Author Identifier (ORCID)

Michelle Gray: https://orcid.org/0000-0002-3359-0989

Shelley Stuart: https://orcid.org/0009-0000-0379-8431

Melanie Welfare: https://orcid.org/0000-0002-5009-8769

Abstract

Aim: To create an education resource that assists students to understand the movement of the cervix during labour from a posterior retroverted position to a central location, cervical effacement, dilatation of the cervix and descent of the fetal skull. Background: Learning about anatomy and physiology in relation to cervical effacement and dilatation are abstract concepts that are difficult to understand from reading alone. Diagrams are of little assistance however 3D animation has the potential to improve students learning experiences. Design: Participatory Action Research (PAR) using the 7 C's Feekery Framework approach was adopted. Participants became coresearchers in conceptualising the learning challenges, identifying solutions, creating, reviewing and making recommendations for modifications of the new resource. Methods: Focus group interviews with coresearchers were recorded via Microsoft TEAMs. Interviews were analysed using descriptive qualitative analysis. Results: The final resource was a Power Point Presentation embedded with 2D images and 3D animations which illustrate the simulated environment of the pelvic anatomy and the physiology of the cervical changes in early labour. Conclusion: The benefits of the new learning resource are that it can be presented synchronously by academics without the need for technology skills or accessed asynchronously by students without the need for other equipment. The resource incorporates a story of a woman in early labour which enables students to learn to understand complex concepts within a holistic case scenario. An implementation evaluation study is needed to evaluate the impact and effectiveness of the new supplementary teaching and learning resource.

Document Type

Journal Article

Date of Publication

3-1-2026

Volume

92

Publication Title

Nurse Education in Practice

Publisher

Elsevier

School

School of Nursing and Midwifery

Funders

Edith Cowan University

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

Comments

Gray, M., Stuart, S., & Welfare, M. (2026). Participatory Action Research (PAR) in designing a supplementary animated teaching resource to support learning cervical assessment. Nurse Education in Practice, 92, 104738. https://doi.org/10.1016/j.nepr.2026.104738

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Link to publisher version (DOI)

10.1016/j.nepr.2026.104738