Investigating the effect of neonatal resuscitation simulation using a competency-based approach on knowledge, skill, and self-confidence of midwifery students using objective structured clinical examination (OSCE).

BACKGROUND: First-day neonate death has the highest rate in infant mortality. Using modern educational methods such as simulation and competency can be effective in improving learners' performance and subsequently their confidence. MATERIAL AND METHOD: This study was a quasi-experimental intervention on 80 midwifery students of semester 3, 4, and 5 undergraduate degrees. Eighty-six students registered after the researcher's explanations. The learners were randomly assigned into two groups while they were receiving routine midwifery education according to the midwifery curriculum. The learners in the intervention group (in seven groups) received a 7-hour session about neonate resuscitation. The theory session was conducted using PowerPoint presentation, lecture, video, and pictures. The practical session was conducted using simulation with manikins of skill laboratory. The skill practice continued until the learners achieved competency (performing 90% of resuscitation steps). The learners were assessed before, immediately, and 6 weeks after training using questionnaires and a checklist. The data were analyzed using SPSS, descriptive, and inferential statistics. RESULTS: The knowledge, skill, and self-confidence scores increased significantly immediately after the training (P < 0.001), from 5.05 ± 2.07 (out of 12) to 10.17 ± 1.31, 18.90 ± 3.14 to 68.45 ± 2.05, and 1.50 ± 0.55 to 2.02 ± 0.57, respectively. The changes were retained 6 weeks after the training. These changes were not observed in the control group. CONCLUSION: Competency-based, simulation-based, and objective structured clinical examination (OSCE) were effective in students learning to manage initial neonatal resuscitation in the skills' lab, and this increase was retained 6 weeks after the training.

Sex education and Afghan migrant adolescent women.

INTRODUCTION: Successful sex is one of the greatest behavioral needs of couples, especially those who marry at an early age. The best way to access information is education and learning. Face to face training is one of the most common methods, with the advancement of technology, multimedia training can be a good alternative method to sex education. This study was designed to comparison between two educational method Multimedia and Face to face on sexual function of Afghan Migrant Adolescent Women. METHODS: The study was a quasi-experimental educational intervention conducted in selected charity centers in Mashhad. The selected centers were randomly chosen as face to face intervention (n = 36), multimedia intervention (n = 36) and control (n = 36) groups. Our method of sampling was convenient at each center. Intervention groups received four one-hour sessions of sex education using various face to face and multimedia methods. Sexual function were measured using female sexual function index (FSFI) before, immediately and 8 weeks after the intervention. Data were analyzed with SPSS version 16. RESULTS: The level of sexual function did not show a significant difference in groups before the intervention, but these increased significantly immediately (P = 0.005) and 8 weeks later (P < 0.001). CONCLUSION: Because of the taboo of sexual issues and the lack of difference between the two methods in improving sexual function, multimedia method is a good alternative educational method.