Effect of Blended Learning Program on Maternity Nurses′ Performance regarding Prevention of Obstetric Fistula

Ahmed, Marwa Salah; Gaheen, Manal Abdalla; Shaban, Rabaa El-Sayed; Abo-Hatab, Toha Ali El-Sayed

doi:10.21608/tsnj.2025.443105

Effect of Blended Learning Program on Maternity Nurses′ Performance regarding Prevention of Obstetric Fistula

Document Type : Original Article

Authors

¹ Demonstrator of Maternal and Neonatal Health Nursing, Faculty of Nursing, Tanta University, Egypt

² Professor of Maternal and Neonatal Health Nursing, Faculty of Nursing, Tanta University, Egypt

³ Assistant professor of Maternal and Neonatal Health Nursing, Faculty of Nursing, Tanta University, Egypt.

⁴ Lecturer of Maternal and Neonatal Health Nursing, Faculty of Nursing, Tanta University, Egypt.

10.21608/tsnj.2025.443105

Abstract

Background Obstetric fistula has a major health burden for women that lead to
severe morbidities, as well as it is a barrier for achieving the third sustainable
developmental goal. The aim of this study was to evaluate the effect of blended
learning program on maternity nurses′ performance regarding prevention of
obstetric fistula. Design: A quasi-experimental research design was used.
Subjects and method: The study was carried out at obstetrics and gynaecological
departments of Tanta University Hospital and El-Menshawy General Hospital.
All nurses (80) who are working at the previously mentioned study settings were
included in the study. Two tools were used for data collection. Tool (I):
Maternity nurses' knowledge regarding prevention of obstetric fistula. Tool
(II): Observational checklists for maternity nurses' practices which included
four Parts: I- Vaginal examination during labor, II- Perineal supportive techniques
during second stage of labor, III- Perineal examination, and V- Episiotomy care.
Results: It was illustrated that (30% and 22.5% respectively) maternity nurses
had a high level of knowledge and satisfactory practice level pre implementation
of the blended learning program that increased to (95% and 90% respectively)
immediately post program. Conclusion: The blended learning program provided
to the maternity nurses obviously improved their performance regarding the
prevention of obstetric fistula. Recommendations: The present study
recommends providing continuing evidence-based in-service training programs
for maternity nurses to enhance their knowledge and practices regarding the
prevention of obstetric fistula.