The Effects of Simulation-Based Training on Midwifery Student Malpractice Trends and Student Perceptions of Care Behaviors: A Randomized Controlled Trial

Durmaz A., Gün Kakaşçı Ç.

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol.6, no.3, pp.405-418, 2022 (Peer-Reviewed Journal)



Objective: The use of simulation is becoming widespread in order to increase the competence of students, especially in preventing medical errors. The study aimed to determine the effect of simulation-based training on midwifery students’ malpractice trends and perceptions of care behaviors.
Method: This study is a single blind, prospective, and randomized controlled trial. A total of 120 students, 60 in the experimental and control groups, were included in the study. The students were given theoretical training and practical training with simulation method. The data were collected using a personal information form, Medical Malpractice Tendency Scale and Caring Assessment Questionnaire. Data were evaluated with Mann Whitney-U test, independent groups t test, pearson, spearman correlation tests and regression test. A p value of <0.05 was considered statistically significant in the tests.
Results: Socio-demographic variables (income level, family type, and parental education) of the control and experimental groups were similar (p>.05). Mean scores of the students in the experimental and control groups from the caring assessment questionnaire were 309.15±17.58 and 255.42±44.00, respectively. The mean scores from the medical malpractice tendency scale were 201.25±31.09 and 146.08±37.89, respectively (p=.000). The results showed that the control group had medical malpractice tendencies 2.734 times more than the experimental group. However, the experimental group showed a 3.577 times higher rate of providing and perceiving care behaviors than the control group.
Conclusion: In the study, it was seen that simulation-based training reduced midwifery students' malpractice trends and increased their perceptions on care behaviors. The use of simulation-based training applications during midwifery profession training is important in raising competent and qualified professionals.