Enhancing learning outcomes through AI-driven simulation in nursing education: A systematic review

IF 2.5 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-08-22 DOI:10.1016/j.ecns.2025.101797

Tuba Sengul RN, PhD, CWON, Seda Sarıköse RN, PhD

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引用次数: 0

Abstract

Background

Artificial intelligence (AI) is increasingly integrated into simulation-based nursing education to enhance scalability, personalisation, and interactivity. This review systematically examined the impact of AI-driven simulations on learning outcomes in nursing education.

Method

This systematic review adhered to PRISMA guidelines and included empirical studies published between 2015 and 2025. A comprehensive search was conducted across six databases, and study quality was appraised using RoB 2, ROBINS-I, JBI, and MMAT tools. Methodological heterogeneity precluded meta-analysis; findings were instead synthesised through deductive categorisation to ensure a structured and critical integration.

Results

Sixteen studies met the inclusion criteria. AI-driven simulations were associated with improved communication, clinical reasoning, knowledge acquisition, self-efficacy, and empathy. Most studies reported high levels of learner satisfaction and engagement. However, limitations included challenges in interpreting nuanced emotional cues, limited cultural adaptability of AI systems, and technological constraints affecting responsiveness.

Conclusions

AI-driven simulation supports the development of diverse learning outcomes in nursing education. Further research is needed to explore long-term effects and optimise implementation strategies.

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通过人工智能驱动的模拟在护理教育中提高学习成果：系统综述

人工智能（AI）越来越多地集成到基于模拟的护理教育中，以增强可扩展性、个性化和交互性。本综述系统地研究了人工智能驱动的模拟对护理教育学习成果的影响。方法本系统综述遵循PRISMA指南，纳入2015 - 2025年间发表的实证研究。在6个数据库中进行了全面的检索，并使用RoB 2、robis - i、JBI和MMAT工具对研究质量进行了评价。方法异质性排除了meta分析；相反，研究结果通过演绎分类来合成，以确保结构化和关键的整合。结果16项研究符合纳入标准。人工智能驱动的模拟与改善的沟通、临床推理、知识获取、自我效能和同理心有关。大多数研究报告了高水平的学习者满意度和参与度。然而，限制包括解释微妙的情感线索的挑战，人工智能系统有限的文化适应性，以及影响响应的技术限制。结论ai驱动模拟支持护理教育多元化学习成果的发展。需要进一步的研究来探索长期效果和优化实施策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.