LEVEL OF SATISFACTION WITH SIMULATION BASED LEARNING AND ASSOCIATED FACTORS AMONG PUBLIC TVET HEALTH SCIENCE COLLEGE STUDENTS IN TIGRAI REGION, ETHIOPIA, 2025

Abstract

Background: Simulation-based learning (demonstration) is one technique of teaching and learning that replaces real-life experiences. Though World Health Organization recommends simulation as a priority learning strategy, it is underutilized and ineffectively offered mainly in low and middle-income countries like Ethiopia. Ultimately this leads to lack of qualified medical personnel, students' poor competency level and poor quality of care. Objective: To assess the level of satisfaction with simulation-based learning and associated factors among students in public TVET health science colleges in Tigray region, Ethiopia 2025. Methodology: An institution-based cross-sectional study was conducted among 400 level three students from public TVET. Data was collected using pretested self-administer questionnaire with systematic sampling method. Binary logistic regression was used to determine factors associated with Level of satisfaction, and strength of association between a set of independent variables and the outcome variable was interpreted using OR with 95% CI. Result: In the analysis 400 students were included. Overall level of Satisfaction from demonstration was 56.5%.Female students were 4.64 times more likely to satisfy with demonstration with AOR= 4.64(95% C.I:2.613, 8.248). Students without interest in their department were 85% less likely to satisfy with AOR =0.15 (95% C.I: 0.086, 0.261). Lack of material availability in the demonstration, students satisfaction was 58% less likely with AOR =0.42 (95% C.I: 0.239, 0.721).Lack of instructor availability in the demonstration student’s satisfaction was 84% less likely with AOR =0.16 (95% C.I: 0.088, 0.286). Lack of lab technician assistance during demonstration was 51% less likely to satisfy with OR=0.49 (95% C.I: 0.278, 0.879).Student having no adequate skill practicing program semester were 51% less likely to satisfy from demonstration with AOR =0.49 (95% C.I: 0.274, 0.857).Students taking demonstration without checklist were 57% less likely to satisfy with AOR=0.43(95% C.I: 0.233, 0.811). Conclusion and Recommendations: Overall student satisfaction from demonstration was low. Students’ satisfaction from demonstration was low due to instructed un availability, lack of student’s interest, lack of lab technician, shortage of necessary materials and checklist. Female student had high satisfaction. Level of satisfaction should improve by providing necessary materials, hiring skill full and competent instructor, lab technician, providing checklist