Aim: This study aims to evaluate the effects of simulation-based obstetrics training on students' professional development and examine students' anxiety and technology readiness. Material and Methods: The study was quasi-experimental and performed with 3rd -year students in Midwifery Department (n=60) between September 2018 and January 2019. Students attended a 14-week simulation-based delivery training. In the pre-and post-training periods, the data were collected by the State-Trait Anxiety Inventory (STAI) and the Tendency Scale for the Use of Technology. Results: Students reported that simulation-based delivery training improved their "professional skills" (95%) and "professional internalization" (93.4%). They stated that there was a positive effect on "anxiety in the working environment" (93.3%) in post-training. Since no significant differences were observed in scores of the Tendency Scale for the Use of Technology and STAI in pre-and post-training periods (p>0.05), it was thought that they were not potential barrier factors in the training. Conclusion: The ensuring of professional development was achieved by using simulation-based training in the study. However, technology readiness and anxiety levels were stable in pre-and post-training periods.

The study aimed to evaluate the mediating roles of patient experiences on patient loyalty. The data were collected through an electronic questionnaire regarding feedback from 5732 patients received outpatient clinics. Patient loyalty was evaluated using the Net Promoter Score (NPS11) that patients were asked whether they would like to recommend the hospital to their relatives or friends. Patient experiences with physicians, nurses, and waiting times were also asked in the questionnaire. After preliminary analysis, mediation analyses were performed to evaluate direct and indirect causal effects among variables for NPS11. While patient experiences are used as possible mediators, Branch Groups in the first and Admission Time in the second model are independent variables. In the analyses, Surgical Medical Science ( p = 0.019) and Day Shift ( p = 0.000) have a direct mediating effect on NPS11. Nursing care experiences were found to be a mediator variable for NPS11 in both models ( p = 0.000 for both). Patient loyalty was associated with Surgical Medical Science and Day Shift primarily whereas Nursing care experience had a mediating role.