Effect of Integrated Teaching on Learning Clinical Skills among Rural Trained Birth Attendants Participating in a Continuing Midwifery Education Workshop
Strides in Development of Medical Education: July 31, 2010, 6 (2); e60765
January 15, 2010
Article Type: Research Article
August 23, 2017
October 28, 2009
T , Bahri
N . Effect of Integrated Teaching on Learning Clinical Skills among Rural Trained Birth Attendants Participating in a Continuing Midwifery Education Workshop,
Strides Dev Med Educ.
Background & Objective: Evidences reveal that continuing education courses for employees
have not really influenced the improvement of clinical skills and patient care. This implies the
need to alter educational methods of such courses. Hence, this study was conducted to assess the
effect of integrated teaching on learning clinical skills among rural trained birth attendants
participating in a continuing midwifery education course.
Methods: In this experimental study, 63 participants of a continuing education course were
randomly divided into two groups of integrated education and conventional one. Data was
collected using a questionnaire and Objective Structured Clinical Examination (OSCE). After
pre- test, an 8 hour specific educational program for each group about midwifery emergencies was
conducted for two days. The participants’ skills were evaluated instantly and one month after the
course by OSCE.
Results: The pre-test mean score was not significantly different between two groups, but the mean
scores of integrated method were significantly higher than the conventional one regarding post-test
(60.09 versus 48.23) and consistency test (51.16 versus 40.55)(P=0.0001 in both cases). The skill
score difference between pre-test and post-test and the same difference in consistency test in
integrated teaching was significantly higher than the conventional method (P=0.0001 in both
Conclusion: Our findings suggest that consistency in learning and a higher level of skills was
observed in the integrated method. Hence, it is proposed to apply such methods in continuing
education workshops to teach clinical skills.
Clinical skills; Continuing education workshop; Integrated method; Rural trained birth attendants
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