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The use of instructional design guidelines to increase effectiveness of postpartum hemorrhage simulation training
Author(s) -
Melo Brena C.P.,
Falbo Ana R.,
Muijtjens Arno M.M.,
Vleuten Cees P.M.,
Merriënboer Jeroen J.G.
Publication year - 2017
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12084
Subject(s) - medicine , checklist , significant difference , obstetrics and gynaecology , test (biology) , physical therapy , pregnancy , psychology , paleontology , biology , cognitive psychology , genetics
Objective To compare learning outcomes of postpartum hemorrhage simulation training based on either instructional design guidelines or best practice. Methods A pretest–post‐test non‐equivalent groups study was conducted among obstetrics and gynecology residents in Recife, Brazil, from June 8 to August 30, 2013. The instructional design group included 13 teams, whereas the best practice group included seven teams. A standardized task checklist was used for scenario analysis and the proportion of correctly executed tasks compared (post‐test minus pretest). Results The instructional design group scored higher than the best practice group for total number of tasks completed (median difference 0.46 vs 0.17; P< 0.001; effect size [ r ]=0.72). Similar results were observed for communication (median difference 0.56 vs 0.22; P= 0.004; r= 0.58), laboratory evaluation (median difference 0.83 vs 0.00; P< 0.001; r= 0.76), and mechanical management (median difference 0.25 vs –0.15; P= 0.048; r= 0.39). Speed of learning was also increased. The median differences were 0.20 for the instructional design group compared with 0.05 for the best practice group at 60 seconds ( P= 0.015; r= 0.49), and 0.49 versus 0.26 ( P= 0.001; r= 0.65) at 360 seconds. Conclusion The use of simulation training for postpartum hemorrhage that was based on instructional design guidelines yielded better learning outcomes than did training based on best practice.