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    Effects of simulation-based education on nursing students' perceptions of positive birth and natural birth approaches
    (Elsevier Science Inc, 2024) Satir, Duygu Gulec; Atan, Senay Unsal; Kavlak, Oya; Ertem, Gul; Sezer, Hale; Kazankaya, Figen; Tetik, Sumeyye
    Background: Nursing education should be adjusted to align with national health priorities. In this study, we examined how simulation-based education impacted nursing students' knowledge, skills, and approaches to natural childbirth, as well as their self-confidence, perceptions of positive birth, and educational satisfaction. Methods: A total of 56 undergraduate nursing students were enrolled in this comparative, quasi-experimental, pre- and post-test designed study and were randomly assigned to a hybrid simulation (HS) or a video-model (VM) group. Results: Students in the HS group had significantly higher natural childbirth skill levels and positive perceptions than those in the VM group (p < .05). Natural birth knowledge levels significantly increased in both groups (p < .05). No significant differences in nursing students' self-confidence and satisfaction levels were found between the two groups (p > .05). Conclusion: HS improved nursing students' natural birth approach skills and positively affected their perceptions. Simulation-based education may enhance maternity care practice. Simulation scenarios should be integrated into the nursing curriculum to provide comprehensive support for positive birth experiences. ClinicalTrials.gov Identifier: NCT06241443