Clinical Simulation in Nursing最新文献

Design and implementation of a digital medication optimization simulation (SimMed) using healthcare simulation standards of best practiceTM (HSSOBPTM) 使用医疗保健模拟最佳实践标准（HSSOBPTM）设计和实现数字药物优化模拟（SimMed）

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-10-17 DOI: 10.1016/j.ecns.2025.101838

Sharad Rayamajhi MSc , Amani Al Bayrakdar PhD, MSc, BSc, FHEA, PgCert HE , Amanda Mclean MPhil DProf MFRPSII MRPharmS GPhC , Seonaid McIntyre MSc , David Russel HND , Ruth Paterson PhD, MPhil, FHEA, RN

{"title":"Design and implementation of a digital medication optimization simulation (SimMed) using healthcare simulation standards of best practiceTM (HSSOBPTM)","authors":"Sharad Rayamajhi MSc , Amani Al Bayrakdar PhD, MSc, BSc, FHEA, PgCert HE , Amanda Mclean MPhil DProf MFRPSII MRPharmS GPhC , Seonaid McIntyre MSc , David Russel HND , Ruth Paterson PhD, MPhil, FHEA, RN","doi":"10.1016/j.ecns.2025.101838","DOIUrl":"10.1016/j.ecns.2025.101838","url":null,"abstract":"<div><h3>Background</h3><div>Medicines optimization requires healthcare professionals to develop and maintain safe medicine management skills and work collaboratively. Early exposure to interprofessional learning is essential for nursing students to develop these competencies. In response, we developed <em>SimMed</em>, an interprofessional digital simulation focused on medication safety. While digital simulation is increasingly recognized as an effective educational approach, its design often lacks consistency and rigor. This paper presents the development and initial implementation of <em>SimMed</em> within a healthcare education setting.</div></div><div><h3>Method</h3><div>The Healthcare Simulation Standard of Best Practice<sup>TM</sup> (HSSOBP<sup>TM</sup>) and Agile methodology underpinned the development, implementation, and piloting of the SimMed simulation for preregistration nursing students.</div></div><div><h3>Result</h3><div>The simulation was successfully developed and delivered to 130 students. It was affordable, user-friendly, and interactive. Its flexible design facilitated achieving learning objectives and enhanced student learning. Key insights included the value of using a standard framework, iterative design, and integration of user feedback.</div></div><div><h3>Conclusion</h3><div>The application of HSSOBP<sup>TM</sup> and Agile principles supported the structured, iterative development and successful implementation of an effective and scalable simulation tool for medicines optimization education.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"109 ","pages":"Article 101838"},"PeriodicalIF":2.5,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145334790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dual-perspective and haptic feedback virtual reality simulation for labor care: A randomized controlled mixed-methods study 双视角和触觉反馈虚拟现实模拟用于分娩护理：一项随机对照混合方法研究

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-10-16 DOI: 10.1016/j.ecns.2025.101836

Pao-Ju Chen PhD , Wei-Kai Liou PhD

{"title":"Dual-perspective and haptic feedback virtual reality simulation for labor care: A randomized controlled mixed-methods study","authors":"Pao-Ju Chen PhD , Wei-Kai Liou PhD","doi":"10.1016/j.ecns.2025.101836","DOIUrl":"10.1016/j.ecns.2025.101836","url":null,"abstract":"<div><h3>Background</h3><div>Labor care requires complex decision-making and pain management skills, yet current virtual methods, such as spherical video-based virtual reality (SVVR), lack haptic feedback and interactivity.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of a virtual reality synchronous haptic feedback system (VR-SHFS) compared with SVVR in improving nursing students’ labor care skills, knowledge, and empathy.</div></div><div><h3>Methods</h3><div>Randomized controlled mixed-methods study with students in VR-SHFS (<em>n</em>=40) or SVVR (<em>n</em>=40). VR-SHFS incorporated haptic feedback and dual-perspective learning, whereas SVVR employed 360° panoramic videos. Outcomes were assessed at baseline (T0), immediately after the intervention (T1), and at two-month follow-up (T2).</div></div><div><h3>Results</h3><div>VR-SHFS significantly improved labor care skills (T1: <em>P</em> < .001; T2: <em>P</em> < .001) and empathy (T1: <em>P</em> = .014; T2: <em>P</em> = .003), and enhanced knowledge retention at T2 (<em>P</em> < .001), compared with SVVR. Students valued its realism and interactivity, although they noted a need for guidance and familiarization.</div></div><div><h3>Conclusions</h3><div>VR with haptic feedback and dual perspectives enhances labor care training more effectively than SVVR and shows promise for broader clinical education.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101836"},"PeriodicalIF":2.5,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145321427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fostering equity in nursing education and practice: Inclusive simulation for weight bias reduction 促进护理教育和实践的公平性：减少体重偏差的包容性模拟

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-10-16 DOI: 10.1016/j.ecns.2025.101840

Jessica E. Marsack PhD , Melissa A. Bathish PhD , Susan Wintermeyer-Pingel DNP

{"title":"Fostering equity in nursing education and practice: Inclusive simulation for weight bias reduction","authors":"Jessica E. Marsack PhD , Melissa A. Bathish PhD , Susan Wintermeyer-Pingel DNP","doi":"10.1016/j.ecns.2025.101840","DOIUrl":"10.1016/j.ecns.2025.101840","url":null,"abstract":"<div><h3>Background</h3><div>Weight bias impacts overweight/obese patients’ quality of care. Undergraduate nursing education lacks hands-on care of simulated patients with obesity. This project sought to address weight biases related to patients with obesity.</div></div><div><h3>Methods</h3><div>Sophomore students (N = 130) completed an educational intervention regarding care of overweight/obese patients using obesity suits during simulated patient care activities addressing weight bias. Pre- and immediate-post surveys assessed attitudes, beliefs, and cultural humility regarding overweight/obese persons.</div></div><div><h3>Results</h3><div>Paired t-tests showed significant prepost intervention improvement on the Attitudes Toward Obese Person scale. Preintervention Cultural Humility Scale scores were high and remained stable postintervention, as did scores for the Beliefs About Obese Persons scale. Regression analyses indicated the intervention was beneficial even when controlling for weight experiences.</div></div><div><h3>Conclusion</h3><div>This educational intervention improved undergraduate nursing students' attitudes toward patients with obesity, which could ultimately improve inclusive practice skills, reduce weight biases, and improve patient care.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101840"},"PeriodicalIF":2.5,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145321428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Virtual synchronous role-play simulation pilot: Lessons and insights 虚拟同步角色扮演模拟飞行员：经验教训和见解

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-10-16 DOI: 10.1016/j.ecns.2025.101839

Jayne Josephsen EdD

引用次数: 0

Enhancing maternal/child content with augmented reality during simulation-based education: A study with prelicensure nursing students 在基于模拟的教育中增强现实技术增强母婴内容：一项针对护理学预科学生的研究

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-10-16 DOI: 10.1016/j.ecns.2025.101831

D.A. Díaz PhD , M. Anderson PhD , F. Guido-Sanz PhD , S. Talbert PhD , A. Medina-Rodriguez BS , A. Marano MSN , M.M. Lino PhD

{"title":"Enhancing maternal/child content with augmented reality during simulation-based education: A study with prelicensure nursing students","authors":"D.A. Díaz PhD , M. Anderson PhD , F. Guido-Sanz PhD , S. Talbert PhD , A. Medina-Rodriguez BS , A. Marano MSN , M.M. Lino PhD","doi":"10.1016/j.ecns.2025.101831","DOIUrl":"10.1016/j.ecns.2025.101831","url":null,"abstract":"<div><h3>Background</h3><div>Obstetric (OB) education faces challenges due to limited clinical placements and observation-only opportunities. Simulation-based experiences (SBE) can help bridge these gaps, providing realistic scenarios to enhance nursing students' understanding. Although Augmented Reality (AR) holds promise in nursing education, limited research evaluates its impact on OB content.</div></div><div><h3>Aim</h3><div>To evaluate completion time, post-simulation knowledge, perceived effectiveness, and side effects.</div></div><div><h3>Methods</h3><div>A post-test-only descriptive design was used with 119 prelicensure nursing students in a maternal/child course. Participants completed AR simulation scenarios of normal delivery and postpartum hemorrhage. Data collection included a researcher developed Knowledge Test, the simulation effectiveness tool-modified (SET-M) effectiveness tool-modifieas used with 11reality sickness questionnaire (VRSQ), and open-ended questions.</div></div><div><h3>Results</h3><div>Most students (94%) found the AR simulation beneficial prior to clinicals. The average post-simulation knowledge score was 7.95/10. SET-M results indicated an effective learning experience. VRSQ scores revealed mild oculomotor symptoms. No data could be analyzed for completion time or open-ended responses.</div></div><div><h3>Conclusions</h3><div>AR-enhanced Simulation-based experiences (SBE) is a valuable tool in OB education and may help address knowledge gaps. Further research is needed to explore its broader educational impact.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101831"},"PeriodicalIF":2.5,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145321429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Code White: A branching spherical video learning experience for continuing competency mental health nursing education 白色代码：一个分支球形视频学习经验，为持续能力心理健康护理教育

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-10-14 DOI: 10.1016/j.ecns.2025.101834

Don M Leidl RN, BSN, MN, EdD , Manal Kleib RN, BSN, MN, PhD , Hua Li RN, BSN, MN, PhD , Jay Wilson BA, BEd, Med, EdD, MBA

{"title":"Code White: A branching spherical video learning experience for continuing competency mental health nursing education","authors":"Don M Leidl RN, BSN, MN, EdD , Manal Kleib RN, BSN, MN, PhD , Hua Li RN, BSN, MN, PhD , Jay Wilson BA, BEd, Med, EdD, MBA","doi":"10.1016/j.ecns.2025.101834","DOIUrl":"10.1016/j.ecns.2025.101834","url":null,"abstract":"<div><h3>Background</h3><div>Patient aggression toward mental health nurses is a critical issue, impacting clinician anxiety and patient care quality. Traditional training may not adequately prepare nurses for managing aggressive patients in clinical environments, or Code Whites. Branching spherical video learning offers an immersive training approach, allowing nurses to refine their skills in a safe and controlled environment.</div></div><div><h3>Methods</h3><div>A mixed-methods design included a quasi-experimental pre-/post-test study and qualitative interviews. Participants were mental health nurses from a Western Canadian acute care mental health and addictions department. Anxiety and confidence were measured using the NASC<img>CDM© and NCSE© scales before and after five training sessions. Qualitative data were gathered through individual interviews and analyzed using NVivo. SPSS was used for quantitative analysis.</div></div><div><h3>Results</h3><div>Twenty-two nurses participated, with significant improvements in confidence (12.3%) and self-efficacy (8.3%), alongside an 8.6% reduction in anxiety related to Code White clinical situations. Qualitative themes highlighted benefits such as realism of the scenario, skill reinforcement, and communication enhancement.</div></div><div><h3>Conclusion</h3><div>Branching spherical video learning effectively reduced anxiety and enhanced clinician confidence in high-risk psychiatric nursing scenarios. Addressing implementation challenges can maximize its educational potential.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101834"},"PeriodicalIF":2.5,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145321430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cost-effective task trainers for mastering drill handling in pediatric intraosseous procedure 具有成本效益的任务培训师掌握演练处理儿科骨内手术

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-10-04 DOI: 10.1016/j.ecns.2025.101829

Marta Mencarelli M.Sc , Marco De Luca MD , Lorenzo Torzini M.Sc , Luca Puggelli PhD , Francesco Severi M.Sc , Vincenzo Abagnale M.Sc , Yary Volpe PhD

{"title":"Cost-effective task trainers for mastering drill handling in pediatric intraosseous procedure","authors":"Marta Mencarelli M.Sc , Marco De Luca MD , Lorenzo Torzini M.Sc , Luca Puggelli PhD , Francesco Severi M.Sc , Vincenzo Abagnale M.Sc , Yary Volpe PhD","doi":"10.1016/j.ecns.2025.101829","DOIUrl":"10.1016/j.ecns.2025.101829","url":null,"abstract":"<div><h3>Background</h3><div>Intraosseous (IO) access is a life-saving procedure when intravenous access is impossible in pediatric emergencies. Proficiency in IO technique, particularly drill handling, patient positioning, and site identification, is essential to minimize complications and improve outcomes.</div></div><div><h3>Methods</h3><div>To address the high cost and limited accessibility of commercial simulators, low-cost task trainers were developed using 3D printing and silicone casting. These trainers focused on drill handling, allowing trainees to progressively acquire procedural skills.</div></div><div><h3>Results</h3><div>Initial validation was conducted with experts at Meyer Children’s Hospital during a European Pediatric Immediate Life Support (EPILS) course. Structured feedback indicated high satisfaction with tactile realism and educational value. Based on this feedback, a second prototype with a fluid simulation system was implemented to enhance realism further. Nursing professionals, often first responders in emergencies, particularly benefited from the improved version, reporting increased confidence and competence.</div></div><div><h3>Conclusion</h3><div>The cost-effective IO task trainers offer a scalable, realistic alternative to commercial models, expanding access to essential training. Their affordability and usability make them suitable for diverse healthcare settings, enhancing preparedness for pediatric emergencies.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101829"},"PeriodicalIF":2.5,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145269066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Generative artificial intelligence in healthcare simulation-based education: A scoping review 基于医疗保健模拟教育的生成式人工智能：范围综述

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-10-03 DOI: 10.1016/j.ecns.2025.101819

Nicholas Wee Siong Neo MSc, RN , Joko Gunawan PhD, RN , Tracy Levett-Jones MEd, PhD, RN , Eng Tat Khoo PhD , Wei Ling Chua PhD, RN , Sok Ying Liaw PhD, RN

{"title":"Generative artificial intelligence in healthcare simulation-based education: A scoping review","authors":"Nicholas Wee Siong Neo MSc, RN , Joko Gunawan PhD, RN , Tracy Levett-Jones MEd, PhD, RN , Eng Tat Khoo PhD , Wei Ling Chua PhD, RN , Sok Ying Liaw PhD, RN","doi":"10.1016/j.ecns.2025.101819","DOIUrl":"10.1016/j.ecns.2025.101819","url":null,"abstract":"<div><h3>Aims</h3><div>This review aimed to explore the current state of generative artificial intelligence (GenAI) use in simulation-based healthcare education through a comprehensive examination of GenAI types, applications and reported outcomes.</div></div><div><h3>Methods</h3><div>A scoping review was conducted utilizing the Joanna Briggs Institute’s methodological guidance. Six databases were searched from their inception until February 2025.</div></div><div><h3>Results</h3><div>We included 28 articles that were published between 2023 and 2025. Articles were mainly in the fields of medicine (<em>n</em> = 14) and nursing (<em>n</em> = 10). OpenAI’s GPT models were most frequently used to portray simulated characters and deliver automated feedback. GenAI-enhanced simulation was generally perceived as accurate, realistic and feasible, with some evidence supporting its use as a supplement to conventional simulation and to enhance learning outcomes. Perspectives, ethical considerations and recommendations for GenAI-enhanced simulation were also highlighted.</div></div><div><h3>Conclusion</h3><div>GenAI-enhanced simulation is gaining popularity and is likely to evolve alongside human-facilitated simulation. Future developments should focus on building AI expertise among simulation educators and harnessing the synergy between human intelligence and GenAI. Further rigorous research is needed to establish best practices.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101819"},"PeriodicalIF":2.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simulation in healthcare: Navigating the space between quality improvement and research 医疗保健中的模拟：导航质量改进和研究之间的空间

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-10-03 DOI: 10.1016/j.ecns.2025.101824

Anders L. Schram MPH

引用次数: 0

Development of a prompt template to support simulation design: Maximizing the potential of generative artificial intelligence 开发支持仿真设计的提示模板：最大化生成人工智能的潜力

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-10-03 DOI: 10.1016/j.ecns.2025.101822

Elizabeth Robison EdD, MSN, RN, CNE, CHSE-A , Theresa Cooney MSN, RN , Tammy Schwaab DNP, RN, CHSE , Sami Rahman MEd, MSN, RN

{"title":"Development of a prompt template to support simulation design: Maximizing the potential of generative artificial intelligence","authors":"Elizabeth Robison EdD, MSN, RN, CNE, CHSE-A , Theresa Cooney MSN, RN , Tammy Schwaab DNP, RN, CHSE , Sami Rahman MEd, MSN, RN","doi":"10.1016/j.ecns.2025.101822","DOIUrl":"10.1016/j.ecns.2025.101822","url":null,"abstract":"<div><h3>Background</h3><div>Generative AI tools like ChatGPT are rapidly changing academia and healthcare, particularly in nursing education through their ability to assist in creating clinical simulation scenarios. The key to effectively using these tools lies in prompt engineering, the careful crafting of inputs to guide AI outputs.</div></div><div><h3>Aim</h3><div>An initiative by nurse educators explored how prompt engineering, aligned with established simulation standards, could streamline scenario design.</div></div><div><h3>Findings</h3><div>The findings revealed variations in output quality and focus among different AI platforms (ChatGPT, CoPilot, Claude), highlighting the need for careful selection and human oversight to ensure accuracy and relevance in AI-generated simulation content.</div></div><div><h3>Conclusions</h3><div>This iterative process of prompt refinement holds significant promise for creating more engaging and effective learning experiences, but AI serves as a tool that augments, not replaces, the expertise of nursing simulationists.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101822"},"PeriodicalIF":2.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0