Participant evaluation of the RANZCOG Fetal Surveillance Education Program

Kroushev, Annie; Beaves, Mark; Jenkins, Valerie; Wallace, Euan M.

doi:10.1111/j.1479-828x.2009.00988.x

Cited by 9 publications

(9 citation statements)

References 12 publications

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“…These findings are likely to be related to levels of precourse knowledge and expertise, 23 but support similar findings of a previous Australian study 24 which found that completion of an intrapartum fetal surveillance programme did not necessarily increase confidence to interpret CTG traces.…”

Section: Discussionsupporting

confidence: 85%

Perceived changes in the knowledge and confidence of doctors and midwives to manage obstetric emergencies following completion of an Advanced Life Support in Obstetrics course in Australia

Walker

Fetherston

McMurray

2013

Aust NZ J Obst Gynaeco

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Background The Advanced Life Support in Obstetrics (ALSO) course is an internationally recognised interprofessional course to support health professionals to develop and maintain the knowledge and skills to manage obstetric emergencies. Aims This study investigated changes in confidence and perceived changes in the knowledge of doctors and midwives to manage specific obstetric emergency situations following completion of an ALSO course in Australia. Methods A prospective repeated‐measures survey design was used to survey 165 course attendees from four Australian states pre‐ and postcourse and at six weeks (n = 101). Data were analysed using a Friedman two‐way repeated‐measures analysis of variance and the Wilcoxon signed rank test. Results There was a significant improvement in confidence and perceived knowledge of the recommended management of all 17 emergency situations immediately postcourse (P < 0.001) and at six weeks postcourse (P < 0.001) when compared to precourse levels for both groups of health professionals. However, a significant decrease in knowledge and confidence for many emergency situations from immediately postcourse to six weeks postcourse (P < 0.05) was also observed in both groups. Conclusions Completion of the Australian ALSO course in Australia has a positive effect on the confidence and perceived knowledge of doctors and midwives to manage obstetric emergencies. However, there needs to be some means of reinforcing the effects of the course for longer term maintenance of knowledge and confidence.

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Section: Discussionsupporting

confidence: 85%

Perceived changes in the knowledge and confidence of doctors and midwives to manage obstetric emergencies following completion of an Advanced Life Support in Obstetrics course in Australia

Walker

Fetherston

McMurray

2013

Aust NZ J Obst Gynaeco

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“…Nine studies were evaluated at Kirkpatrick level 1, 10,12–19 14 studies were evaluated at level 2, 9–11,13–15,20–27 five studies were evaluated at level 3, 12,20–22,28 and two studies were evaluated at level 4 20,28 …”

Section: Resultsmentioning

confidence: 99%

“…Of the nine papers categorised as level 1, five used questionnaires 10,16–19 . Four papers reported the data obtained, 10,16,18,19 and the others described positive responses 12,14,15,17 …”

Section: Resultsmentioning

confidence: 99%

“…20,28 Level 1 Of the nine papers categorised as level 1, five used questionnaires. 10,[16][17][18][19] Four papers reported the data obtained, 10,16,18,19 and the others described positive responses. 12,14,15,17 Level 2 Among the 14 papers assessed at level 2, seven used both pre-and post-training tests, [9][10][11]14,21,22,24 and four used a control group.…”

Section: Evaluation Of Training Programmesmentioning

confidence: 98%

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Evaluation and impact of cardiotocography training programmes: a systematic review

Pehrson¹,

Amer‐Wåhlin

2011

BJOG: An International Journal of Obstetrics &Amp; Gynaecology

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Background The interpretation and management of cardiotocography (CTG) tracings are often criticised in obstetric malpractice cases. As a consequence, regular CTG training has been recommended, even though little is known about the effect of CTG training.Objectives To perform a systematic review of the existing literature on studies on CTG training in order to assess educational strategies, evaluation of training programmes, and impact of training programmes.Search strategy The Medline database was searched to identify studies describing and/or evaluating CTG training programmes. The literature search resulted in 409 citations.Selection criteria Twenty studies describing and evaluating CTG training programmes were included. There was no restriction on study design.Data collection and analysis Data regarding study design, study quality, educational strategies used for training in CTG interpretation and decision making, target groups, number of participants, methods used for evaluation, quality of evaluation, level of evaluation and results of training was extracted from 20 articles, and analysed using Kirkpatrick's four-level model for the evaluation of education.Main results Training was associated with improvements on all Kirkpatrick levels, resulting in increased CTG knowledge and interpretive skills, higher interobserver agreement, better management of intrapartum CTG, and improved quality of care. Computer-based training (CBT) might be less time-consuming than classroom teaching. Clinical skills seem to decrease faster than theoretical knowledge.Author's conclusions Training can improve CTG competence and clinical practise. Further research on CBT, test-enhanced learning and long-term retention, evaluation of training and impact on clinical outcomes is recommended.

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“…From the VASM survey results, positive feedback on the value of the case note review booklets, as well as a perceived improvement in the local level of care was reported 20. Various examples of improvements from learning outcomes in other clinical audits and registries to which VASM could refer included the observed changes in surgical practices in Western Australia,21 the development of risk scores specific to Australian patients who underwent cardiovascular surgery,22 the surgical outliers process embedded into the vascular audit system,23 providing training programmes within the health setting,24 25 improving communication between medical and surgical teams,26–28 ensuring surgeons in Australia meet high standards of clinical practice and patient care29 and the New Zealand perioperative mortality review committee activity 30. A recent review by Watters et al 31 has shown that there is value in establishing a predictive model to reduce perioperative mortality, but acknowledges that unless mortality audits examine the circumstances surrounding deaths improvements will not occur.…”

Section: Discussionmentioning

confidence: 99%

Clinical management issues vary by specialty in the Victorian Audit of Surgical Mortality: a retrospective observational study

et al. 2014

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ObjectiveClinical management issues are contributory factors to mortality. The aim of this study was to use data from the Victorian Audit of Surgical Mortality (VASM), an educational peer-review process for surgeons, to discover differences in the incidence of these issues between surgical specialties in order to focus attention to areas of care that might be improved.DesignThis study used retrospectively analysed observational data from VASM. Clinical management issues between eight specialties were assessed using χ2 analysis.Data sourcesVASM data were reported by participating public and private health services, the Coroner and self-reporting surgeons across Victoria.ResultsA total of 2946 specific clinical issues as deficiencies of care were reported. 15% of cases had significant issues of care. The most common clinical management issue was the delay in delivery of treatment. Other clinical issues included the quality of communication and documentation, preoperative and postoperative care, adverse events and protocol issues. There were significant differences in issues between specialties.ConclusionsThe clinical management issues presented across surgical specialties were similar; however, five issues of clinical care differed significantly in frequency across surgical specialties. The three main issues varying among specialties were complications after operation, communication and postoperative care. Addressing these clinical management issues via the peer-review process may impact positively on patient care.

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Participant evaluation of the RANZCOG Fetal Surveillance Education Program

Cited by 9 publications

References 12 publications

Perceived changes in the knowledge and confidence of doctors and midwives to manage obstetric emergencies following completion of an Advanced Life Support in Obstetrics course in Australia

Perceived changes in the knowledge and confidence of doctors and midwives to manage obstetric emergencies following completion of an Advanced Life Support in Obstetrics course in Australia

Evaluation and impact of cardiotocography training programmes: a systematic review

Clinical management issues vary by specialty in the Victorian Audit of Surgical Mortality: a retrospective observational study

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