|L van Lonkhuijzen, A Dijkman, J van Roosmalen, G Zeeman, A Scherpbier|
|BJOG: An International Journal of Obstetrics & Gynaecology, 2010|
"A total of 38 papers were selected. Training programmes vary considerably in length, content and design. The evaluation of effects is often hampered by inadequate study design and the use of non-validated measuring instruments. Most papers describe positive reactions, increased knowledge and skills, and improved behaviour after training. Outcome is assessed less frequently, and positive effects are not always demonstrated. Measures that can contribute to a positive effect of training programmes include hands-on practise, team approaches and follow-up on training efforts."