The Effectiveness of Combined Virtual and Clinical Simulation in Midwifery Students

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Objective: To evaluate the effectiveness of combined virtual and high-fidelity clinical simulation compared with virtual simulation only on theoretical knowledge and clinical judgment in undergraduate midwifery students managing severe preeclampsia. Study Population: Thirty-two undergraduate midwifery students enrolled in a maternal health clinical course at Universidad de los Andes, Chile. Interventions: Group 1 (intervention): Virtual and Clinical Simulation combined (VSim® case followed by hands-on clinical simulation with a manikin). Group 2 (control): Virtual Simulation only (VSim® case). Primary Outcomes: Development of theoretical knowledge (measured by a test) on severe preeclampsia. Improvement in clinical judgment skills (assessed using the Spanish Lasater Clinical Judgment Rubric). Secondary Outcomes: Student satisfaction with the training. Perceived self-efficacy in managing severe preeclampsia. Duration: The intervention period lasted five days, including baseline assessment, access to learning activities, and post-intervention evaluation. Methodology: Randomized controlled trial with parallel groups (1:1 allocation). Changes over time and differences between groups were analysed using linear mixed-effects models.

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