Effect of Simulation-Based Training on Nursing Students? Behavioral Competence in Postpartum Hemorrhage Management: A Blended Study with an Emphasis on Student Perceptions-Pilot Study

P. Uma

Abstract: Postpartum hemorrhage remains a major contributor to maternal morbidity and mortality, particularly in low- and middle-income settings, despite ongoing improvements in maternal health services. Strengthening the preparedness of nursing students is therefore essential, as they play a critical role in early recognition and timely management of obstetric emergencies. This study examined the effectiveness of simulation-based training on the behavioral competence of nursing students in managing postpartum hemorrhage, with specific attention to knowledge, practical skills, self-confidence, and decision making. A sequential explanatory mixed method design was adopted, combining a quasi-experimental pretest posttest approach with qualitative exploration of student perceptions. Thirty undergraduate nursing students from selected nursing colleges in Coimbatore, Tamil Nadu, participated in the study. Structured questionnaires, an objective structured clinical examination checklist, and open-ended interviews were used for data collection. Post intervention findings showed marked improvements across knowledge levels, practical skills, and efficacy scores, with statistically significant differences between pretest and posttest measures. Qualitative insights further highlighted improved confidence, clearer role understanding, and better integration of theoretical knowledge into clinical practice. Overall, the findings demonstrate that simulation-based training is an effective educational strategy for enhancing behavioral competence in postpartum hemorrhage management and supports its integration into undergraduate nursing curricula to improve maternal care outcomes.

Keywords: postpartum hemorrhage, simulation-based training, nursing education, behavioral competence, maternal health

How to Cite?: P. Uma, "Effect of Simulation-Based Training on Nursing Students? Behavioral Competence in Postpartum Hemorrhage Management: A Blended Study with an Emphasis on Student Perceptions-Pilot Study", Volume 15 Issue 1, January 2026, International Journal of Science and Research (IJSR), Pages: 1212-1216, https://www.ijsr.net/getabstract.php?paperid=SR26116200051, DOI: https://dx.doi.org/10.21275/SR26116200051