The Effect of Mandala Coloring on Perceived Stress, Critical Thinking Disposition, and Problem-Solving Skills in Simulation-Based Eclampsia Training: A Randomized Controlled Trial

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Mandala coloring significantly decreases perceived stress and improves problem-solving skills among midwifery students undergoing high-stress clinical simulation training. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.NEUTRAL.

Melek Hava Köprülü; Ayşenur DURMUŞ; Şahika Şimşek Çetinkaya; Canan Kaş; Nihal Aydın; Demet Güney; Shandan Gul

doi:10.25279/sak.1954467

August 31, 2026Sağlık Akademisi KastamonuOpen Access

The Effect of Mandala Coloring on Perceived Stress, Critical Thinking Disposition, and Problem-Solving Skills in Simulation-Based Eclampsia Training: A Randomized Controlled Trial

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Key Points

To evaluate the effect of mandala coloring on perceived stress, critical thinking disposition, and problem-solving skills among midwifery students participating in simulation-based eclampsia training.
Randomized controlled trial involving 72 midwifery students randomly assigned to an intervention group (mandala coloring plus simulation, n = 36) or a control group (simulation only, n = 36).
Outcomes were measured before and after the intervention using the Perceived Stress Scale (PSS), Problem-Solving Inventory (PSI), and the UF/EMI Critical Thinking Disposition Instrument.
The intervention group demonstrated a significant decrease in perceived stress and an improvement in problem-solving skills post-intervention (p < 0.05), with no significant pre-post changes observed in the control group.
Between-group comparisons revealed statistically significant differences favoring the mandala coloring group for both perceived stress reduction and problem-solving capability (p < 0.05), whereas critical thinking disposition showed no significant difference.

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Implication

Randomized trial finds mandala coloring reduces stress and improves problem-solving skills in midwifery students during simulation training, indicating its value for high-stress clinical education.

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Köprülü et al. (2026) studied this question.

synapsesocial.com/papers/6a97e2eac562ede874ec742c https://doi.org/10.25279/sak.1954467

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The Effect of Mandala Coloring on Perceived Stress, Critical Thinking Disposition, and Problem-Solving Skills in Simulation-Based Eclampsia Training: A Randomized Controlled Trial

Key Points

No abstract yet

Implication

Discussion

Cite This Study

The Effect of Mandala Coloring on Perceived Stress, Critical Thinking Disposition, and Problem-Solving Skills in Simulation-Based Eclampsia Training: A Randomized Controlled Trial

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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