Catherine M Corbin, Pilar Alamos, Amy E Lowenstein, Jason T Downer, Joshua L Brown
The role of teacher-student relationships in predicting teachers' personal accomplishment and emotional exhaustion
Journal of school psychology
restricting parturient women healthcare facilities choosing positions provide greatest comfort benefit labor global barrier several complex factors including caregiver preference medical intervention shape limitation therefore practical need exists train midwives knowledge skills change condition study used parallel singleblind randomized controlled trial provincial maternity child health hospital fujian china june 1 december 31 2019 midwives birth suite selected randomly enrolled onemonth simulationbased hybrid training facetoface teaching september 2019 fourlevel kirkpatricks model including reaction learning behavior results used evaluate training effects program data analyzed spss 250 using students ttest spearmans correlation test mannwhitney u test wilcoxon signedrank test chisquare test analysis variance significance level set p 005 fortytwo midwives initially randomized either virtual simulation group facetoface group one midwife excluded analysis due intervention discontinuation resulting final analysis 41 midwives n1 21 n2 20 postintervention virtual simulation group exhibited higher satisfaction learning effects compared facetoface group rate perineal incision primiparas lower p005 significant changes differences observed selfrated behavior two groups p005 virtual simulation group demonstrated increase nonsupine birth rate p 0030 decrease perineal incision rate among primiparas compared preintervention p 0035 moreover knowledge performance associated duration virtual simulation r 0664 p 0001 virtual simulation fascinating innovation enables midwives develop birthing positions without practicing real pregnant women one solution achieve work competency within shortened training period