The Effect of Simulation-Based Training on the a Care Bundle to VIP

The intervention is a simulation-based educational program on neonatal ventilator-associated pneumonia (VAP) prevention. Students will receive face-to-face theoretical education on VAP and the H-ER-O-S VAP prevention care bundle. A prebriefing session will introduce the simulation objectives, equipment, and scenario. Each student will individually perform a 15-minute simulation scenario after 5 minutes of preparation. Researchers will observe without providing assistance, and performance will be assessed using the H-ER-O-S Care Bundle Checklist. Performances will be video-recorded for debriefing. Immediately after the scenario, students will participate in a 20-30-minute structured debriefing session in groups of 5-6, including video review, reflection, and feedback.

Students' knowledge regarding ventilator-associated pneumonia (VAP) prevention in neonatal intensive care settings will be assessed using a 10-item multiple-choice knowledge test developed by the researchers based on the literature. Each correct answer will receive 10 point, and incorrect answers will receive 0 points. Total scores will range from 0 to 100, with higher scores indicating greater knowledge.

Students' self-efficacy will be assessed using the Turkish version of the 23-item Self-Efficacy-competence Scale. Total scores range from 23 to 115, with higher scores indicating greater perceived self-efficacy and competence.

Students' satisfaction with learning and self-confidence in learning will be assessed using the 12-item Turkish version of the Student Satisfaction and Self-Confidence in Learning Scale. The scale includes two subscales: satisfaction with current learning (5 items) and self-confidence in learning (7 items). Higher scores indicate greater satisfaction and self-confidence.

Students' performance in applying the H-ER-O-S ventilator-associated pneumonia prevention care bundle will be assessed during individual simulation scenarios using the H-ER-O-S Care Bundle Checklist. Performance will be evaluated by researchers through direct observation of students' actions during the simulation.