Nursing and paramedic students in this group will participate in a simulation-based interprofessional education program. A pre-test will be administered before the training and a post-test after the training to assess the impact on participants' attitudes toward teamwork.

Participants will receive theoretical training on the ATMIST (Age, Time, Mechanism, Injuries, Signs, Treatment) patient handover method. During the simulation exercises, teams consisting of a paramedic and a nursing student will be expected to perform patient handover using the ATMIST method. A prebriefing will be conducted before the simulation, and a debriefing using the Gather-Analyze-Summarize (GAS) model will be conducted afterward. Simulation performances will be evaluated by researchers using checklists. A Sociodemographic Data Collection Form and a Teamwork Attitudes Scale will be administered as a pre-test. In the post-test, the Teamwork Attitudes Scale and the Simulation Design Scale will be administered.

The Teamwork Attitudes Questionnaire (TAS) was developed based on the Teamwork Attitudes Questionnaire (TAQ), which was created as part of the TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) program to assess healthcare professionals' attitudes toward teamwork. The validity and reliability study of the scale in Turkish was conducted by Yardımcı et al. The scale consists of five subscales: team structure, leadership, situational awareness, mutual support, and communication. Reliability analyses revealed that the Cronbach's alpha coefficients for the scale's subscales ranged from 0.70 to 0.89, demonstrating that the scale is a valid and reliable measurement tool for healthcare professionals in the Turkish population. The minimum score that can be obtained on the scale is 28, and the maximum score is 140. There are no reverse-scored items, and as the score increases, the level of teamwork attitude is higher.

The Simulation Design Scale was developed by Jeffries et al. (2006) to evaluate the design characteristics of simulation-based learning environments (19). Its validity and reliability were established by Ünver et al. in [year]. The scale consists of 20 items and two sections. The first section assesses the level of implementation of simulation design elements, while the second section evaluates the importance of these elements from the students' perspective. The scale consists of five subscales: objectives and knowledge, support, problem-solving, feedback/guided reflection, and realism. A higher score indicates a higher quality of simulation design and the student's greater emphasis on the simulation experience. In the reliability analyses conducted, the Cronbach's alpha coefficients for the scale's sub-dimensions ranged from 0.73 to 0.86, demonstrating that the scale is a valid and reliable measurement tool for nursing students in the Turkish population.