The Effect of Simulation-Based Oxytocin Induction Training on Midwifery Students' Knowledge and Anxiety Levels

Melisa Gündeş80 enrolled

Overview

This randomized controlled study was conducted to evaluate the effect of simulation-based oxytocin induction training on midwifery students' knowledge and anxiety levels. The study population consisted of third-year midwifery students enrolled in the Faculty of Health Sciences at Istanbul Medipol University during the spring semester of the 2024-2025 academic year. Eligible students who volunteered to participate were randomly assigned to an intervention group or a control group. Both groups received theoretical training on oxytocin induction management. In addition to the theoretical training, the intervention group received simulation-based oxytocin induction training using a high-fidelity simulator and a standardized patient. Data were collected between April and May 2025 using the Introductory Information Form, Oxytocin Induction Knowledge Assessment Form, Objective Structured Clinical Evaluation Form, State-Trait Anxiety Inventory, Simulation Design Scale, Student Satisfaction and Self-Confidence in Learning Scale, and Educational Practices Questionnaire.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Simulation-based Midwifery Education Oxytocin Induction

Interventions

Theoretical Training on Oxytocin InductionBEHAVIORAL

Participants received theoretical training covering the principles and clinical management of oxytocin induction.

Simulation-Based Oxytocin Induction TrainingBEHAVIORAL

Following the theoretical training, participants in the intervention group received simulation-based training on oxytocin induction management using a high-fidelity simulator and a standardized patient.

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Being enrolled as a third-year undergraduate student in the Department of Midwifery, Faculty of Health Sciences, Istanbul Medipol University, during the spring semester of the 2024-2025 academic year * Having successfully completed the Childbirth and Postpartum Period course * Having successfully completed the Childbirth and Postpartum Period Clinical Practice course * Having a cumulative grade point average of 2.70 or higher * Volunteering to participate in the study * Providing written and verbal informed consent Exclusion Criteria: * Not meeting one or more of the inclusion criteria * Declining to participate in the study * Not providing written or verbal informed consent

Outcomes

Primary Outcomes

Change in Oxytocin Induction Knowledge Score

Knowledge of oxytocin induction was assessed using the 28-item Oxytocin Induction Knowledge Assessment Form. Each item was answered as "True," "False," or "I do not know." Correct answers were scored as 1, while incorrect answers and "I do not know" responses were scored as 0. The total score ranged from 0 to 28, with higher scores indicating a higher level of knowledge regarding oxytocin induction and its management. Changes in total knowledge scores between baseline and follow-up assessments were evaluated.

Time frame: At baseline, before theoretical training, and 5 weeks after theoretical training

Secondary Outcomes

Change in State Anxiety Score

State anxiety was assessed using the State Anxiety subscale of the State-Trait Anxiety Inventory. The subscale consists of 20 items and produces a total score ranging from 20 to 80, with higher scores indicating higher levels of state anxiety. The change in total state anxiety score between the assessment time points was evaluated.