Electronic Fetal Monitoring Clinical Trial
Official title:
Does a Team-based Approach Improve Knowledge and Judgment Performance in Electronic Fetal Monitoring?
The primary objective of this study is to compare performance of nurses, midwives, and physicians working as individuals versus working as teams in electronic fetal monitoring (as assessed by differences in knowledge and judgment scores).
Electronic fetal monitoring (EFM) has been used as a tool to evaluate fetal wellbeing in
obstetrics for decades, with limited results with regard to improve fetal outcomes. There
remains wide variation in the interpretation of fetal heart rate (FHR) tracings between
different practitioners, which may explain the limited impact of this ubiquitous tool. The
Perinatal Quality Foundation Fetal Monitoring Credentialing (PQF/FMC) exam was established to
improve patient safety in obstetrical care by optimizing and standardizing the credentialing
process for EFM.
The Fetal Monitoring Credentialing (FMC) test is a validated tool to assess the knowledge and
judgment of test-takers based on script concordance theory, an approach to testing that
allows assessment on real-life situations by comparing to the clinical reasoning of a panel
of reference experts.
It is known that in clinical practice patients are cared for by teams of individuals (RN's,
CNM, resident physicians and attendings). These individuals are all trained to approach a
laboring patient from their own unique training. Even amongst experts in the field there is
only moderate agreement on the interpretation of tracings with poor agreement on what
constitutes a category III tracing. The absence of complete agreement in clinical practice
creates differences in opinions of interpretation and agreement regarding next step in
management for obstetric patients.
It is hypothesized that a team-based participation in the Perinatal Quality Foundation Fetal
Monitoring Credentialing (PQF/FMC) exam will improve knowledge and judgment scores.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT02741284 -
Oxygen for Intrauterine Resuscitation of Category II Fetal Heart Tracings
|
N/A | |
| Recruiting |
NCT05904314 -
Evaluation of the Effectiveness of Teaching Method With Simulation in Electronic Fetal Monitoring Management
|
N/A |