Evidence map›Paper›PMID 41888749›Full record

ArticleBMC medical education2026

Effects of standards of best practice in simulation-based training among midwifery students in China.

Lewei Tu, Huijie Wu, Xinyi Xia, Xuehua Zhu, Binbin Mei, Yan Zhang, Mengyan Xu, Yeqin Yang

Abstract read
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lewei Tu *School of Nursing, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Huijie Wu *Faculty of Medicine, Macau University of Science and Technology, Macau, 999078, China.
Xinyi Xia *Nursing Department, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China.
Xuehua ZhuSchool of Nursing, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Binbin MeiSchool of Nursing, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Yan ZhangSchool of Nursing, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Mengyan XuDepartment of Nursing, Hangzhou Women's Hospital, Hangzhou, 310008, China.
Yeqin YangSchool of Nursing, Zhejiang Chinese Medical University, Hangzhou, 310053, China. yangyeqin@zcmu.edu.cn.

Funding

Department of Education of Zhejiang Province jg20220302
6 · The paper itself

Abstract

aimThis study aimed to determine whether simulation training designed according to INACSL Standards improves satisfaction, self-confidence, and perceptions of simulation design and educational practices among midwifery students in China.

backgroundMidwives are crucial in reducing maternal and neonatal mortality, and their effectiveness is directly impacted by the quality of midwifery education. Simulation training enhances midwifery students’ clinical competence, but research on applying INACLS standards in the China is limited.

designA quasi-experimental study was conducted at Zhejiang Chinese Medical University from January 2023 to June 2024, using a historical control design.

methodA total of 129 students were divided into two groups: the control group (n = 67) received standard simulation training while the intervention group (n = 62) followed the INACSL Standards. Data were collected using three scales: Student Satisfaction and Self-Confidence in Learning Scale along with Simulation Design Scale (SDS) and Educational Practices in Simulation Scale (EPSS).

resultsThe intervention group had significantly higher scores in student satisfaction (median difference=-0,200, 95%CI=[-0.400,0.0], P = 0.040) and active learning (mean difference=-0.130, 95%CI=[-0.222, -0.374], P = 0.006). The SDS sections of “objective/ information” (median difference=-0.200, 95%CI=[-0.400,-0.200], P < 0.001). and “guided reflection/ feedback” resulted in higher scores for the intervention group (median difference=-0.250, 95%CI=[-0.500,-0.250], P < 0.001) which contributed to a greater total SDS score (mean difference=-0.163, 95%CI=[-0.242,-0.084], P < 0.001). Self-confidence and other dimensions of the SDS and EPSS did not demonstrate any significant differences.

conclusionsSimulation training based on INACSL standards enhances students’ satisfaction and active learning through clear goals and structured feedback. Future studies should extend the intervention duration and integrate teaching methods to improve students’ self-confidence and professional skills.

Indexed as

Clinical CompetenceMidwiferySimulation TrainingStudents, NursingChinaFemaleHumansPersonal SatisfactionProblem-Based LearningHealthcare simulation standards of best practiceMidwifery studentsQuasi-experimental studySimulation-based training

Identifiers

PMID41888749
PMCPMC13130615

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.