Hybrid Simulation in Postpartum Hemorrhage Training for Nursing Students

NCT07854106 | Completed

• 2 other identifiers: UludagU-SHMYO-MU-022025-SBB-1124
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Abstract Postpartum hemorrhage (PPH) is a leading cause of maternal mortality and morbidity worldwide, requiring nursing students to acquire both theoretical knowledge and clinical competence for safe and effective management. Hybrid simulation, integrating standardized patients with high-fidelity simulators, is an innovative educational approach that simultaneously enhances communication and psychomotor skills. This prospective randomized controlled study aims to evaluate the effects of a hybrid simulation-based postpartum hemorrhage management training on nursing students' learning satisfaction, self-confidence, and clinical readiness. The study was conducted with third-year nursing students at Eskisehir Osmangazi University Faculty of Health Sciences, Department of Nursing. Participants were randomly assigned to either an intervention group receiving hybrid simulation-based training using standardized patients and a birthing simulator, or a control group receiving routine education. Data were collected before and after the intervention using a Personal Information Form, the Student Satisfaction and Self-Confidence in Learning Scale, and the Nursing Clinical Readiness Scale to evaluate outcomes between the groups.

Conditions

Postpartum Hemorrhage; Simulation Training; Nursing Education; Clinical Readiness; Learning Satisfaction and Self-confidence

Keywords

Postpartum Hemorrhage; Clinical Readiness; Simulation Training; Nursing education; learning satisfaction and self-confidence

Outcome Measures

Primary Outcomes (2)

• Readiness for Nursing Practice Scale

  Assessed using the Turkish version of the Nursing Clinical Readiness Scale (originally developed by Kim and Shin, 2022; Turkish validation by Kavuran et al., 2023) to evaluate nursing students' clinical readiness in managing postpartum hemorrhage. The scale consists of 35 items rated on a 10-point Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree). Total scores range from 35 to 350 (or mean item scores from 1 to 10), where higher scores indicate a higher level of clinical readiness.

  Baseline and immediately post-intervention

• Student Satisfaction and Self-Confidence in Learning Scale

  Assessed using the Turkish version of the Student Satisfaction and Self-Confidence in Learning Scale (originally developed by Jeffries and Rizzolo, 2006; Turkish validation by Unver et al., 2017). The scale consists of 12 items across two subscales: Satisfaction with Current Learning (5 items) and Self-Confidence in Learning (7 items), rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Scores are calculated by dividing the sum of scores by the number of items, with mean scores ranging from 1 to 5 (total score range: 12 to 60), where higher scores indicate higher levels of student satisfaction and self-confidence in learning.

  Baseline and immediately post-intervention

Study Arms (2)

Intervention Group

EXPERIMENTAL

Nursing students receiving hybrid simulation-based postpartum hemorrhage (PPH) management training.

Behavioral: Hybrid Simulation-Based PPH Training

Control Group

ACTIVE COMPARATOR

Nursing students receiving standard postpartum hemorrhage management education.

Behavioral: Standard Education

Interventions

Hybrid Simulation-Based PPH Training BEHAVIORAL

Students receive interactive hybrid simulation-based training combining standardized patients and task trainers focused on postpartum hemorrhage management skills, clinical decision-making, and team communication.

Intervention Group

Standard Education BEHAVIORAL

Students receive traditional curriculum-based theoretical education and standard lecture-based instruction on postpartum hemorrhage management.

Control Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being an undergraduate nursing student at Eskisehir Osmangazi University Faculty of Health Sciences
• Being a third-year student enrolled in the Women's Health and Diseases Nursing course for the first time
• Volunteering to participate and providing written informed consent
• Not having previously received structured simulation training on postpartum hemorrhage management
• Having no physical, cognitive, or psychiatric health conditions that impair communication

You may not qualify if:

• Incomplete completion of data collection instruments
• Non-attendance at pre-test or post-test assessments
• Failure to complete the assigned educational intervention
• Withdrawal of consent or voluntary withdrawal at any stage of the study

Sponsors & Collaborators

• Uludag University: lead
• Eskisehir Osmangazi University: collaborator

Study Sites (1)

Eskisehir Osmangazi University Faculty of Health Sciences

Eskişehir, Eyalet/İl Seçin, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Postpartum Hemorrhage

Condition Hierarchy (Ancestors)

Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Puerperal Disorders; Uterine Hemorrhage; Hemorrhage; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: September 25, 2026
• First Posted: October 2, 2026
• Study Start: February 23, 2026
• Primary Completion: March 24, 2026
• Study Completion: July 29, 2026
• Last Updated: October 2, 2026

Record last verified: 2026-10

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)