N. de Winter

N. de Winter

*This is an algorithmically generated author record based on publicly available information.

Current Organizations / Institutes

The organizations/institutes from the scholar's latest article

Previous Organizations / Institutes

The organizations / institutes from the scholar's other articles in the past ten years


N. de Winter has a total of 14 co-authors. Here are the top co-authors by number of shared publications:

  • A.A. Zadpoor

    Department of Biomechanical Engineering, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology (TU Delft), Mekelweg 2, 2628, CD, Delft, the Netherlands; Department of Orthopedic Surgery, Leiden University Medical Center, Albinusdreef 2, 2333, ZA, Leiden, the Netherlands

    1 shared publication
  • Anne Antonia Cornelia van Tetering

    Department of Electrical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands

    1 shared publication
  • Annemarie F. Fransen

    Zuyderland Medical Center, Heerlen, Limburg, The Netherlands

    1 shared publication
  • Josaphat Byamugisha

    Department of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda

    1 shared publication
  • M.A. Leeflang

    Department of Biomechanical Engineering, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology (TU Delft), Mekelweg 2, 2628, CD, Delft, The Netherlands

    1 shared publication
  • M.M.E.H. Witbreuk

    Department of Orthopaedic Surgery, OLVG, Oosterpark 9, 1091, AC, Amsterdam, the Netherlands

    1 shared publication

Latest Publications

  • Open Access

    3D printed patient-specific fixation plates for the treatment of slipped capital femoral epiphysis: Topology optimization vs. conventional design

    by V. Moosabeiki, N. de Winter, M. Cruz Saldivar, M.A. Leeflang, M.M.E.H. Witbreuk, V. Lagerburg, M.J. Mirzaali, A.A. Zadpoor


  • Open Access

    Simulation-Based Training in Emergency Obstetric Care in Sub-Saharan and Central Africa: A Scoping Review

    by Anne A. C. Van Tetering, Peter Ntuyo, Renata P. J. Martens, Naomi Winter, Josaphat Byamugisha, S. Guid Oei, Annemarie F. Fransen, M. Beatrijs Van der Hout-Van der Jagt

    Background: Every day approximately 810 women die from complications related to pregnancy and childbirth worldwide. Around two thirds of these deaths happen in sub-Saharan Africa. One of the strategies to decrease these numbers is improving the quality of care by emergency obstetric simulation-based training. The effectiveness of such training programs depends on the program’s instructional design. Objective: This review gives an overview of studies about emergency obstetric simulation-based training and examines the applied instructional design of the training programs in sub-Saharan and Central Africa. Methods: We searched Medline, Embase and Cochrane Library from inception to May 2021. Peer-reviewed articles on emergency obstetric, postgraduate, simulation-based training in sub-Saharan and Central Africa were included. Outcome measures were categorized based on Kirkpatrick’s levels of training evaluation. The instructional design was evaluated by using the ID-SIM questionnaire. Findings: In total, 47 studies met the inclusion criteria. Evaluation on Kirkpatrick level 1 showed positive reactions in 18 studies. Challenges and recommendations were considered. Results on knowledge, skills, and predictors for these results (Kirkpatrick level 2) were described in 29 studies. Retention as well as decay of knowledge and skills over time were presented. Results at Kirkpatrick level 3 were measured in 12 studies of which seven studies demonstrated improvements of skills on-the-job. Improvements of maternal and neonatal outcomes were described in fifteen studies and three studies reported on cost-estimations for training rollout (Kirkpatrick level 4). Instructional design items were heterogeneously applied and described. Conclusions: Results of 47 studies indicate evidence that simulation-based training in sub-Saharan and Central Africa can have a positive impact across all four levels of Kirkpatrick’s training evaluation model. However, results were not consistent across all studies and the effects vary over time. A detailed description of instructional design features in future publications on simulation-based training will contribute to a deeper understanding of the underlying mechanisms that determine why certain training programs are more effective in improving maternal and neonatal healthcare outcomes than other.