title: Simulation-based learning for midwives: background and pilot implementation.
abstract: Simulation-based learning is an emerging learning modality with promising potential for certified nurse-midwife (CNM) and certified midwife (CM) education. Unlike standard didactic methods, simulation-based learning affords opportunities to address multiple domains of learning and performance. Unlike standard clinical education, simulation-based learning provides learners exposure to events that are rare in the clinical setting, and allows learners to assume leadership roles in emergencies. Simulation-based learning is consistent with constructivist learning principles, which promote retention, understanding, and active use of skills. A simulation-based shoulder dystocia learning module was implemented on a pilot basis in a class of four student nurse-midwives. Student nurse-midwives self-assessed their preparedness to manage a shoulder dystocia in the cognitive, psychomotor, and affective domains before and after the simulation-based learning exercise. Feedback from student evaluations was promising. Although the small sample precluded statistical analysis, student self-assessment scores appeared to be higher after the simulation-based learning exercise. Open-ended student feedback was unanimous that simulation-based learning should be incorporated into the curriculum. Further implementation and evaluation of simulation-based learning in CNM and CM education is warranted.
authors.affiliation: Marquette University, Milwaukee, WI, USA. Anthony@Lathrop.com
authors.forename: Anthony
authors.initials: A
authors.lastname: Lathrop
authors.forename: Barbara
authors.initials: B
authors.lastname: Winningham
authors.forename: Leona
authors.initials: L
authors.lastname: VandeVusse
mesh_terms: D003142:Communication; D004511:Education, Nursing, Graduate / Q000379:methods*; D005260:Female; D006801:Humans; D008880:Midwifery / Q000193:education*; D020380:Needs Assessment; D010348:Patient Care Team; D016544:Patient Simulation; D010865:Pilot Projects; D011247:Pregnancy; D018794:Problem-Based Learning; D015397:Program Evaluation; D012380:Role; D013663:Teaching / Q000379:methods