Bridging the Gap
The Effectiveness of Standardized Patient Simulation in Transforming Midwifery Students' Therapeutic Communication Skills
DOI:
https://doi.org/10.31004/anthor.v5i4.1040Keywords:
Standardized Patient Simulation, Therapeutic Communication, Midwifery, Pre-Post Test, Theory-Practice GapAbstract
The theory-practice gap in mastering therapeutic communication remains a major challenge in midwifery education. This study aims to analyze the effectiveness of Standardized Patient Simulation (SPS) learning methods in enhancing therapeutic communication skills, self-efficacy, and empathy among midwifery students. A quasi-experimental study with a one-group pretest-posttest design was conducted. The study subjects consisted of 48 third-semester midwifery students enrolled in the Communication in Midwifery Practice course. The intervention comprised interactive clinical scenarios utilizing trained standardized patients combined with structured debriefing sessions. Assessments were administered pre- and post-intervention using the Health Communication Assessment Tool (HCAT) observation checklist and the Self-Efficacy in Therapeutic Communication questionnaire. Data were comparatively analyzed using paired sample t-tests and Wilcoxon signed-rank tests. Results demonstrated a significant increase in the mean therapeutic communication score from (pre-test) to (post-test) with . The highest score gains were observed in active listening, non-verbal empathy expression, and managing patient anxiety/critical scenarios. SPS proved highly effective in transforming students' interpersonal competencies and bridging the theory-practice gap prior to clinical placement.
References
Afifah, H., Ibrahim, T., & Arifudin, O. (2024). Implementasi Technology Acceptance Model (TAM) pada penerimaan aplikasi sistem manajemen pendidikan. Jurnal Tahsinia, 5(9), 1353–1369.
Ahmadi, S., Rezaei, M., & Hassanstabar, F. (2023). The impact of standardized patient simulation on nursing students' clinical decision-making and communication skills. Journal of Nursing Education and Practice, 13(4), 18–26. https://doi.org/10.5430/jnep.v13n4p18
Akbar, D. N., Arfananda, M. G., & Saladin, S. (2025). Studi implementasi otonomi dan desentralisasi pemerintah dalam konvergensi kesehatan masyarakat. Jurnal Kolaboratif Sains, 8(1), 443–453.
Amallia, A. (2024). Digitalisasi dan inovasi pendidikan dalam peningkatan kualitas layanan kesehatan. Medical Journal of Nusantara, 3(3), 151–158.
Amin, M., Irawati, N., & Siagian, Y. (2024). Peningkatan efisiensi layanan kesehatan melalui penerapan sistem informasi terpadu. Jurnal Pengabdian Masyarakat MKC, 2(1), 84–92.
Bilqis, M., Larassati, M. D., & Fitri, W. F. (2023). Peran serta mahasiswa dalam perencanaan dan pemantauan program kesehatan. Jurnal Kesehatan Tambusai, 3(4), 112–120.
Chen, Y., Liu, X., & Wang, J. (2023). Therapeutic communication competency and its influencing factors among undergraduate midwifery students: A cross-sectional study. Nurse Education Today, 120, 105642. https://doi.org/10.1016/j.nedt.2022.105642
Fauziah, P., & Amini, H. (2025). Determinasi faktor pendukung dan penghambat transformasi digital lembaga pendidikan. JMPI: Jurnal Manajemen Pendidikan Islam, 1(1), 45–56.
Firdaus, R., Syeira, K., & Wijaya, N. (2025). Transformasi digital pembelajaran klinik menuju layanan kesehatan yang berpusat pada pasien. Economics and Digital Business Review, 6(2), 1045–1055.
García-Garcés, H., Sánchez-López, M., & Pérez-Rios, N. (2022). Standardized patients versus peer role-play in health communication training: A randomized controlled trial. Medical Education Online, 27(1), 2034512. https://doi.org/10.1080/10872981.2022.2034512
Hidayatuloh, C., Sedarmayanti, S., & Utoyo, W. (2025). Analisis efektivitas metode pembelajaran berbasis simulasi digital dalam era kesehatan modern. INNOVATIVE: Journal of Social Science Research, 5(4), 11285–11303.
Hikmawati, H., Rahmawati, A., & Lestari, P. (2024). The influence of the role-play method on the communication skills of midwifery students. Minsight Journal of Health Sciences, 3(1), 45–53. https://doi.org/10.33086/mindsight.v3i1.15481
Juwita, A. E. (2024). Transformasi pelayanan kesehatan primer berbasis peningkatan kompetensi SDM. Jurnal Administrasi Kesehatan Indonesia, 12(1), 67–78.
Khairuman, K., Nomira, S. R., & Nurdin, A. (2025). Relevansi edukasi komunikasi interaktif terhadap kualitas asuhan ibu dan anak. Public Health Journal, 2(1), 15–24.
Kim, E. J., & Park, S. Y. (2023). Effects of psychiatric simulation using standardized patients on therapeutic communication, self-efficacy, and clinical reasoning in nursing students. BMC Nursing, 22(1), 114. https://doi.org/10.1186/s12912-023-01280-9
Labrague, L. J., Santos, J. A., & Nwafor, C. E. (2022). Bridging the theory-practice gap in nursing education through clinical simulation: A systematic review. International Nursing Review, 69(3), 310–321. https://doi.org/10.1111/inr.12745
MacLean, S., Kelly, M., & Carroll, F. (2023). Best practice guidelines for designing standardized patient simulations in health professions education. Simulation in Healthcare, 18(2), 122–130. https://doi.org/10.1097/SIH.0000000000000690
Marlina, N. K., Arpin, A., & Kasim, A. K. (2025). Pemanfaatan alat bantu simulasi sebagai media deteksi dini dan pencegahan komplikasi kebidanan. Abdi Widya Nusantara, 1(2), 8–15.
May, I. P. A., & Fanida, E. H. (2023). Analisis efektivitas metode pengajaran interaktif dalam menunjang kompetensi publik. Publika, 11(3), 1553–1568.
Nasaru, J., Azam, M., & Yuniastuti, A. (2025). Efektivitas strategi promosi kesehatan pada tingkat pengetahuan dan partisipasi masyarakat. Prosiding Seminar Nasional Kesehatan, 358–374.
O’Connor, M., O’Brien, K., & McCarthy, A. (2023). Midwifery students’ experiences of learning therapeutic communication: A qualitative evidence synthesis. Midwifery, 118, 103590. https://doi.org/10.1016/j.midw.2023.103590
Orbawati, E. B., Mukti, A., & Ikhtiara, S. (2025). Policy to practice gap dalam program pendidikan kesehatan. Jurnal Pemerintahan dan Politik, 10(4), 797–810.
Qomaruddin, Q., & Sa’diyah, H. (2024). Kajian teoritis tentang teknik analisis data dalam penelitian pendidikan kualitatif dan kuantitatif. Journal of Management and Education, 1(2), 77–84.
Saputra, H. H., Asnawati, A., & Zulfiandry, R. (2026). Pengolahan sistem evaluasi berbasis digital pada instansi kesehatan. Jurnal Media Computer Science, 5(1), 341–350.
Sari, D. P., & Rahmawati, I. (2023). Evaluasi keterampilan komunikasi interpersonal mahasiswa kebidanan berbasis objective structured clinical examination (OSCE). Jurnal Kebidanan Indonesia, 14(2), 89–97. https://doi.org/10.36419/jki.v14i2.782
Serang, A. E., Bolang, A. S. L., & Lapian, S. L. (2025). Evaluasi kualitatif dan kuantitatif dalam simulasi pelatihan kesehatan. Jurnal Promotif Preventif, 8(6), 1807–1814.
Smith, R., Davis, L., & Miller, K. (2024). Standardized patient feedback as a catalyst for developing empathetic communication in maternity care. Journal of Midwifery & Women's Health, 69(1), 55–63. https://doi.org/10.1111/jmwh.13580
Wardani, A. K., Suryani, S., & Yuliani, D. (2024). Pengaruh metode simulasi kasus terhadap kemampuan komunikasi efektif calon bidan. Jurnal Edukasi Kesehatan Kebidanan, 12(1), 33–41. https://doi.org/10.31290/jebb.v12i1.1102
Waruwu, M. (2024). Metode penelitian dan pengembangan (R&D): Konsep, jenis, tahapan dan kelebihan. Jurnal Ilmiah Profesi Pendidikan, 9(2), 1220–1230.
Zhang, L., & Wang, Y. (2025). Transforming health communication learning: The role of debriefing in standardized patient simulation. Nurse Education in Practice, 74, 103850. https://doi.org/10.1016/j.nepr.2024.103850
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