Mixed Reality Training for Teaching Cervical Effacement and Dilation

Students will participate in a mixed reality (MR)-based training program. The program is designed to teach cervical effacement and dilation assessment. During the training, students will interact with three-dimensional virtual cervical models. They will be able to practice repeatedly in a safe, error-free environment to enhance their clinical skills. After completing MR training, students will perform vaginal examinations on 10 virtual patient scenarios. The accuracy of each assessment will be automatically evaluated by the system. Following MR training, students will conduct vaginal examinations on five pregnant women under researcher supervision in a real clinical setting. The following scales will be administered to participants: Cognitive Load Scale Sense of Presence Scale Midwifery Professional Perception Scale These measures will be used to determine the cognitive and professional effects of MR-based learning.

Students in the control group will receive traditional theoretical instruction. The training content will cover the principles of cervical effacement and dilation assessment. After completing the theoretical training, students will complete the Cognitive Load Scale and the Midwifery Professional Perception Scale. Under researcher supervision, students will perform vaginal examinations on five pregnant women to assess cervical effacement and dilation. These evaluations will be used to examine the effects of traditional training on students' cognitive load, professional perception, and practical assessment skills.