Effects of Systematic Cervical Exam Training on Labor and Delivery Care
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorWake Forest University Health Sciences
About this trial
All physicians, nurses, and nurse midwives working on Labor and Delivery will be required to complete cervical exam simulation training. Data before and after institution of the training will be compared to determine if the training leads to less cervical exams during labor and increases consistency between examiners
Eligibility criteria
This trial accepts healthy volunteersQualifiers
None
Disqualifiers
placenta previa
vasa previa
any other contraindication to cervical exam
Trial design
Design model
Sequential
Treatments tested in this trial
cervical exam training
BehavioralEach nurse will then examine 1 sets of 10 high-fidelity silicone task trainers approximately three per week for a maximum of 20 sessions (200 repetitions total). For each set of 10 exams, the estimates will recorded on an answer sheet. A cumulative summation analysis will be performed on each participant. When an individual nurse achieves competence her training will be suspended
Treatment groups
1,125 Participants
are divided into 2 treatment groupsGroup A: systematic cervical exam training--retrospective measuresExperimental treatment 1 intervention
Group B: systematic cervical exam training--prospective measuresExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Number of repetitions needed to obtain competence
The number of simulated cervical exams each provider needs to reach a pre-specified level of accuracy.
Time frame
3 month training period2
Number of exams patients receive
Number of exams per hour of labor or triage visit
Time frame
Six months period before training3
Number of exams patients receive
Number of exams per hour of labor or triage visit
Time frame
Six month post trainingSecondary outcomes
1
Discrepancy between 2 cervical exam assessments--retrospective
Discrepancy between 2 exam assessments performed less than 30 minutes apart by 2 different examiners: Cervix Dilation will be reported as 1-10 cm Cervix Effacement will be reported as 0% -100%
Time frame
Six months period before training and Six months period post training completion2
Discrepancy between 2 cervical exam assessments--prospective
Discrepancy between 2 exam assessments performed one after the other by 2 different examiners: Cervix Dilation will be reported as 1-10 cm Cervix Effacement will be reported as 0% -100%
Time frame
Six months period before training and Six months period post training completionSponsors and contacts
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Source ClinicalTrials.gov