Development of a self learning module for perinatal RNS on vaginal exams in labour

Abstract

Background: The Maternal/Child unit at Cumberland Regional Health Care Centre has recently undergone changes in policy and staff which has identified an educational need for RNs on the unit. Currently the unit does not have formal education on vaginal exams and it is the expectation that RNs will become confident in learning this skill during their preceptored six week orientation to the unit. Purpose: The purpose of this practicum was to develop a self-learning module aimed at increasing perinatal RNs knowledge and understanding of vaginal exams during labor as well as increase proficiency in the skill. Methods: Three methodologies were used in this practicum. A review of the literature, consultations with key stake holders and review of other similar/relevant educational materials was completed. Results: The self-learning module created was composed of four units which included explanations of key terms essential in vaginal exams and an algorithm for clinical decision making. Conclusion: The goal of the practicum was to increase the perinatal RNs knowledge and understanding and proficiency of vaginal exams in labour. The module was not piloted during the practicum, and therefore could not be evaluated. Future steps for this module would therefore be to pilot and evaluate the effectiveness of the developed module in achieving the proposed goal.