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Effect of Simulation-Based Vaginal Examination Training on Anxiety, Confidence, and Skills in Midwifery Students

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Summary

NIH's ClinicalTrials.gov registered a randomized controlled quasi-experimental study (NCT07535255) investigating the effects of simulation-based vaginal examination training on skill performance, anxiety, and satisfaction in 67 third-year midwifery students at a state university in Turkey. Results showed simulation training significantly reduced state anxiety in both clinical and laboratory groups (p<0.001) and laboratory group students demonstrated improvements in satisfaction and self-confidence (p<0.05). Clinical group students achieved significantly higher vaginal examination skill scores compared to the laboratory group (p<0.001).

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What changed

This document is a ClinicalTrials.gov registration and summary of results for a randomized controlled quasi-experimental study examining simulation-based vaginal examination training effects on midwifery student anxiety, confidence, and technical skills. The study enrolled 67 students at a Turkish university and found that simulation training significantly reduced anxiety levels and enhanced self-confidence, while clinical practice was necessary to maximize technical skill acquisition.

For healthcare education institutions and midwifery programs, this study provides evidence supporting the integration of simulation exercises with clinical rotations in midwifery curricula. The findings suggest simulation-based training can effectively reduce student anxiety before clinical practice while building foundational confidence.

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Apr 18, 2026

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← ClinicalTrials.gov Studies

Effect of Simulation-Based Vaginal Examination Training on Anxiety, Confidence, and Skills in Midwifery Students

N/A NCT07535255 Kind: NA Apr 17, 2026

Abstract

This randomized controlled quasi-experimental study investigated the effects of simulation-based vaginal examination training on skill performance, anxiety, and satisfaction in third-year midwifery students at a state university in Turkey. A total of 67 students participated (32 in the clinical group, 35 in the laboratory group). Data were collected using a Demographic Information Form, Vaginal Examination Skills Assessment Form, State Anxiety Scale, and Learning Satisfaction & Self-Confidence Scale. Results showed that simulation training significantly reduced students' state anxiety in both clinical and laboratory groups (p<0.001). Laboratory group students demonstrated significant improvements in satisfaction and self-confidence (p<0.05), while clinical group students achieved significantly higher vaginal examination skill scores compared to the laboratory group (p<0.001). No significant correlations were found between anxiety levels and satisfaction or self-confidence scores.

These findings suggest that simulation-based training effectively decreases anxiety and enhances confidence, but clinical practice is necessary to maximize technical skill acquisition. The study supports integrating simulation exercises with clinical rotations in midwifery curricula to optimize learning outcomes.

Conditions: Simulation-based Midwifery Education

Interventions: Educational, The group experiencing vaginal examination practice in a real clinical setting

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Last updated

Classification

Agency
NIH
Instrument
Notice
Legal weight
Non-binding
Stage
Final
Change scope
Minor
Document ID
NCT07535255
Docket
NCT07535255

Who this affects

Applies to
Healthcare providers Educational institutions
Industry sector
6211 Healthcare Providers
Activity scope
Clinical research Simulation training
Geographic scope
United States US

Taxonomy

Primary area
Healthcare
Operational domain
Clinical Operations
Topics
Education

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