A virtual simulation-based in-service training program on maternal position for midwives: A randomized controlled trial

Abstract Background Restricting parturient women in healthcare facilities from choosing positions that provide the greatest comfort and benefit during labor is a global barrier. Several complex factors, including caregiver preference and medical intervention, shape the limitation. Therefore, a practical need exists to train midwives on the knowledge and skills to change this condition. Methods The study used a randomized controlled trial with a pretest-posttest design. A convenience sample of 41 midwives in a birth suite was selected and enrolled in a one-month simulation-based hybrid training or face-to-face teaching. The four-level Kirkpatrick’s model was used to evaluate training program effects. Results The virtual simulation-based participants reported training satisfaction, knowledge attainment, and behavior change, as well as improved maternal outcomes in lowering the rate of the perineal incision. Moreover, knowledge performance was associated with the duration of e-learning ( r = 0.664, p = 0.001). Conclusions Virtual simulation is a fascinating innovation that enables midwives to develop maternal positions without practicing on real pregnant women and is one solution to achieve work competency within a shortened training period.