Simulation-Based Childbirth Training and Midwives' Outcomes

The Effect of Simulation-Based Childbirth Management Training on Safe Motherhood Practices and Intrinsic Motivation Among Midwives: A Randomized Controlled Study

This randomized controlled study aims to evaluate the effect of simulation-based childbirth management training on safe motherhood practices and intrinsic motivation among midwives. Participants will be randomly assigned to either an intervention group receiving simulation-based training or a control group receiving no additional training. Outcomes will be assessed using validated scales before and after the intervention.

Simulation-based training is an effective educational approach that allows healthcare professionals to develop clinical skills in a safe and controlled environment. This study aims to evaluate the effectiveness of simulation-based childbirth management training on safe motherhood practices and intrinsic motivation among midwives.

The study is designed as a randomized controlled trial with a pre-test and post-test design. A total of 132 midwives will be included and randomly assigned to intervention and control groups. The intervention group will receive a structured simulation-based training program over five days, including obstetric scenarios such as normal delivery, postpartum hemorrhage, shoulder dystocia, and other obstetric emergencies. Each session will include pre-briefing, simulation practice, and debriefing.

The control group will continue routine practices without any additional intervention. Data will be collected using a Personal Information Form, Safe Motherhood Scale (for healthcare professionals), and Intrinsic Motivation Scale. Outcomes will be measured before and after the intervention.

The study aims to contribute to evidence-based midwifery education by evaluating both clinical practice outcomes and motivational factors.

Inclusion Criteria:

• Midwives working in healthcare institutions affiliated with the provincial health directorate
• Having 5 years or less professional experience
• Actively involved in prenatal, intrapartum, or postpartum care
• Voluntary participation with written informed consent

Exclusion Criteria:

• Working in administrative positions
• Previously received simulation-based childbirth or advanced obstetric simulation training
• Inability to attend the full training program or complete data collection