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

Gye Jeong Yeom; Il-OK Kim

doi:10.4069/kjwhn.2016.22.1.21

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

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

Original Article

Korean Journal of Women Health Nursing 2016; 22(1): 21-29.

Published online: 26 March 2016

DOI: https://doi.org/10.4069/kjwhn.2016.22.1.21

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

Gye Jeong Yeom¹, Il-OK Kim²

¹Department of Nursing, Kyongbuk Science College, Chilgok, Korea.

²Department of Nursing, Sahmyook University, Seoul, Korea.

Corresponding author: Kim, Il-OK. Department of Nursing, Sahmyook University, 815 Hwarangro, Nowon-gu. Seoul 01795, Korea. Tel: +82-2-3399-1587, Fax: +82-2-3399-1594, kimio@syu.ac.kr

Received 26 January 2016 Revised 8 March 2016 Accepted 13 March 2016

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Electronic fetal monitoring, Supplementary material, Nursing students

Figures and Tables

Figure 1

Development process of supplementary material.

Figure 2

Supplementary material about electronic fetal monitoring.

Table 1

Contents of Supplementary Material for Nursing Students

The objects of study	Details
· Understanding about purpose and procedure	Setting and precaution
· Manipulation of EFM device	Reassuring rate and variability
· Manipulation of EFM device	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)

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)

Variables	Groups	Before	After	t^†	p	Difference (After-Before)	t^†	p
Variables	Groups	M±SD	M±SD	t^†	p	M±SD	t^†	p
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
Fetal monitoring related knowledge	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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