Clinical simulation practice and associated factors among nurse and midwife educators working at teaching institutions in Bahir Dar, Ethiopia: a mixed methods study

Among respondents, 104 (49.1%) were government employees. Most of the respondents in this study were male (65.6%). Statistically significant associations simulation practice experience (AOR = 0.21; 95% CI: 0.07-64), training (AOR = 0.52; 95% CI: 0.27-0.98), educational qualification (AOR = 0.37; 95% CI: 0.15-0.93) and cost (AOR = 0.37; 95% CI: 0.18-0.74). The study showed that only 121 (57%) of the respondents' practices were classified as "good practice," while 91 (42.9%) were classified as "poor practice." Qualitative findings revealed that a lack of classroom space, inadequate training in the institution, and a consistent checklist hampered the implementation of clinical simulation practice. CONCLUSION AND RECOMMENDATION: We determined that a shortage of classroom space, inadequate resources, high costs, and an absence of ongoing training were the key obstacles to the successful implementation of clinical simulation practice. Responsible governmental bodies should give attention for clinical simulation education.