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Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based trainings among health workers on day of birth care in Nigeria; a cluster randomized controlled trial
The aim of this study was to compare health workers knowledge and skills competencies between those trained using the onsite simulation-based, low-dose, high frequency training plus mobile mentoring (LDHF/m-mentoring) and the ones trained through traditional offsite, group-based training (TRAD) appr...
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| Published in: | BMC health services research 2020-06, Vol.20 (1), p.586-586, Article 586 |
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| creator | Ugwa, Emmanuel Kabue, Mark Otolorin, Emmanuel Yenokyan, Gayane Oniyire, Adetiloye Orji, Bright Okoli, Ugo Enne, Joseph Alobo, Gabriel Olisaekee, Gladys Oluwatobi, Adebayo Oduenyi, Chioma Aledare, Adekunle Onwe, Boniface Ishola, Gbenga |
| description | The aim of this study was to compare health workers knowledge and skills competencies between those trained using the onsite simulation-based, low-dose, high frequency training plus mobile mentoring (LDHF/m-mentoring) and the ones trained through traditional offsite, group-based training (TRAD) approach in Kogi and Ebonyi states, Nigeria, over a 12-month period.
A prospective cluster randomized controlled trial was conducted by enrolling 299 health workers who provided healthcare to mothers and their babies on the day of birth in 60 health facilities in Kogi and Ebonyi states. These were randomized to either LDHF/m-mentoring (intervention, n = 30 facilities) or traditional group-based training (control, n = 30 facilities) control arm. They received Basic Emergency Obstetrics and Newborn Care (BEmONC) training with simulated practice using anatomic models and role-plays. The control arm was trained offsite while the intervention arm was trained onsite where they worked. Mentorship was done through telephone calls and reminder text messages. The multiple choice questions (MCQs) and objective structured clinical examinations (OSCEs) mean scores were compared; p-value |
| doi_str_mv | 10.1186/s12913-020-05450-9 |
| format | article |
| fullrecord | <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_da14a6f07b544abca27e5cba0e168b5f</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A628017238</galeid><doaj_id>oai_doaj_org_article_da14a6f07b544abca27e5cba0e168b5f</doaj_id><sourcerecordid>A628017238</sourcerecordid><originalsourceid>FETCH-LOGICAL-c563t-68ae4be34cef6cf82f9c3316d1079bda5d7dd3659465b1501510909dc6d8abe93</originalsourceid><addsrcrecordid>eNptkk1v1DAQhiMEoqXwBzggS1w4kOLvJEKqVFV8VKrgAJytie1kvTjxYietlt_HD8PZXUqLkA-2xu88o5l5i-I5waeE1PJNIrQhrMQUl1hwgcvmQXFMeEVL2Uj28M77qHiS0hpjUtW0elwcMSoa3FTNcfHrixtmD5MLY9lCsgb5cFOakOxrtHL9quyi_THbUW_Rxs8JDaF13qLBjlOIbuzRtY0px6cIxi0U8KiPYd4caDnuxqxLCIaQ5SsLflqhmxC_50QURmRgi0KHWhdzXEO0yI3ok-ttdPAWAdK57GQjijCaMLifGarDOMXg_Y7vwD8tHnXgk312uE-Kb-_ffb34WF59_nB5cX5VaiHZVMoaLG8t49p2Unc17RrNGJGG4KppDQhTGcOkaLgULRGYCILzmIyWpobWNuykuNxzTYC12kQ3QNyqAE7tAiH2CuLktLfKAOEgO1y1gnNoNdDKCt0CtkTWregy62zP2sztYI3OA43g70Hv_4xupfpwrSpGao5FBrw6AGLIG0qTGlzS1nsYbZiTopzUhFGG6yx9-Y90HeaYV7WoKK94w7H8q-ohN-DGLuS6eoGqc0nrbB7KFtbpf1T5GDu4vBjbZX_cT6D7BB1DStF2tz0SrBYfq72PVfax2vlYLZN-cXc6tyl_jMt-A4Q68r4</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2424749406</pqid></control><display><type>article</type><title>Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based trainings among health workers on day of birth care in Nigeria; a cluster randomized controlled trial</title><source>Publicly Available Content Database</source><source>ABI/INFORM Global</source><source>PubMed Central</source><creator>Ugwa, Emmanuel ; Kabue, Mark ; Otolorin, Emmanuel ; Yenokyan, Gayane ; Oniyire, Adetiloye ; Orji, Bright ; Okoli, Ugo ; Enne, Joseph ; Alobo, Gabriel ; Olisaekee, Gladys ; Oluwatobi, Adebayo ; Oduenyi, Chioma ; Aledare, Adekunle ; Onwe, Boniface ; Ishola, Gbenga</creator><creatorcontrib>Ugwa, Emmanuel ; Kabue, Mark ; Otolorin, Emmanuel ; Yenokyan, Gayane ; Oniyire, Adetiloye ; Orji, Bright ; Okoli, Ugo ; Enne, Joseph ; Alobo, Gabriel ; Olisaekee, Gladys ; Oluwatobi, Adebayo ; Oduenyi, Chioma ; Aledare, Adekunle ; Onwe, Boniface ; Ishola, Gbenga</creatorcontrib><description>The aim of this study was to compare health workers knowledge and skills competencies between those trained using the onsite simulation-based, low-dose, high frequency training plus mobile mentoring (LDHF/m-mentoring) and the ones trained through traditional offsite, group-based training (TRAD) approach in Kogi and Ebonyi states, Nigeria, over a 12-month period.
A prospective cluster randomized controlled trial was conducted by enrolling 299 health workers who provided healthcare to mothers and their babies on the day of birth in 60 health facilities in Kogi and Ebonyi states. These were randomized to either LDHF/m-mentoring (intervention, n = 30 facilities) or traditional group-based training (control, n = 30 facilities) control arm. They received Basic Emergency Obstetrics and Newborn Care (BEmONC) training with simulated practice using anatomic models and role-plays. The control arm was trained offsite while the intervention arm was trained onsite where they worked. Mentorship was done through telephone calls and reminder text messages. The multiple choice questions (MCQs) and objective structured clinical examinations (OSCEs) mean scores were compared; p-value < 0.05 was considered statistically significant. Qualitative data were also collected and content analysis was conducted.
The mean knowledge scores between the two arms at months 3 and 12 post-training were equally high; no statistically significant differences. Both arms showed improvements in composite scores for assessed BEmONC clinical skills from around 30% at baseline to 75% and above at end line (p < 0.05). Overall, the observed improvement and retention of skills was higher in intervention arm compared to the control arm at 12 months post-training, (p < 0.05). Some LDHF/m-mentoring approach trainees reported that mentors' support improved their acquisition and maintenance of knowledge and skills, which may have led to reductions in maternal and newborn deaths in their facilities.
The LDHF/m-mentoring intervention is more effective than TRAD approach in improving health workers' skills acquisition and retention. Health care managers should have the option to select the LDHF/m-mentoring learning approach, depending on their country's priorities or context, as it ensures health workers remain in their place of work during training events thus less disruption to service delivery.
The trial was retrospectively registered on August 24, 2017 at ClinicalTrials.Gov: NCT03269240.</description><identifier>ISSN: 1472-6963</identifier><identifier>EISSN: 1472-6963</identifier><identifier>DOI: 10.1186/s12913-020-05450-9</identifier><identifier>PMID: 32590979</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Absenteeism ; Adult ; Analysis ; Attended births ; Cell Phone Use ; Childrens health ; Clinical Competence ; Clinical medicine ; Clinical trials ; Content analysis ; Data collection ; Emergency Medical Services ; Female ; Health care reform ; Health Facilities ; Health Knowledge, Attitudes, Practice ; Health Personnel - education ; Health services ; Health workers ; Humans ; Infant ; Infant Care ; Infant mortality ; Infant, Newborn ; Interactive learning ; Intervention ; Learning activities ; Male ; Maternal & child health ; Maternal and child health ; Maternal Health Services ; Medical personnel ; Medical personnel training ; Mentoring ; Mentoring - methods ; Mentors ; Middle Aged ; Midwifery ; Multiple choice ; Nigeria ; Obstetrics ; Obstetrics - education ; Onsite ; Postpartum period ; Pregnancy ; Prospective Studies ; Quality ; Quality improvement ; Simulation ; Training ; Workers</subject><ispartof>BMC health services research, 2020-06, Vol.20 (1), p.586-586, Article 586</ispartof><rights>COPYRIGHT 2020 BioMed Central Ltd.</rights><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-68ae4be34cef6cf82f9c3316d1079bda5d7dd3659465b1501510909dc6d8abe93</citedby><cites>FETCH-LOGICAL-c563t-68ae4be34cef6cf82f9c3316d1079bda5d7dd3659465b1501510909dc6d8abe93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318405/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2424749406?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11688,25753,27924,27925,36060,36061,37012,37013,44363,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32590979$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ugwa, Emmanuel</creatorcontrib><creatorcontrib>Kabue, Mark</creatorcontrib><creatorcontrib>Otolorin, Emmanuel</creatorcontrib><creatorcontrib>Yenokyan, Gayane</creatorcontrib><creatorcontrib>Oniyire, Adetiloye</creatorcontrib><creatorcontrib>Orji, Bright</creatorcontrib><creatorcontrib>Okoli, Ugo</creatorcontrib><creatorcontrib>Enne, Joseph</creatorcontrib><creatorcontrib>Alobo, Gabriel</creatorcontrib><creatorcontrib>Olisaekee, Gladys</creatorcontrib><creatorcontrib>Oluwatobi, Adebayo</creatorcontrib><creatorcontrib>Oduenyi, Chioma</creatorcontrib><creatorcontrib>Aledare, Adekunle</creatorcontrib><creatorcontrib>Onwe, Boniface</creatorcontrib><creatorcontrib>Ishola, Gbenga</creatorcontrib><title>Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based trainings among health workers on day of birth care in Nigeria; a cluster randomized controlled trial</title><title>BMC health services research</title><addtitle>BMC Health Serv Res</addtitle><description>The aim of this study was to compare health workers knowledge and skills competencies between those trained using the onsite simulation-based, low-dose, high frequency training plus mobile mentoring (LDHF/m-mentoring) and the ones trained through traditional offsite, group-based training (TRAD) approach in Kogi and Ebonyi states, Nigeria, over a 12-month period.
A prospective cluster randomized controlled trial was conducted by enrolling 299 health workers who provided healthcare to mothers and their babies on the day of birth in 60 health facilities in Kogi and Ebonyi states. These were randomized to either LDHF/m-mentoring (intervention, n = 30 facilities) or traditional group-based training (control, n = 30 facilities) control arm. They received Basic Emergency Obstetrics and Newborn Care (BEmONC) training with simulated practice using anatomic models and role-plays. The control arm was trained offsite while the intervention arm was trained onsite where they worked. Mentorship was done through telephone calls and reminder text messages. The multiple choice questions (MCQs) and objective structured clinical examinations (OSCEs) mean scores were compared; p-value < 0.05 was considered statistically significant. Qualitative data were also collected and content analysis was conducted.
The mean knowledge scores between the two arms at months 3 and 12 post-training were equally high; no statistically significant differences. Both arms showed improvements in composite scores for assessed BEmONC clinical skills from around 30% at baseline to 75% and above at end line (p < 0.05). Overall, the observed improvement and retention of skills was higher in intervention arm compared to the control arm at 12 months post-training, (p < 0.05). Some LDHF/m-mentoring approach trainees reported that mentors' support improved their acquisition and maintenance of knowledge and skills, which may have led to reductions in maternal and newborn deaths in their facilities.
The LDHF/m-mentoring intervention is more effective than TRAD approach in improving health workers' skills acquisition and retention. Health care managers should have the option to select the LDHF/m-mentoring learning approach, depending on their country's priorities or context, as it ensures health workers remain in their place of work during training events thus less disruption to service delivery.
The trial was retrospectively registered on August 24, 2017 at ClinicalTrials.Gov: NCT03269240.</description><subject>Absenteeism</subject><subject>Adult</subject><subject>Analysis</subject><subject>Attended births</subject><subject>Cell Phone Use</subject><subject>Childrens health</subject><subject>Clinical Competence</subject><subject>Clinical medicine</subject><subject>Clinical trials</subject><subject>Content analysis</subject><subject>Data collection</subject><subject>Emergency Medical Services</subject><subject>Female</subject><subject>Health care reform</subject><subject>Health Facilities</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Personnel - education</subject><subject>Health services</subject><subject>Health workers</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Care</subject><subject>Infant mortality</subject><subject>Infant, Newborn</subject><subject>Interactive learning</subject><subject>Intervention</subject><subject>Learning activities</subject><subject>Male</subject><subject>Maternal & child health</subject><subject>Maternal and child health</subject><subject>Maternal Health Services</subject><subject>Medical personnel</subject><subject>Medical personnel training</subject><subject>Mentoring</subject><subject>Mentoring - methods</subject><subject>Mentors</subject><subject>Middle Aged</subject><subject>Midwifery</subject><subject>Multiple choice</subject><subject>Nigeria</subject><subject>Obstetrics</subject><subject>Obstetrics - education</subject><subject>Onsite</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Quality</subject><subject>Quality improvement</subject><subject>Simulation</subject><subject>Training</subject><subject>Workers</subject><issn>1472-6963</issn><issn>1472-6963</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>M0C</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkk1v1DAQhiMEoqXwBzggS1w4kOLvJEKqVFV8VKrgAJytie1kvTjxYietlt_HD8PZXUqLkA-2xu88o5l5i-I5waeE1PJNIrQhrMQUl1hwgcvmQXFMeEVL2Uj28M77qHiS0hpjUtW0elwcMSoa3FTNcfHrixtmD5MLY9lCsgb5cFOakOxrtHL9quyi_THbUW_Rxs8JDaF13qLBjlOIbuzRtY0px6cIxi0U8KiPYd4caDnuxqxLCIaQ5SsLflqhmxC_50QURmRgi0KHWhdzXEO0yI3ok-ttdPAWAdK57GQjijCaMLifGarDOMXg_Y7vwD8tHnXgk312uE-Kb-_ffb34WF59_nB5cX5VaiHZVMoaLG8t49p2Unc17RrNGJGG4KppDQhTGcOkaLgULRGYCILzmIyWpobWNuykuNxzTYC12kQ3QNyqAE7tAiH2CuLktLfKAOEgO1y1gnNoNdDKCt0CtkTWregy62zP2sztYI3OA43g70Hv_4xupfpwrSpGao5FBrw6AGLIG0qTGlzS1nsYbZiTopzUhFGG6yx9-Y90HeaYV7WoKK94w7H8q-ohN-DGLuS6eoGqc0nrbB7KFtbpf1T5GDu4vBjbZX_cT6D7BB1DStF2tz0SrBYfq72PVfax2vlYLZN-cXc6tyl_jMt-A4Q68r4</recordid><startdate>20200626</startdate><enddate>20200626</enddate><creator>Ugwa, Emmanuel</creator><creator>Kabue, Mark</creator><creator>Otolorin, Emmanuel</creator><creator>Yenokyan, Gayane</creator><creator>Oniyire, Adetiloye</creator><creator>Orji, Bright</creator><creator>Okoli, Ugo</creator><creator>Enne, Joseph</creator><creator>Alobo, Gabriel</creator><creator>Olisaekee, Gladys</creator><creator>Oluwatobi, Adebayo</creator><creator>Oduenyi, Chioma</creator><creator>Aledare, Adekunle</creator><creator>Onwe, Boniface</creator><creator>Ishola, Gbenga</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20200626</creationdate><title>Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based trainings among health workers on day of birth care in Nigeria; a cluster randomized controlled trial</title><author>Ugwa, Emmanuel ; Kabue, Mark ; Otolorin, Emmanuel ; Yenokyan, Gayane ; Oniyire, Adetiloye ; Orji, Bright ; Okoli, Ugo ; Enne, Joseph ; Alobo, Gabriel ; Olisaekee, Gladys ; Oluwatobi, Adebayo ; Oduenyi, Chioma ; Aledare, Adekunle ; Onwe, Boniface ; Ishola, Gbenga</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-68ae4be34cef6cf82f9c3316d1079bda5d7dd3659465b1501510909dc6d8abe93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Absenteeism</topic><topic>Adult</topic><topic>Analysis</topic><topic>Attended births</topic><topic>Cell Phone Use</topic><topic>Childrens health</topic><topic>Clinical Competence</topic><topic>Clinical medicine</topic><topic>Clinical trials</topic><topic>Content analysis</topic><topic>Data collection</topic><topic>Emergency Medical Services</topic><topic>Female</topic><topic>Health care reform</topic><topic>Health Facilities</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Personnel - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ugwa, Emmanuel</au><au>Kabue, Mark</au><au>Otolorin, Emmanuel</au><au>Yenokyan, Gayane</au><au>Oniyire, Adetiloye</au><au>Orji, Bright</au><au>Okoli, Ugo</au><au>Enne, Joseph</au><au>Alobo, Gabriel</au><au>Olisaekee, Gladys</au><au>Oluwatobi, Adebayo</au><au>Oduenyi, Chioma</au><au>Aledare, Adekunle</au><au>Onwe, Boniface</au><au>Ishola, Gbenga</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based trainings among health workers on day of birth care in Nigeria; a cluster randomized controlled trial</atitle><jtitle>BMC health services research</jtitle><addtitle>BMC Health Serv Res</addtitle><date>2020-06-26</date><risdate>2020</risdate><volume>20</volume><issue>1</issue><spage>586</spage><epage>586</epage><pages>586-586</pages><artnum>586</artnum><issn>1472-6963</issn><eissn>1472-6963</eissn><abstract>The aim of this study was to compare health workers knowledge and skills competencies between those trained using the onsite simulation-based, low-dose, high frequency training plus mobile mentoring (LDHF/m-mentoring) and the ones trained through traditional offsite, group-based training (TRAD) approach in Kogi and Ebonyi states, Nigeria, over a 12-month period.
A prospective cluster randomized controlled trial was conducted by enrolling 299 health workers who provided healthcare to mothers and their babies on the day of birth in 60 health facilities in Kogi and Ebonyi states. These were randomized to either LDHF/m-mentoring (intervention, n = 30 facilities) or traditional group-based training (control, n = 30 facilities) control arm. They received Basic Emergency Obstetrics and Newborn Care (BEmONC) training with simulated practice using anatomic models and role-plays. The control arm was trained offsite while the intervention arm was trained onsite where they worked. Mentorship was done through telephone calls and reminder text messages. The multiple choice questions (MCQs) and objective structured clinical examinations (OSCEs) mean scores were compared; p-value < 0.05 was considered statistically significant. Qualitative data were also collected and content analysis was conducted.
The mean knowledge scores between the two arms at months 3 and 12 post-training were equally high; no statistically significant differences. Both arms showed improvements in composite scores for assessed BEmONC clinical skills from around 30% at baseline to 75% and above at end line (p < 0.05). Overall, the observed improvement and retention of skills was higher in intervention arm compared to the control arm at 12 months post-training, (p < 0.05). Some LDHF/m-mentoring approach trainees reported that mentors' support improved their acquisition and maintenance of knowledge and skills, which may have led to reductions in maternal and newborn deaths in their facilities.
The LDHF/m-mentoring intervention is more effective than TRAD approach in improving health workers' skills acquisition and retention. Health care managers should have the option to select the LDHF/m-mentoring learning approach, depending on their country's priorities or context, as it ensures health workers remain in their place of work during training events thus less disruption to service delivery.
The trial was retrospectively registered on August 24, 2017 at ClinicalTrials.Gov: NCT03269240.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>32590979</pmid><doi>10.1186/s12913-020-05450-9</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1472-6963 |
| ispartof | BMC health services research, 2020-06, Vol.20 (1), p.586-586, Article 586 |
| issn | 1472-6963 1472-6963 |
| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_da14a6f07b544abca27e5cba0e168b5f |
| source | Publicly Available Content Database; ABI/INFORM Global; PubMed Central |
| subjects | Absenteeism Adult Analysis Attended births Cell Phone Use Childrens health Clinical Competence Clinical medicine Clinical trials Content analysis Data collection Emergency Medical Services Female Health care reform Health Facilities Health Knowledge, Attitudes, Practice Health Personnel - education Health services Health workers Humans Infant Infant Care Infant mortality Infant, Newborn Interactive learning Intervention Learning activities Male Maternal & child health Maternal and child health Maternal Health Services Medical personnel Medical personnel training Mentoring Mentoring - methods Mentors Middle Aged Midwifery Multiple choice Nigeria Obstetrics Obstetrics - education Onsite Postpartum period Pregnancy Prospective Studies Quality Quality improvement Simulation Training Workers |
| title | Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based trainings among health workers on day of birth care in Nigeria; a cluster randomized controlled trial |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-03T08%3A21%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Simulation-based%20low-dose,%20high-frequency%20plus%20mobile%20mentoring%20versus%20traditional%20group-based%20trainings%20among%20health%20workers%20on%20day%20of%20birth%20care%20in%20Nigeria;%20a%20cluster%20randomized%20controlled%20trial&rft.jtitle=BMC%20health%20services%20research&rft.au=Ugwa,%20Emmanuel&rft.date=2020-06-26&rft.volume=20&rft.issue=1&rft.spage=586&rft.epage=586&rft.pages=586-586&rft.artnum=586&rft.issn=1472-6963&rft.eissn=1472-6963&rft_id=info:doi/10.1186/s12913-020-05450-9&rft_dat=%3Cgale_doaj_%3EA628017238%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c563t-68ae4be34cef6cf82f9c3316d1079bda5d7dd3659465b1501510909dc6d8abe93%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2424749406&rft_id=info:pmid/32590979&rft_galeid=A628017238&rfr_iscdi=true |