Abstract: Objective To evaluate the effectiveness of the reflective practice theory based debriefing in high-fidelity simulation in the midwifery continuing education program.Methods A midwifery simulation training program was constructed and conducted with the simulation training structure, combined with the core capability requirement for midwifery nurses. 69 trainees and 12 instructors enrolled in the midwifery continuing education program from December 2016 to March 2017, were selected as studyObjectives to investigate the training experiences. The Debriefing Assessment for Simulation in Healthcare (DASH) was used to evaluate the effect of debriefing from trainees and instructors after the simulation training.Results In the instructors’ view, debriefing was the most difficult part of the process of simulation. The average DASH-scores evaluated by the trainees were above 6.8; The average DASH-scores evaluated by the instructors were lower than trainees, and the score of “Provokes engaging discussions” was the lowest.Conclusions The debriefing based on the reflective practice theory can make positive effect in midwifery simulation training.

Key words: Debriefing, High-fidelity simulation, Reflective practice theory, Midwifery continuing education program