BMC MEDICAL EDUCATION, cilt.26, sa.1, 2025 (SCI-Expanded, SSCI, Scopus)
Background: Simulation is often used in midwifery education because it enables students to practice clinical skills in a safe environment where mistakes can occur without the risk of person harm. This study was performed to measure the effect of a high-fidelity simulation environment and facilitator providing support through a panel on midwifery students' skills, satisfaction with learning, anxiety, and self-efficacy in performing neonatal heel prick blood collection. Methods: The study is quasi-experimental des & imath;gn. The study sample consisted of 92 students in total, with n = 46 in the control group and n = 46 in the experimental group (N = 92). The control group was instructed and evaluated on neonatal heel prick blood collection skills using a structured scenario in a simulation laboratory, with face to face facilitator support and without the use of a control panel. The experimental group underwent the same instructional and testing procedures using the same simulation scenario in a high-fidelity simulation environment, where facilitator support was provided remotely via a control panel. Results: The study revealed that students' neonatal heel prick blood collection skills were similar and were not affected by the high-fidelity simulation environment. The mean scores for the State-Trait Anxiety Inventory (STAI) and the Student Satisfaction and Confidence in Learning Scale (SCLS) were significantly higher in the high-fidelity simulation environment (p < 0.05). No statistically significant difference was found in the Self-Efficacy-Sufficiency Scale (SESS) scores between students in the experimental and control groups (p > 0.05). Conclusion: This study found that students' heel prick skills and self-efficacy were similar regardless of the fidelity level of the simulation laboratories and the role of the facilitator. In cases where the high-fidelity simulation environment and the facilitator provided support through a panel, students' anxiety and satisfaction levels were higher.