{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:01:00Z","timestamp":1790060460463,"version":"4.0.1"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Combining simulation\u2010based training with structured feedback enhances skill acquisition and professional competence. Simulation\u2010based education is essential for preparing nurses and midwives to manage obstetric haemorrhage and other critical emergencies requiring rapid clinical decision\u2010making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study was conducted to determine the effect of personalised feedback in simulation on knowledge and skills related to the management of bleeding during pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>This randomized clinical trial. All students received theoretical training on bleeding management. Simulation sessions used a high\u2010fidelity simulator and standardised protocols. Outcomes were measured using the Student Satisfaction and Self\u2010Confidence in Learning Scale and the Simulation Design Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total 58 students participated, (\n                      <jats:italic>n<\/jats:italic>\n                      = 29 in intervention,\n                      <jats:italic>n<\/jats:italic>\n                      = 29 in control group. Post\u2010intervention theoretical knowledge scores were higher in the intervention group than in the control group (75.6\u2009\u00b1\u20097.6 vs. 71.7\u2009\u00b1\u200911.1); however, the difference was not statistically significant\u00a0(\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20091.588,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.118). Satisfaction and self\u2010confidence scores were significantly greater in the intervention group (44.8\u2009\u00b1\u20093.0 vs. 38.8\u2009\u00b1\u20099.0,\n                      <jats:italic>U<\/jats:italic>\n                      \u2009=\u2009245.0,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006). On the Simulation Design Scale, the intervention group scored significantly higher in Nursing Process (33.9\u2009\u00b1\u20096.5 vs. 29.9\u2009\u00b1\u20097.0,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03), Patient Safety (27.1\u2009\u00b1\u20096.0 vs. 24.5\u2009\u00b1\u20093.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01) and Reflective Behaviour (19.2\u2009\u00b1\u20095.1 vs. 16.1\u2009\u00b1\u20093.3,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Personalised feedback in simulation significantly improves knowledge, satisfaction and clinical performance. Integration with traditional teaching methods is recommended as a reinforcement strategy for bleeding management education during pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Personalised video\u2010assisted feedback in simulation\u2010based training improves midwifery students' knowledge, clinical skills and self\u2010confidence in managing bleeding during pregnancy. This approach supports reflective learning by helping students recognise and correct their own clinical errors. Integrating such feedback into education programmes can enhance clinical competence and preparedness for obstetric emergencies. Ultimately, this may contribute to safer maternal care and improved patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70603","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T23:46:21Z","timestamp":1788911181000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Personalised Feedback in Simulation on Knowledge and Skills in the Management of Bleeding During Pregnancy: A Parallel Randomized Controlled Trial"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4324-8079","authenticated-orcid":false,"given":"Mine","family":"G\u00f6kduman Kele\u015f","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Midwifery Department Kahramanmara\u015f S\u00fct\u00e7\u00fc \u0130mam University  Kahramanmara\u015f T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0504-2790","authenticated-orcid":false,"given":"Sema","family":"G\u00f6\u00e7mez","sequence":"additional","affiliation":[{"name":"Bucak School of Health, Department of Midwifery Burdur Mehmet Akif Ersoy University  Burdur\/Bucak T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13050549"},{"issue":"1","key":"e_1_2_13_3_1","first-page":"32","article-title":"Knowledge of Nurses Working in Maternity Units Before and After the Implementation of Structured Teaching Program on Obstetrical Emergencies in Selected Hospitals, Guntur District, Andhra Pradesh","volume":"5","author":"Dhanasiri G.","year":"2019","journal-title":"Manipal Journal of Nursing and Health Sciences"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2024.104064"},{"key":"e_1_2_13_5_1","unstructured":"ICM \u201cEssential Competencies for Midwifery Practice \u201d(2023) https:\/\/internationalmidwives.org\/resources\/essential\u2010competencies\u2010for\u2010midwifery\u2010practice\/."},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.38108\/ouhcd.1267497"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/educsci15010011"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2020.10.005"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41077\u2010024\u201000303\u20105"},{"key":"e_1_2_13_10_1","unstructured":"American Association of Critical\u2010Care Nurses \u201cPregnancy Complications Can Lead to ICU Admission \u201d AACN Newsroom(2018) accessed June 11 2026 https:\/\/www.aacn.org\/newsroom\/pregnancy\u2010complications\u2010can\u2010lead\u2010to\u2010icu\u2010admission."},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010025\u201008353\u2010x"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjom.2023.31.5.286"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lcsi.2023.100855"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010024\u201005974\u20102"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41390\u2010021\u201001653\u2010w"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2020.102808"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2023.11.005"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecns.2013.04.007"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.5116\/ijme.55a2.218b"},{"key":"e_1_2_13_20_1","volume-title":"Klinik Olgu E\u015fli\u011finde Do\u011fum Y\u00f6netimi","author":"Karaka\u00e7 H.","year":"2022"},{"key":"e_1_2_13_21_1","volume-title":"Emergency Obstetric Care Management Guide","author":"T.R. 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