic suture practice pads and soft-embalmed cadavers prior to beginning their operating room experience. Results. A total of 40 participants were included with slightly more male participants. The majority of participants (52%) were interested in pursuing a non-surgical career. After participating in Clinical Anatomy Mentorship Program (CAMP), participants felt significantly more confident in their ability to suture in the operating room (median 4 [3-4] vs. 2 [1-3], p<0.001); in their knowledge of basic suturing supplies and instruments (median 4 [4-4] vs. 3 [2-3], p<0.001); and in their ability to determine when different suture techniques are appropriate in the operating room (median 3 [3-4] vs. 1 [1-2], p<0.001). Participants felt more confident in their ability to suture in the operating room after their experience suturing on soft-embalmed cadavers compared to suture practice pads (median 5 [4-5] vs. 4 [4-4], p=0.002). Conclusions. Medical students' confidence in suturing skills and in the knowledge of important characteristics of suturing practice was significantly improved after a suture training session on soft-embalmed cadavers.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Suture Education with Soft-Embalmed Cadavers: A Cut Above the Rest

Braasch

Minchew²,

Riffel³

et al. 2022

kjm

View full text Add to dashboard Cite

show abstract

“…In numerous studies, the role of animal and synthetic suture models in the acquisition of BSS has been evaluated, among them it has been seen that there are no differences between the performance of students with synthetic or animal models [19,20]. However, other studies have shown greater confidence in the skills acquired, and a better quality of suture stitches with animal models [21]. As that may be, the reduced access to animal materials must be taken into consideration.…”

Section: Discussionmentioning

confidence: 99%

“…The users' perception of a model influences in defining it as a competent model or not for BSS. This also correlates to the participant's confidence to perform surgical skills in patients in a safe approach [21]. A positive selfperception of their performance can strengthen the skills learned [31].…”

Section: Fidelity Of Suture Modelsmentioning

confidence: 93%

Comparison of suturing models: the effect on perception of basic surgical skills

Gonzalez-Navarro¹,

Quiroga‐Garza²,

Acosta-Luna³

et al. 2021

BMC Med Educ

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Background Acquisition of Basic Surgical Skills (BSS) are essential for medical students. The objective was to determine it’s fidelity impact. Methods Using four suturing models (SM) (pigskin, sponge, commercial pad, and orange), SM-quality and student-SM interaction were evaluated. After a 1-h class, participants were divided into groups and randomly assigned exercises in SM in 15-min intervals. The experiment included completing three individual simple stitches and a 3-stitch continuous suture in each SM. Results Eighty-two medical students participated. Suturing quality was better in pigskin and sponge, which were also the preferred models (p < 0.001). Significant differences in quality between the insertion and exit point, and firmness of knots (p < 0.05) in both simple and continuous sutures, as well as between length and distance in continuous ones (p < 0.001) were identified. Conclusions Acquisition and quality of BSS are influenced by the intrinsic characteristics of SM. An adequate degree of resistance, consistency, and elasticity are necessary.

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“…Los resultados muestran un aumento en la confianza que sienten los estudiantes al momento de realizar el procedimiento en ambos modelos, sin diferencias estadísticamente significativas. 18 Otro estudio similar, también en estudiantes de obstetricia, describe una mejoría en la percepción de la técnica de episiotomía al entrenarse en un modelo de lengua de buey. 19 Una publicación australiana compara el desempeño de enfermeras a nivel terciario al suturar heridas cutáneas previo y posterior a realizar un curso estructurado de simulación.…”

Section: Discussionunclassified