Date of Award

Spring 3-24-2026

Document Type

Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Monica Ketchie, DNP, CNM, ANP, FACNM

Second Advisor

Sterling Roberts, DNP, RN, CHSE-A

Abstract

This quasi-experimental study developed and incorporated a physiologic labor support simulation into a maternal-family nursing course. Participants were undergraduate baccalaureate nursing (BSN) students at a single university during the Fall of 2025. All students enrolled in the course were required to complete the simulation for clinical hours. Participation in the study was voluntary; all students consented to participate (N = 60). Results included a statistically significant increase in knowledge gained using a pre-simulation module (Z = 4.9, p < .001), an increased perceived confidence level post-simulation (r = -.49, p < .01), and a high level of self efficacy to support a woman in physiologic labor (M = 33.2, SD = 3.9). Students expressed a high level of satisfaction with their learning experience (M = 24, SD = 1.6). These findings may translate into enhanced patient experiences and more appropriate care to women in physiologic labor. This project also introduced a cost-effective model for utilizing practicum students as standardized participants, enabling resource efficiency, leadership experience, and mentorship opportunities.

Available for download on Wednesday, April 14, 2027

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