Effectiveness of online simulation-based versus face-to-face training on episiotomy skills among midwifery students in Turkey

Nihal Aydın

Abstract

This study evaluated the effectiveness of synchronous online simulation compared with face-to-face instruction in teaching episiotomy repair skills to midwifery students. It also assessed learning satisfaction and self-confidence. A randomized controlled study was conducted with undergraduate students enrolled in a childbirth course. Participants were randomly assigned to either a synchronous online or face-to-face training group. Both groups received structured instruction using standardized simulation models. Outcomes were measured using the Student Satisfaction and Self-Confidence in Learning Scale and the Episiotomy Skill Evaluation Form. Both training formats resulted in similarly high levels of skill performance. The online group demonstrated significantly higher self-confidence and overall learning satisfaction, while skill outcomes were comparable between groups. No significant associations were found between demographic characteristics and study outcomes. Synchronous online simulation is a feasible and effective alternative to face-to-face training for developing procedural skills while also enhancing learner confidence and satisfaction.

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