The effect of high-fidelity simulation training in preeclampsia and eclampsia management: A single-blind randomized controlled study

IF 2.5 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-07-03 DOI:10.1016/j.ecns.2025.101766

Betül Uncu PhD, RM , Rumeysa Özayabakan PhD, RM , Ebru Solmaz PhD(c), RN , Elif Doğan PhD(c), RM

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引用次数: 0

Abstract

Background

Midwifery students often have limited exposure to real-life preeclampsia and eclampsia cases during clinical training, which may hinder the development of essential decision-making and clinical skills. Simulation can provide a controlled, risk-free environment for students to practice and improve their competencies in high-risk obstetric emergencies. This study aims to examine the effects of two different simulation models on midwifery students' problem-solving abilities, clinical skills, and anxiety levels in managing preeclampsia and eclampsia cases.

Methods

A total of 30 midwifery students, randomly assigned to two groups, participated in the study: High-Fidelity Simulation Training (HFST) Group (experimental) and Low-Fidelity Simulation Training (LFST) Group (control). Data were collected using the Problem-Solving Inventory and the State Anxiety Inventory before and after the simulations. The Clinical Skills Checklist was specifically employed during simulations to evaluate real-time clinical performance in managing preeclampsia and eclampsia cases.

Results

No significant difference was found between the HFST and LFST groups in terms of clinical skills, and problem-solving skills. However, within the HFST group, a significant difference was found between the pre- and post-test results, indicating that HFST increased the students' state anxiety levels (t_(paired) = −3.626, p = .003). In the self-confidence subscale of the problem-solving inventory, it was found that students in the HFST group experienced a decrease in self-confidence over time (t_(paired) = −3.048, p = .009).

Conclusion

Both simulation models were found to have a similar impact on student performance. However, the increased anxiety and reduced self-confidence observed in the HFST group highlight the need for emotional support and debriefing during high-fidelity training. These findings suggest that simulation-based education, when appropriately structured, can be an effective method in preparing students for managing obstetric emergencies.

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高保真模拟训练在子痫前期和子痫治疗中的效果：一项单盲随机对照研究

在临床训练中，助产学的学生通常很少接触到真实的子痫前期和子痫病例，这可能会阻碍基本决策和临床技能的发展。模拟可以为学生提供一个可控的、无风险的环境来练习和提高他们在高危产科急诊中的能力。本研究旨在探讨两种不同的模拟模型对助产学学生在处理子痫前期和子痫病例时解决问题能力、临床技能和焦虑水平的影响。方法将30名助产学专业学生随机分为两组：高保真模拟训练组（HFST）和低保真模拟训练组（LFST）。在模拟前后分别使用问题解决量表和状态焦虑量表收集数据。临床技能检查表在模拟过程中专门用于评估管理子痫前期和子痫病例的实时临床表现。结果HFST组与LFST组在临床技能、问题解决能力方面无显著差异。然而，在高强度测试组内，测试前和测试后的结果有显著差异，表明高强度测试增加了学生的状态焦虑水平（t（配对）=−3.626,p = 0.003）。在问题解决量表的自信子量表中，我们发现HFST组学生的自信心随着时间的推移而下降（t（配对）= - 3.048,p = 0.009）。结论两种模拟模式对学生成绩的影响相似。然而，在HFST组中观察到的焦虑增加和自信心下降突出了在高保真训练期间对情感支持和汇报的需求。这些研究结果表明，基于模拟的教育，如果结构适当，可以成为培养学生管理产科急诊的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.