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Saturday, 29 October 2011: 3:15 PM
Learning Objective 1: The learner will be able to describe the benefits of using simulation for pre service clinical training.
Learning Objective 2: The learner will describe the role of self confidence and satisfaction in achieving learning objectives in midwifery education
The largest health discrepancy in the world is maternal mortality with most deaths occurring around the labor and delivery and postpartum period. Sub-Saharan Africa shoulders most of the burden of maternal death and disability. The absence of skilled birth attendance such as qualified midwives is a leading factor in averting death and disability. Developing confidence and skill during training is essential to providing quality nursing care at birth. It is important to teach and practice the necessary skills in a close to realistic setting without harming real patients. The purpose of this study was to evaluate the integration of simulation into the Registered Midwifery curriculum in Lusaka Zambia. Subject Population: Midwifery students attending the University Teaching Hospital School of Midwifery in Lusaka Zambia. Research Design: a pre and post test quasi experimental design measuring satisfaction with learning, confidence and knowledge gain. Results: A total of 34 students participated in the study. The students ranged in age from 25 to 43. Pre test scores of knowledge gain ranged from 7-22 M =15.22(sd 3.41). Post test scores of knowledge gain ranged from 8-22 M = 14.26(sd 3.53). There was no statistical difference between mean scores.Satisfaction with learning scores ranged from 35-63, M = 55.53(sd 6.40). The five questions related to satisfaction with learning ranged from 7-25, M = 20.93(sd 3.98). The seven questions related to confidence ranged from 28 to 40, M = 34.32 (sd 2.93). Overall the students had low pre and post test scores. The students scored better on questions related to dating a pregnancy and conducting an examination. Participants scored low on questions related to rapid assessment for emergency symptoms and conditions. Yet, the students are very satisfied with learning and are self confident. Future research is needed on effective implementation of this pedagogy for pre-service learning.