Self-assessment of nursing preparedness and knowledge in the care of patients with obstetric anal sphincter injuries and utilization of a computer-based learning module for continued nursing education in the United States.

• Labor & delivery nurses have limited training in obstetric anal sphincter injuries. • Nurses feel confident caring for perineal injuries without formal training. • Computer based learning modules enrich nurse education on perineal injuries. Perineal injury is the most common complication of vagina...

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Bibliographic Details
Published in:Midwifery Vol. 115
Main Authors: Trowbridge, Elisa R., Subbarao, Shalini, Melanson, Michelle, Childress, Reba Moyer, Hullfish, Kathie L., Vaughan, Monique
Format: research Journal Article
Published: Elsevier B.V. Dec2022
Online Access:View this record in EBSCOhost
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      dt: Dec2022
      vid: 115
      pid: 82545
      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        160251075
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        10.1016/j.midw.2022.103483
        160251075
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        atl: Self-assessment of nursing preparedness and knowledge in the care of patients with obstetric anal sphincter injuries and utilization of a computer-based learning module for continued nursing education in the United States.
      aug:
        au:
          Trowbridge, Elisa R.
          Subbarao, Shalini
          Melanson, Michelle
          Childress, Reba Moyer
          Hullfish, Kathie L.
          Vaughan, Monique
        affil: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology and Urology, University of Virginia, 500 Ray C. Hunt Drive, 3rd floor, Charlottesville, VA, USA
      sug:
        subj:
          Perinatal Nurses
          Work Experiences
          Self Concept
          Nurse Attitudes Evaluation
          Nursing Knowledge Evaluation
          Birth Injuries Nursing
          Perineum Injuries
          Education, Nursing, Continuing
          Learning Methods
          Computer-Assisted Instruction
          Birth Injuries Education
          Human
          Pretest-Posttest Design
          Self Assessment
          Questionnaires
          Descriptive Statistics
          Educational Status
      ab: • Labor & delivery nurses have limited training in obstetric anal sphincter injuries. • Nurses feel confident caring for perineal injuries without formal training. • Computer based learning modules enrich nurse education on perineal injuries. Perineal injury is the most common complication of vaginal delivery, and labor and delivery (L&D) nurses are crucial in managing and educating women following perineal trauma. The aims of this study were to assess L&D nurse experience, knowledge, and self-perception of preparedness in caring for women with obstetric anal sphincter injuries (OASIS) and to compare pre- and post-test scores using a computer-based learning module (CBL) for OASIS nurse education. All L&D nurses were invited to complete a voluntary, self-assessment questionnaire inquiring about prior experience, training, and education and current clinical practice in caring for patients with OASIS. They were also asked to answer ten knowledge-based questions about OASIS. The primary outcome was change in pretest and posttest knowledge-based scores after completion of CBL. Forty-one L&D nurses voluntarily responded to the self-assessment survey. Of respondents, 20% answered they were "very comfortable", 48% "comfortable", 23% "neutral," and 8% "uncomfortable" for caring for women with OASIS post-delivery. Fifty-three percent of reported having no formal education in nursing school about OASIS and 35% reported no formal training while at work. The average pretest knowledge test score was 66.3% and 93.5% (p < 0.001) after completion of the CBL. Most L&D nurses in this study reported having very limited formal nursing education in OASIS. Regardless of this lack of formal training, the majority of L&D nurses in this sample described themselves as comfortable caring for patients with OASIS post-delivery. Completion of a CBL was associated with higher OASIS knowledge scores.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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