IRCT2016091528744N1 IRCT 2017-01-09 Mashhad University of Medical Sciences The effect of training on cognitive skill, performance and self-efficacy midwives in the management of pre-eclampsia and eclampsia Comparison of simulation based training and blended on cognitive skill, performance and self-efficacy midwives in the management of pre-eclampsia and eclampsia 2016-10-27 anticipated 90 Complete https://irct.ir/trial/23234 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A preeclampsia and eclampsia. Intervention 1: In the control group are offered lectures with PowerPoint training for 6 hours(14-8) by the supervisor, specialized consultant and researcher. Intervention 2: In simulation-based training, simulations will be done based on the Jeffries’ framework(pre lectures, simulations, observation, feedback) which means the summary of the educational content will be explained And then the management of preeclampsia and eclampsia runs in conditions simulated by standardized patient and Mannequins in groups of 5 people (three observers and two simulations) with the presence research unit, Supervisors and Specialized Counselors and then the simulated are carried out feedback and necessary reforms. Intervention 3: In the group receiver blended education, Initially training for lectures with PowerPoint are offered by the supervisor, specialized consultant and researcher, Then are given training on how to use and work with site and Finally, samples will be given a password and user name. Web-based educational content, including image, text and video. Midwives will have access to training website for a week (at least 120 minutes a week).