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Flipped Learning in PPH Education: Impact on Midwifery Students' Knowledge, Skills, Self-Efficacy, and Satisfaction

Effect of Postpartum Hemorrhage Education Structured With Flipped Learning Model on Knowledge, Skills, Clinical Self-Efficacy and Satisfaction of Midwifery Students

Status
Active, not recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06861296
Enrollment
72
Registered
2025-03-06
Start date
2025-01-07
Completion date
2025-09-01
Last updated
2025-03-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Flipped Classroom Model in Teaching, Midwifery Students Education, Postpartum Hemorrhage, Teaching Innovation

Keywords

Flipped Learning, Postpartum Hemorrhage, Midwifery Education, Clinical Self-Efficacy

Brief summary

Maternal death refers to a woman's death due to direct or indirect causes during pregnancy, childbirth, or within 42 days postpartum. Postpartum hemorrhage (PPH) is the leading cause of maternal mortality globally and in our country. Rapid and effective management of PPH is crucial in reducing maternal deaths. WHO, UNFPA, and UNICEF emphasize the critical role of midwives in PPH management, highlighting the importance of enhancing their knowledge and skills during pre-graduate education. Traditional education models are often insufficient for fostering permanent learning, especially in acquiring psychomotor skills like PPH management. In traditional learning, classroom instruction follows a teacher-centered approach, covering only the first two levels of Bloom's taxonomy-knowledge and comprehension-while higher-order cognitive skills such as application, analysis, synthesis, and evaluation are left to individual effort. However, effective and lasting learning requires an active learning environment where students engage more deeply with the material. The flipped learning model addresses these challenges by allowing students to access foundational knowledge outside the classroom and dedicate class time to higher-order skills like discussion, application, and problem-solving. This model enhances learning through technology and interactive face-to-face activities, fostering professional competence in health education. While the flipped learning model is widely used in health education, most studies focus on theoretical knowledge, with limited research on psychomotor skill acquisition. To our knowledge, this study is the first to evaluate the effectiveness of flipped learning in midwifery education for both theoretical and psychomotor skill development. The findings are expected to contribute to advancements in midwifery education and healthcare services.

Interventions

BEHAVIORALIntervention Group

(Flipped Learning Model Based Training Group)-Arm Description: This group will receive training on postpartum hemorrhage management using the reverse learning

Sponsors

Saglik Bilimleri Universitesi
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Masking description

The person who assessed the students' knowledge and skills and the person who performed the statistical analysis were blinded.

Eligibility

Sex/Gender
ALL
Healthy volunteers
Yes

Inclusion criteria

* Being a 3rd year student in the Midwifery Department of Gülhane Health Sciences Faculty * Having successfully completed the normal birth course * Agreeing to participate in the study

Exclusion criteria

* Students who were on sick leave or on sick leave during the study period * Those who did not take the normal birth course or failed * Students who were absent from at least one session of the training program

Design outcomes

Primary

MeasureTime frameDescription
Postpartum Hemorrhage Knowledge and SkillsBaseline (just before training) and 3 weeks after the completion of training.Description: Knowledge and skills related to postpartum hemorrhage will be assessed. Assessment Tool: A test developed by researchers, with scoring determined based on expert opinions. Unit of Measure: Test score (numerical). (Scoring for this test will be determined after the tests are developed by the researcher and expert opinions are received.)
Clinical Skills Self-EfficacyAt the beginning (immediately before the practical training) and 3 weeks after the completion of the practical training.Description: The self-efficacy levels of students regarding clinical skills will be evaluated. Assessment Tool: Clinical Skills Self-Efficacy Scale. The minimum score is 14, and the maximum score is 70. Higher scores indicate greater self-efficacy. Unit of Measure: Scale score (range: 14-70).
Educational SatisfactionAfter the theoretical and practical training has been fully completed for both groups (approximately 10-14 weeks after the start of the training)Description: Students' satisfaction with postpartum hemorrhage training will be measured, comparing traditional education with the flipped learning model. Assessment Tool: A satisfaction scale rang. The minimum score is 10 and the maximum score is 0. Higher scores indicate greater educational satisfaction.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026