The Effect of Simulation Training on Nursing Students' Perception, Myths and Attitudes of Dating Violence

The Effect of Simulation Training on Nursing Students' Perception, Myths and Attitudes of Dating Violence: A Randomized Controlled Study

Violence is a major global public health problem, causing approximately 1.5 million deaths each year. Dating violence, a common form of violence among young people, has serious consequences for women's and youths' physical and mental health, including mortality, chronic diseases, mental disorders, risky health behaviors, and substantial economic burden. As future healthcare providers, nursing students' myths, attitudes, and perceptions regarding dating violence can directly influence the quality and sensitivity of the care they deliver to survivors. Current literature mainly consists of descriptive studies focusing on nursing students' perceptions or attitudes toward dating violence, while experimental and structured educational interventions are limited.

This study aims to develop and evaluate an educational program supported by high-fidelity simulation and flipped learning to increase nursing students' awareness levels regarding dating violence, as well as to address their myths, attitudes, and perceptions. In the flipped learning component, students will review digital educational materials before class and actively participate in in-class activities; in the simulation component, students will engage in realistic scenarios involving dating violence cases to enhance their clinical readiness and care competencies. The study is designed to contribute to the prevention of dating violence by strengthening nursing students' knowledge, awareness, and professional responsibility in this field.

Study Overview

• Status: Enrolling by invitation
• Conditions: Nursing Students; Intimate Partner Violence (IPV)
• Intervention / Treatment: Behavioral: High-Fidelity Simulation-Based Education; Behavioral: Flipped Classroom-Based Education

• Study Type: Interventional
• Enrollment (Estimated): 90
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Merkez
    • Bartın, Merkez, Turkey (Türkiye), 74110
      • Bartın University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• To reside in the city center of Bartın
• To be a nursing student at Bartın University, Faculty of Health Sciences
• To have good Turkish communication skills
• To be 18 years of age or older
• To plan to live in Bartın for at least 6 months
• To be willing to participate in the study

Exclusion Criteria:

• To be enrolled at Bartın University as an exchange student during the active study period
• To have previously received simulation-based training on dating violence
• To participate in any other training program related to dating violence outside the study intervention
• To fail to respond to three or more contact attempts for the administration of post-training tests

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: High-Fidelity Simulation-Based Education	Behavioral: High-Fidelity Simulation-Based Education; Nursing students in this group will receive an educational program on dating violence using high-fidelity simulation. Students will participate in realistic clinical scenario involving women exposed to dating violence, followed by debriefing and feedback sessions. The intervention is designed to improve students' recognition, assessment, and reporting of dating violence cases.
Experimental: Flipped Classroom-Based Education	Behavioral: Flipped Classroom-Based Education; A flipped classroom educational program on dating violence. Students are provided with digital learning materials (videos, presentations, and readings) prior to class. During class sessions, students engage in discussions, case studies, and interactive activities focused on dating violence recognition, myths, and appropriate nursing care and reporting.
No Intervention: Control Grubu; A traditional lecture-based educational program on dating violence. The content is delivered through classroom lectures covering definitions, epidemiology, risk factors, myths, signs and symptoms, and reporting procedures related to dating violence. No simulation or flipped classroom components are included.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in dating violence perception score	The Dating Violence Perceptions Scale will be used. The scale is a six-point Likert scale. Scale item scores are rated as follows: 1 = Strongly disagree, 2 = Disagree somewhat, 3 = Disagree slightly, 4 = Agree slightly, 5 = Agree somewhat, 6 = Strongly agree. The scale ranges from a minimum of 15 points to a maximum of 90 points. Higher scores on the scale indicate that the individual views dating violence as normal rather than abusive.	At this point, standardized scales will be used. Participants will be assessed with a pre-test before the training and a post-test after the training is completed. 2 mounth
Change in dating violence myths belief score	The Dating Violence Myths Scale will be used. The scale is a six-point Likert scale. Scale item scores are rated as follows: 1 = Strongly disagree, 2 = Disagree somewhat, 3 = Disagree a little, 4 = Agree a little, 5 = Agree somewhat, 6 = Strongly agree. The total score from the scale ranges from 9 to 54. A higher score on the scale indicates that the individual believes in dating violence myths.	At this point, a standardized scale will be used. Participants will be assessed with a pre-test before the training and a post-test after the training is completed. 2 mounth
Nursing Students' Perception and Understanding of Intimate Partner Violence Score	The Scale of Nursing Students' Perceptions and Understanding of Intimate Partner Violence will be used. The scale item scores are based on a 5-point Likert-type rating system ranging from 1 (Strongly Disagree) to 5 (Strongly Agree). The total score obtained from the scale ranges from 30 to 150. A higher score on the scale indicates a higher level of perception and understanding of intimate partner violence.	At this point, a standardized scale will be used. Participants will be assessed with a pre-test before the training and a post-test after the training is completed. 2 mounth

Collaborators and Investigators

• Sponsor: Abant Izzet Baysal University
• Investigators: Principal Investigator: Hilal Büyüktopaç Büyüktopaç Çakıcı, Bartın Unıversity

Publications and helpful links

General Publications

• https://pubmed.ncbi.nlm.nih.gov/31793913/
• https://pubmed.ncbi.nlm.nih.gov/40168749/
• https://pubmed.ncbi.nlm.nih.gov/34085280/
• https://pubmed.ncbi.nlm.nih.gov/39705442/
• https://pubmed.ncbi.nlm.nih.gov/35272822/
• https://pubmed.ncbi.nlm.nih.gov/26753306/
• https://pubmed.ncbi.nlm.nih.gov/40290871/
• https://pubmed.ncbi.nlm.nih.gov/35779525/

Study record dates

Study Major Dates

• Study Start (Actual): December 1, 2025
• Primary Completion (Estimated): February 2, 2026
• Study Completion (Estimated): March 2, 2026

Study Registration Dates

• First Submitted: December 10, 2025
• First Submitted That Met QC Criteria: December 10, 2025
• First Posted (Estimated): December 22, 2025

Study Record Updates

• Last Update Posted (Actual): December 29, 2025
• Last Update Submitted That Met QC Criteria: December 20, 2025
• Last Verified: December 1, 2025

More Information

Terms related to this study

• Keywords: Intimate Partner Violence (IPV), high-fidelity simulation, Nursing Students, Flipped classroom, Randomised controlled trial
• Other Study ID Numbers: AIBU-SBF-MTK-01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED
• IPD Plan Description: Within 1-3 years after publication of the main study results, provided that participants have given their consent for data sharing.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No