Study type: clinical trial - randomized control trial Primary purpose: to explore the effectiveness of high-fidelity simulation (HFS) interventions, specifically scenario-based training with pre-briefing and de-briefing on (1) knowledge and self-efficacy (2) problem solving abilities, (3) the learning experience among nursing students in baby care and breastfeeding, as compared to traditional training.
Primary outcome: breastfeeding self-efficacy scores and knowledge in the intervention compared to the control group Secondary outcome: Simulation Design Scale and Education Practices Questionnaire
undergraduate nursing students
newly enrolled obstetric course
can provide consent for simulation confidentiality
do not have previous clinical experience or training in obstetrical units
None
Parallel
high fidelity simulation-based training
BehavioralThe intervention is a two-hour high-fidelity simulation training session focusing on newborn assessment, care practices, skin-to-skin contact, and breastfeeding. It uses SimBaby mannequins and breastfeeding models to mimic the hospital environment. Scenarios are tailored to nursing students' learning levels and reviewed by experienced midwives. The training includes: Prebriefing: Introduction of learning objectives, scenario background, simulation familiarization, confidentiality discussions, and ground rules. Intervention: Scenario-based training on baby care and breastfeeding. Debriefing: Plus-delta debriefing model reviewed by simulation educators. The training will be conducted in the nursing simulation laboratory.
conventional training
BehavioralConventional training includes lecture, tutorial and basic lab with low-fidelity mannequins.
Self efficacy on basic breastfeeding knowledge and skills with a self-rated breastfeeding ability tool
37-items modified version was designed to estimate self-efficacy in performing tasks of different complexity, relating to breastfeeding support 1. \- Very simple for me to do 2. \- Easy for me to do 3. \- Difficult for me to do 4. \- Very hard for me to do For each question: minimum value = 1 and maximum value = 4 The higher scores mean a worst outcome (lower self efficacy).
Level of knowledge and skill in caring for newborn baby and breastfeeding
20 items 1. True 2. May be true 3. I dont know 4 = May be false 5 = False (for correct answer: 5 marks per questions, max total: 100) (for wrong answer: -5 marks per questions, min total: -100) (for may be: 2 to -2 marks; for i dont know: 0 marks) For each question: minimum value = -5 and maximum value = 5 The higher scores mean a better outcome (better knowledge).
Simulation Design Scale (SDS)
20 items and is used to evaluate simulation training design from the learners' perspective. The scale assesses various aspects such as objective, information, support, problem solving, feedback and fidelity in simulation Use the following rating system when assessing the simulation design elements: 1. \- Strongly Disagree with the statement 2. \- Disagree with the statement 3. \- Undecided - you neither agree or disagree with the statement 4. \- Agree with the statement 5. \- Strongly Agree with the statement NA - Not Applicable; the statement does not pertain to the simulation activity performed. For each question: minimum value = 1 and maximum value = 5 The higher scores mean a better outcome (better design). Rate each item based upon how important that item is to you. 1. \- Not Important 2. \- Somewhat Important 3. \- Neutral 4. \- Important 5. \- Very Important For each question: minimum value = 1 and maximum value = 5 The higher scores mean a better outcome (more important).
Education Practices Questionnaire (EPS)
16 items and is used to access perceptions of education best practices' presence and importance in simulation training Use the following rating system when assessing the simulation design elements: 1. \- Strongly Disagree with the statement 2. \- Disagree with the statement 3. \- Undecided - you neither agree or disagree with the statement 4. \- Agree with the statement 5. \- Strongly Agree with the statement NA - Not Applicable; the statement does not pertain to the simulation activity performed. For each question: minimum value = 1 and maximum value = 5 The higher scores mean a better outcome (better learning experience). Rate each item based upon how important that item is to you. 1. \- Not Important 2. \- Somewhat Important 3. \- Neutral 4. \- Important 5. \- Very Important For each question: minimum value = 1 and maximum value = 5 The higher scores mean a better outcome (more important).
Demographic Questionnaire
sociodemographic baseline
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