Doctoral Dissertations

Date of Award


Degree Type


Degree Name

Doctor of Philosophy



Major Professor

Joel G. Anderson

Committee Members

Tami H. Wyatt, Mary C. "Cathy" Hammon, Suzan E. Kardong-Edgren


Interpretation of electronic fetal monitor (EFM) tracings is a critical clinical practice skill nurses and physicians perform during the intrapartum stage of pregnancy. However, if performed inaccurately can potentially jeopardize the well-being of the neonate. This risk is present because if concerning EFM tracings are not interpreted accurately, preventative care interventions to promote the well-being of the unborn child do not occur. The project was initiated by completing a scoping literature review on the methods for training and evaluating EFM interpretation competence, which revealed current EFM interpretation training and evaluation methods are lacking. A concept analysis defined nurse competence in diagnostic healthcare technologies. The analysis included examining surrogate terms, related concepts, attributes, antecedents, and consequences. This dissertation evaluated the feasibility and effectiveness of a Simulation-Based Mastery Learning intervention on clinical interprofessional team members’ EFM interpretation competence and self-efficacy compared to clinical experience alone. In addition, it determined how participants’ characteristics affect baseline EFM interpretation scores. The study was a randomized longitudinal design with participants recruited from a convenience sample of interprofessional healthcare team members from a large research hospital in the southeastern United States. Randomization procedures placed recruited participants into either an intervention or clinical experience alone group, with competence evaluations for both groups occurring at baseline, immediately post-intervention, and three months post-intervention. Once completed, add results and conclusion here.

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