Effects of Systematic Cervical Exam Training on Labor and Delivery Care
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 1,125
- 试验地点
- 2
- 主要终点
- Number of repetitions needed to obtain competence
研究概览
简要总结
All physicians, nurses, and nurse midwives working on Labor and Delivery will be required to complete cervical exam simulation training. Data before and after institution of the training will be compared to determine if the training leads to less cervical exams during labor and increases consistency between examiners
详细描述
The labor cervical exam is the cornerstone of the management of labor as the accurate assessment of cervical dilation and effacement are crucial in recognizing a normal labor from and abnormal one. To enhance accuracy and precision among healthcare providers working on Labor and Delivery we have created a high fidelity cervical exam simulator. All providers working on Labor and Delivery Repetitive will be required to practice on the simulators until a pre-specified level or accuracy is achieved. We will prospectively and retrospectively assess the number of cervical exams a women receives and the discrepancy between exams performed by 2 different providers both before and after the training is instituted.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthcare providers:
- •physicians, midwives, and labor and delivery nurses working on the Labor and Delivery unit within the Wake Forest Baptist Birth Center
- •any pregnant women receiving care on the Labor and Delivery unit of Wake Forest Baptist Birth Center
排除标准
- •Healthcare providers:
- •placenta previa
- •vasa previa
- •any other contraindication to cervical exam
研究组 & 干预措施
systematic cervical exam training--retrospective measures
Effects of systematic cervical exam training on Labor and Delivery Care The total number of exams per hour of labor or triage stay and exam discrepancy between 2 examiners who performed exams less than 30 minutes apart will be compared between the 6 month time period before the unit wide training and 6 months after completing training
干预措施: cervical exam training (Behavioral)
systematic cervical exam training--prospective measures
Effects of systematic cervical exam training on Labor and Delivery care Patient will be approached to obtain consent for them to have 2 cervical exams performed one after the other when an exam is clinically indicated. The discrepancy between the 2 examiners will be compared between the 6 month time period before the unit wide training and 6 months after completion of the training.
干预措施: cervical exam training (Behavioral)
结局指标
主要结局
Number of repetitions needed to obtain competence
时间窗: 3 month training period
The number of simulated cervical exams each provider needs to reach a pre-specified level of accuracy.
Number of exams patients receive
时间窗: Six month post training
Number of exams per hour of labor or triage visit
次要结局
- Discrepancy between 2 cervical exam assessments--retrospective(Six months period before training and Six months period post training completion)
- Discrepancy between 2 cervical exam assessments--prospective(Six months period before training and Six months period post training completion)