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Identification of Clinician Training Techniques as an Implementation Strategy to Improve Maternal Health: A Scoping Review

Author

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  • Cheryl A. Vamos

    (USF’s Center of Excellence in Maternal and Child Health Education, Science & Practice, The Chiles Center, College of Public Health, University of South Florida, Tampa, FL 33612, USA)

  • Tara R. Foti

    (College of Public Health, University of South Florida, Tampa, FL 33612, USA)

  • Estefanny Reyes Martinez

    (College of Public Health, Florida Perinatal Quality Collaborative, University of South Florida, Tampa, FL 33612, USA)

  • Zoe Pointer

    (College of Public Health, University of South Florida, Tampa, FL 33612, USA)

  • Linda A. Detman

    (The Chiles Center, College of Public Health, Florida Perinatal Quality Collaborative, University of South Florida, Tampa, FL 33612, USA)

  • William M. Sappenfield

    (The Chiles Center, College of Public Health, Florida Perinatal Quality Collaborative, University of South Florida, Tampa, FL 33612, USA)

Abstract

Training is a key implementation strategy used in healthcare settings. This study aimed to identify a range of clinician training techniques that facilitate guideline implementation, promote clinician behavior change, optimize clinical outcomes, and address implicit biases to promote high-quality maternal and child health (MCH) care. A scoping review was conducted within PubMed, CINAHL, PsycInfo, and Cochrane databases using iterative searches related to (provider OR clinician) AND (education OR training). A total of 152 articles met the inclusion/exclusion criteria. The training involved multiple clinician types (e.g., physicians, nurses) and was predominantly implemented in hospitals (63%). Topics focused on maternal/fetal morbidity/mortality (26%), teamwork and communication (14%), and screening, assessment, and testing (12%). Common techniques included didactic (65%), simulation (39%), hands-on (e.g., scenario, role play) (28%), and discussion (27%). Under half (42%) of the reported training was based on guidelines or evidence-based practices. A minority of articles reported evaluating change in clinician knowledge (39%), confidence (37%), or clinical outcomes (31%). A secondary review identified 22 articles related to implicit bias training, which used other reflective approaches (e.g., implicit bias tests, role play, and patient observations). Although many training techniques were identified, future research is needed to ascertain the most effective training techniques, ultimately improving patient-centered care and outcomes.

Suggested Citation

  • Cheryl A. Vamos & Tara R. Foti & Estefanny Reyes Martinez & Zoe Pointer & Linda A. Detman & William M. Sappenfield, 2023. "Identification of Clinician Training Techniques as an Implementation Strategy to Improve Maternal Health: A Scoping Review," IJERPH, MDPI, vol. 20(11), pages 1-19, May.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:11:p:6003-:d:1159769
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    References listed on IDEAS

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    1. Metzl, Jonathan M. & Hansen, Helena, 2014. "Structural competency: Theorizing a new medical engagement with stigma and inequality," Social Science & Medicine, Elsevier, vol. 103(C), pages 126-133.
    2. Zoe Dettrick & Sonja Firth & Eliana Jimenez Soto, 2013. "Do Strategies to Improve Quality of Maternal and Child Health Care in Lower and Middle Income Countries Lead to Improved Outcomes? A Review of the Evidence," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-1, December.
    3. Neta, G. & Glasgow, R.E. & Carpenter, C.R. & Grimshaw, J.M. & Rabin, B.A. & Fernandez, M.E. & Brownson, R.C., 2015. "A framework for enhancing the value of research for dissemination and implementation," American Journal of Public Health, American Public Health Association, vol. 105(1), pages 49-57.
    4. Hall, W.J. & Chapman, M.V. & Lee, K.M. & Merino, Y.M. & Thomas, T.W. & Payne, B.K. & Eng, E. & Day, S.H. & Coyne-Beasley, T., 2015. "Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: A systematic review," American Journal of Public Health, American Public Health Association, vol. 105(12), pages 60-76.
    5. Thompson, K.M.J. & Rocca, C.H. & Kohn, J.E. & Goodman, S. & Stern, L. & Blum, M. & Speidel, J.J. & Darney, P.D. & Harper, C.C., 2016. "Public funding for contraception, provider training, and use of highly effective contraceptives: A cluster randomized trial," American Journal of Public Health, American Public Health Association, vol. 106(3), pages 541-546.
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