Learning From Experience: Qualitative Analysis to Develop a Cognitive Task List for Vaginal Breech Deliveries

التفاصيل البيبلوغرافية
العنوان: Learning From Experience: Qualitative Analysis to Develop a Cognitive Task List for Vaginal Breech Deliveries
المؤلفون: Ryan Hodges, Richard Pittini, Eva Mocarski, David Gurau, Andrea N. Simpson, Rory Windrim, Mary Higgins, John Snelgrove, Michael B Secter
المصدر: Journal of Obstetrics and Gynaecology Canada. 37:966-974
بيانات النشر: Elsevier BV, 2015.
سنة النشر: 2015
مصطلحات موضوعية: Adult, Canada, medicine.medical_specialty, medicine.medical_treatment, Qualitative analysis, Documentation, Pregnancy, Breech presentation, Humans, Medicine, Caesarean section, Breech Presentation, Gynecology, Medical education, business.industry, Teaching, Internship and Residency, Obstetrics and Gynecology, Postpartum care, Cognition, Delivery, Obstetric, Female, Clinical Competence, Task list, Clinical competence, business
الوصف: Objective Achieving clinical competence in managing safe vaginal breech delivery (VBD) is challenging in contemporary obstetrics. Novel educational strategies are required, as exposure of obstetric trainees to VBD remains limited. The aim of this study was to identify the verbal and non-verbal skills required to manage VBD through filmed demonstration by experts. Methods Labour and delivery nursing staff at three large university-affiliated hospitals identified clinicians whom they considered skilled in VBD. Obstetricians consistently identified were invited to participate in the study. Participants were filmed performing a VBD on a birth simulator while discussing their assessment, technique, and providing clinical pearls based on their experience. Two study members reviewed all videos and documented verbal and non-verbal components of the assessment, grouped them into common themes, and produced an integrated summary. This was circulated to all participants and reviewed by senior obstetricians from outside Canada. Results Seventeen clinicians were identified; 12 (70%) consented to participation. Themes identified were meticulous assessment and pre-pregnancy counselling; roles of the multidisciplinary team; need for careful and appropriate communication with parents; specific techniques of the delivery; and postpartum care and documentation. A clinical task list was generated based on this analysis. Conclusion Derived from clinicians with extensive experience, we have developed a comprehensive task list outlining the important features involved in safe VBD. Common themes in the experts' teaching for safe VBD included rigorous antepartum selection and counselling, appreciation for when to convert to Caesarean section, and a "hands off" delivery technique.
تدمد: 1701-2163
DOI: 10.1016/s1701-2163(16)30046-9
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c04e2d52919b5506a55b17e2e3ffa2b4
https://doi.org/10.1016/s1701-2163(16)30046-9
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....c04e2d52919b5506a55b17e2e3ffa2b4
قاعدة البيانات: OpenAIRE
الوصف
تدمد:17012163
DOI:10.1016/s1701-2163(16)30046-9