Departmental Bulletin Paper 助産学実習における分娩介助の安全管理教育モデルの試案と内容妥当性及び活用性
Content validity and utility of a proposed safety management education model for birth assistance in midwifery clinical practice

岩谷, 久美子  ,  島田, 啓子

39 ( 2 )  , pp.13 - 24 , 2016-01-27 , 金沢大学つるま保健学会 = Tsuruma Health Science Society, Kanazawa University
Purpose: This study was performed to develop an educational model of safety management in midwifery clinical practice for midwifery students and to examine the content validity and utility of this model.  Methods: A provisional four-step educational model was developed for teaching safety management skills in birth assistance. First, semi-structured interviews were conducted with birth assistance educators, and elements that they deemed necessary for safety management education were extracted (Step 1). Following Bloomʼs theory of education, Step 2 served to develop an education model proposal based on the findings obtained in Step 1. In Step 3, 102 birth assistance educators completed a paper survey to evaluate the proposed modelʼs content validity based on a four-point Likert scale to evaluate how well they understood the proposed model. Finally, in Step 4, the proposed model was revised to develop educational model version 1 based on the suggested revisions from survey responses. The content validity and utility of this educational model version 1 were examined by 10 educators, including five new birth assistance educators who replaced five of the originally surveyed educators.  Results: The proposed educational model was composed of six extracted categories. Four categories, “Objectives of safety management education,” “Midwife ethics,” “Appropriate reporting, communication, and consultation,” and “Infection prevention,” were set as course outcomes, while the remaining two categories, “Experiences of birth assistance” and “Safety knowledge and techniques,” were expressed on a horizontal axis representing five stages of learning and a vertical axis representing the level of growth, respectively. Of the 102 participants that provided valid responses, 88 (86%) “Agreed (including partial revisions)” with the proposed model. Safety management education abilities were clearly defined with reference to opinions on the need for more concrete descriptions of safety management abilities in the proposed model. Furthermore, in response to requests for description of the relationship of safety management with experiences of birth assistance and the sequence of learning in experiences of birth assistance, six stages were added to the axis ranging from understanding of labor and delivery to autonomy. Educational model version 1 was presented with the level of growth on the vertical axis designated as the level of achievement of safety management abilities and representing the interaction of the three domains in Bloomʼs taxonomy of educational objectives, and the four course outcomes shown as a curve on the axis. All 10 respondents agreed that model version 1 had content validity and was “applicable” in practice.  Conclusion: The results suggested the validity of the content and utility of the proposed safety management education model for birth assistance in midwifery clinical practice.

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