Simulation-Based Subcutaneous Injection Training in Midwifery Students

This randomized controlled study evaluates three simulation‐based approaches to teachingsubcutaneous injection skills to first‐year midwifery students. All students will receivethe same theoretical instruction and laboratory‐based teaching on subcutaneous heparininjection. During the laboratory session, students will practice the standardized stepsof the procedure using the Subcutaneous Heparin Injection Practice Guide. One week later,participants will repeat the procedure according to their randomly assigned trainingapproach.The three approaches differ in the level of physical realism and personal involvementduring practice. Students will perform the procedure either on the abdominal area of apatient‐care mannequin, on an injection training pad placed on a peer's abdomen, or on aninjection training pad placed on their own abdomen. For safety, the simulation will usean insulin syringe containing saline instead of a prefilled heparin syringe. The study isdesigned to determine whether these different practice contexts provide differenteducational experiences during subcutaneous injection training and to inform futureclinical skills teaching strategies in midwifery education.