“…The insignificant difference in increasing knowledge between the intervention group and the control group was different from other studies. Research conducted by Ozekcin, Tuite, Willner, and Hravnak (2015) showed that giving a tutorial before simulation is expected to increase respondents' knowledge, as cognitive processes precede decisions to act, whereas simulation programs are widely used to teach psychomotor skills and hone clinical decision-making abilities (Gantt, 2010;Ogilvie, Cragg, & Foulds, 2011). It is in line with Law (2014), which states that the simulation model has a significant impact on clinical performance.…”