Journal List > Korean J Women Health Nurs > v.22(1) > 1089541

Yeom and Kim: Development and Effects of Supplementary Material about Electronic Fetal Monitoring for Nursing Students

Abstract

Purpose

This study aimed to develop supplementary material about the electronic fetal monitoring for nursing students, and to test the effects on electronic fetal monitoring related knowledge and confidence on nursing performance in delivery room.

Methods

Totally 58 nursing students were recruited either experimental group (n=30) or a control group (n=28). A non-equivalent control group pretest-posttest design was employed to test the effects on fetal monitoring related knowledge and confidence on nursing performance in delivery room. The supplementary material about the electronic fetal monitoring was developed based on Analysis, Design, Development, Implement and Evaluation (ADDIE) model. Fetal monitoring related knowledge and confidence on nursing performance in delivery room were self-reported by the scales that author developed. Data were collected at pre-test and after the 6-week intervention.

Results

There was significant difference in confidence on nursing performance in delivery room between two groups after intervention.

Conclusion

These findings suggest the importance of the supplementary material about the electronic fetal monitoring for nursing students to improve confidence on nursing performance in delivery room.

Figures and Tables

Figure 1

Development process of supplementary material.

kjwhn-22-21-g001
Figure 2

Supplementary material about electronic fetal monitoring.

kjwhn-22-21-g002
Table 1

Contents of Supplementary Material for Nursing Students

kjwhn-22-21-i001
The objects of study Details
· Understanding about purpose and procedure Setting and precaution
· Manipulation of EFM device Reassuring rate and variability
Uterus contraction
· Interpretation about fetal heart rate tracings Acceleration
· Nursing intervention Early deceleration
Fetal tachycardia
Fetal bradycardia
Sinusoidal pattern
Late deceleration
Variable deceleration
Prolonged deceleration
· Repetition and self-evaluation First test with hint
Second test without hint
Answers
Table 2

Homogeneity Test for Fetal Monitoring related Knowledge and Confidence on Nursing Performance in Delivery Room between the Experimental and Control Groups (N=58)

kjwhn-22-21-i002
Variables Total (N =58) Exp. (n=30) Cont. (n=28) t p
Maternity nursing grade score 77.36±11.55 77.93±11.88 76.75±11.38 0.39 .700
Fetal monitoring related knowledge (0~20) 9.81±2.76 9.57±2.61 10.07±2.94 -0.69 .492
Confidence on nursing performance in delivery room (0~100) 35.45±20.21 31.57±21.28 39.61±18.47 -1.53 .131

Exp.=experimental group; Cont.=control group.

Table 3

Comparison of Fetal Monitoring related Knowledge and Confidence on Nursing Performance in Delivery Room within and between the Two Groups (N=58)

kjwhn-22-21-i003
Variables Groups Before After t p Difference
(After-Before)
t p
M±SD M±SD M±SD
Fetal monitoring related knowledge Exp. (n=30) 9.57±2.61 10.73±3.43 -2.50 .019 1.17±2.56 0.95 .348
Cont. (n=28) 10.07±2.94 10.50±2.52 -0.68 .504 0.43±3.35
Confidence on nursing performance in delivery room Exp. (n=30) 72.93±15.86 -9.74 .001 41.88±23.55 3.19 .003
Cont. (n=28) 31.57±21.28 64.82±17.20 -9.52 .001 25.70±14.29
39.61±18.47

Paired t-test within group; t-test between groups; Exp.=experimental group; Cont.=control group.

Summary Statement

▪ What is already known about this topic?
Nursing students should sufficiently study and discipline about electronic fetal monitoring before practice in the delivery room.
▪ What this paper adds?
This study has developed supplementary material about the electronic fetal monitoring for nursing students according to ADDIE model, and tested the effects on electronic fetal monitoring related knowledge and confidence on nursing performance in delivery room.
▪ Implications for practice, education and/or policy
This supplementary material could be helpful in improving confidence on nursing performance in delivery room of students.

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