highly significantP values = 0.001
RESULTS: Students’ skills regarding nasogastric tube insertion, urinary catheterization, and intramuscular injection revealed highly significant differences between the study groups associated with “Greenhouse-Geisser” correction at P values = 0.001, 0.001, and 0.001; and large size effect by Partial Eta Squared (0.887, 0.902, and 0.582), respectively, of simulation strategy, and at P values = 0.001, 0.001, and 0.001; and large size effect by Partial Eta Squared (0.813, 0.936, and 0.883), respectively, of blended strategy, and at P values = 0.001, 0.001, and 0.001; and large size effect by Partial Eta Squared (0.871, 0.739, and 0.667), respectively, of self-directed strategy.