{"title":"Simulation in healthcare: Navigating the space between quality improvement and research","authors":"Anders L. Schram MPH","doi":"10.1016/j.ecns.2025.101824","DOIUrl":null,"url":null,"abstract":"<div><div>Simulation-based initiatives are increasingly integrated into healthcare settings, often responding to local concerns while also producing insights that contribute to wider scholarly and professional debates. In this context, the distinction between quality improvement and research is often blurred, and many projects incorporate elements of both. This paper argues that instead of treating quality improvement and research as fixed categories, it is more productive to reflect on how simulation initiatives are positioned in relation to their intended contributions to practice and knowledge. Drawing on insights from implementation science, I outline recurring challenges that arise when this reflection is absent, including difficulties with ethics, contextual transparency, and accessibility of findings. To support a more deliberate approach, the paper introduces a reflective illustration that helps situate simulation work without reducing it to predefined labels, thereby enhancing both its local value and its broader relevance.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101824"},"PeriodicalIF":2.5000,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Simulation in Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1876139925001409","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Simulation-based initiatives are increasingly integrated into healthcare settings, often responding to local concerns while also producing insights that contribute to wider scholarly and professional debates. In this context, the distinction between quality improvement and research is often blurred, and many projects incorporate elements of both. This paper argues that instead of treating quality improvement and research as fixed categories, it is more productive to reflect on how simulation initiatives are positioned in relation to their intended contributions to practice and knowledge. Drawing on insights from implementation science, I outline recurring challenges that arise when this reflection is absent, including difficulties with ethics, contextual transparency, and accessibility of findings. To support a more deliberate approach, the paper introduces a reflective illustration that helps situate simulation work without reducing it to predefined labels, thereby enhancing both its local value and its broader relevance.
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.