The effect of scenario-based high reality simulation method on midwifery students' problem solving skills and anxiety levels: A randomized controlled trial

Background: Simulation is an effective teaching method for improving patient care, especially in highrisk scenarios where urgent and rapid interventions are required. Research highlights the importance of using simulation from the student period to enhance midwives' skills in managing obstetric emergencies and improving their competencies. Aim: The objective of this study was to ascertain the impact of a scenario-based high-reality simulation method on the problem-solving abilities and anxiety levels of undergraduate midwifery students. This research is necessary to fill the gap in the literature examining the effect of scenario-based high-fidelity simulation on the problem-solving skills and anxiety levels of midwifery students. The study aimed to both increase the quality of education and contribute to the national literature by emphasizing the importance of simulation methods in midwifery education. Materials and methods: The research, planned in an experimental design with a pre-test and posttest control group, was conducted with students from the Midwifery department of a public university in T & uuml;rkiye. The students were divided into two groups by the simple random sampling method: the intervention group (n = 39) and the control group (n = 39). Results: While it was found that the state anxiety levels of the intervention group students decreased significantly after the simulation ( p = .017), no significant difference was found between the control and intervention groups in terms of anxiety level ( p = .461). Similarly, no significant difference was found between the students' satisfaction levels with the problem-solving inventory and training methods ( p = .102). Conclusion: The findings of this study indicate that a single simulation experience is not more effective than the traditional educational approach in reducing postapplication anxiety, enhancing training satisfaction, and developing problem-solving abilities.