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Does a preterm labor-assessment algorithm improve preterm labor-related knowledge, clinical practice confidence, and educational satisfaction?: a quasi-experimental study

조기진통 사정 알고리즘은 실습 시 조기진통 관련 지식, 임상수행자신감, 교육만족도에 유효한가?: 유사실험 연구

  • Hee-Young Choi (School of Nursing, Graduate School of Soonchunhyang University) ;
  • Jeung-Im Kim (School of Nursing, Soonchunhyang University College of Medicine)
  • 최희영 (순천향대학교 일반대학원 간호학과) ;
  • 김증임 (순천향대학교 의과대학 간호학과)
  • Received : 2023.04.02
  • Accepted : 2023.08.17
  • Published : 2023.09.30

Abstract

Purpose: Preterm birth is increasing, and obstetric nurses should have the competency to provide timely care. Therefore, training is necessary in the maternal nursing practicum. This study aimed to investigate the effects of practice education using a preterm-labor assessment algorithm on preterm labor-related knowledge and clinical practice confidence in senior nursing students. Methods: A pre-post quasi-experimental design with three groups was used for 61 students. The preterm-labor assessment algorithm was modified into three modules from the preterm-labor assessment algorithm by March of Dimes. We evaluated preterm labor-related knowledge, clinical practice confidence, and educational satisfaction. Data were analyzed with the paired t-test and repeated-measures analysis of variance. Results: The practice education using a preterm-labor assessment algorithm significantly improved both preterm labor-related knowledge and clinical practice confidence (paired t=-7.17, p<.001; paired t=-5.51, p<.001, respectively). The effects of the practice education using a preterm-labor assessment algorithm on knowledge lasted until 8 weeks but decreased significantly at 11 and 13 weeks after the program, while the clinical practice confidence significantly decreased at 8 weeks post-program. Conclusion: The practice education using a preterm-labor assessment algorithm was effective in improving preterm labor-related knowledge and clinical practice confidence. The findings suggest that follow-up education should be conducted at 8 weeks, or as soon as possible thereafter, to maintain knowledge and clinical confidence, and the effects should be evaluated.

Keywords

Acknowledgement

This study was supported by the basic science research program of the National Research Foundation (NRF 2019R1F1A104579912) and the 2023 Soonchunhyang University Research Fund.

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