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Virtual simulator prototype for teaching natural childbirth care: a validation study.

Daianny Cristina de Almeida Silva¹, Saiwori de Jesus Silva Bezerra Dos Anjos², Keila Maria Carvalho Martins³

¹Academic Master's Course of the Postgraduate Program Clinical Care in Nursing and Health, State University of Ceará, Fortaleza, Brazil.

|May 14, 2026

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This summary is machine-generated.

This study validated a virtual reality childbirth simulation prototype, finding high agreement in content and appearance. This tool is suitable for obstetric nursing training and supports clinical decision-making.

Area of Science:

Medical Education
Nursing Simulation
Virtual Reality in Healthcare

Background:

Obstetric care requires advanced clinical reasoning and skills, yet training gaps persist.
Virtual clinical simulation offers a safe, realistic environment for developing essential obstetric skills.
This study addresses the need for effective training by validating a virtual simulation prototype for natural childbirth care.

Purpose of the Study:

To validate a virtual simulation prototype for teaching natural childbirth care.
To assess the content and appearance of a virtual simulation storyboard for obstetric nursing.
To establish a foundation for the 'Birth Now' virtual simulator.

Main Methods:

A methodological study involving storyboard construction with two clinical scenarios (normal labor, postpartum hemorrhage).

Keywords:

Childbirth Labor Nursing assistance Obstetric nursing Simulation Teaching Technology

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Content validation by 26 experts using the Suitability Assessment of Materials (SAM) and Agreement Index (AI).

Appearance validation by 16 obstetric nursing residents using the Instrument for Validation of the Appearance of Educational Technologies in Health (IVAETH).

Main Results:

The virtual simulation storyboard demonstrated adequacy for educational purposes, receiving positive validation from experts.
Content validation showed an agreement index greater than 0.90 across six domains, including content, language, graphics, layout, learning, and cultural adaptation.
Appearance validation by residents yielded an average agreement index greater than 0.80.

Conclusions:

The validated virtual reality simulation storyboard is adequate as an educational tool for obstetric nursing training.
High agreement in content and appearance validation supports its use in developing clinical decision-making skills.
The validated structure serves as a foundation for the future 'Birth Now' virtual simulator.