IRANIAN RED CRESCENT MEDICAL JOURNAL, cilt.26, sa.1, 2024 (SCI-Expanded)
Background and Objectives: Simulated patient applications are integral to healthcare training, providing realistic scenarios for skill enhancement. This study evaluated the impact of simulated patient application on anxiety levels and occupational health perceptions in paramedic training. Methods: This quasi-experimental study was conducted at a public university between June and December 2023, with 69 second-year paramedic students who had completed relevant courses. Data were collected at three points: before the training, immediately after, and six months later, using sociodemographic forms, the Generalized Anxiety Disorder Scale (GAD-7), and the Perceived Occupational Health and Safety Competence Scale (POHSCS). Paired t-tests and Pearson correlation analyses were used for statistical analysis, with significance set at p<0.05. Results: The mean pre-test GAD-7 score was 8.69 f 4.88, increasing to 9.05 f 5.09 post-test, and decreasing to 8.34 f 5.23 at follow-up. The mean OHSCPS score was 94.50 f 26.94 pre-test, 96.39 f 25.25 post-test, and 99.28 f 28.11 at follow-up. Strong correlations were found in OHSCPS pre-test to post-test (r=0.624, p<0.001), pre-test to follow-up (r=0.544, p<0.01), and post-test to follow-up (r=0.712, p<0.001). For GAD-7, correlations included pre-test to post-test (r=0.776, p<0.001), pre-test to follow-up (r=0.606, p<0.01), and post-test to follow-up (r=0.527, p<0.05). Conclusion: This study indicates the potential of simulation-based training to reduce anxiety and enhance occupational health perceptions among paramedic students. Future research with larger sample sizes is needed to provide stronger evidence.