Simulation-Based Learning Challenges of Nursing Education
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Abstract
Currently, nursing education institutions have embraced the teaching and learning methodologies that incorporate simulation-based learning. This approach empowers learners to engage in nursing practice that closely mirrors real-world clinical scenarios, thereby facilitating experiential learning. Following the scenario’s completion, a debriefing session enables learners to engage in reflective analysis of the events, including the rationale behind their decision to practice and their emotional responses during the scenario practice. This approach facilitates a visual recognition of the situation, providing a hands-on experience that promotes more enduring knowledge retention compared to passive listening to lectures, demonstrations, and the subsequent reverting of demonstrations further enhances this learning process. This approach is advantageous for nursing students as it enables them to acquire practical experience, fostering the development of proficient clinical decision-making skills. Furthermore, it enhances their critical thinking abilities and instills confidence in their capacity to provide effective nursing care to patients. Despite its merits, this teaching method necessitates the instructor to adhere to a series of steps, including selecting suitable simulators that correspond to the scenario and course objectives. Consequently, nursing educators and institutions face the challenge of achieving optimal effectiveness in their capacity to educate learners. Therefore, the purpose of this article is to disseminate information and knowledge regarding the application of simulation-based learning in nursing education and other relevant disciplines. The objective is to maximize the efficiency and effectiveness of learning experiences for students.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวารสารการพยาบาลและสุขภาพ สสอท. ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการวารสารไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใดๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวารสารการพยาบาลและสุขภาพ สสอท. ถือเป็นลิขสิทธิ์ของวารสารการพยาบาลและสุขภาพ สสอท. หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมด หรือส่วนหนึ่งส่วนใดไปเผยแพร่ หรือเพื่อกระทำการใดๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารการพยาบาลและสุขภาพ สสอท. ก่อนเท่านั้น
References
Diaz-Navarro, C., Armstrong, R., Charnetski, M., Freeman, K. J., Koh, S., Reedy, G., … Issenberg, B. (2024). Global consensus statement on simulation-based practice in healthcare. Advances in simulation, 9, 19. doi: 10.1186/s41077-024-00288-1
Felix, H. M., & Simon, L. V. (2022). Moulage in Medical Simulation. Retrieved August 1, 2025, from https://www.ncbi.nlm.nih.gov/books/NBK549886/
Ford, N. J., Gomes, L. M., Lowe, E., & Harder, N. (2024). Embracing discomfort and vulnerability: Cultivating brave learning spaces within simulation-based nursing education. International Journal of Healthcare Simulation. doi: 10.54531/fokp9401
Gaspar, A. D., & Banayat, A. C. (2024). Undergraduate student nurses' satisfaction, self-confidence, and perception of high-fidelity simulation-based learning on critically-ill patients. Acta medica Philippina, 58(12), 110 – 117. doi: 10.47895/amp.v58i12.10240
Giskeødegård, M. F., Berg, H., Tveten, A-K., & Solberg, M. (2024). How instructors think about technology in simulation-based training: A survey of three programs for professional education. Uniped, 47, 3 – 17. doi: 10.18261/uniped.47.1.2
Guerrero, J. G., Attallah, D. M., Gomma, N. H., & Ali, S. A. (2024). Improvements in practicing nurses' knowledge, skills, self-efficacy, confidence, and satisfaction after a simulated clinical experience of caring for a patient undergoing chemotherapy: A quasi-experimental study. BMC Nursing, 23(1), 66. doi: 10.1186/s12912-024-01727-0
INACSL Standards Committee, Charnetski, M., & Jarvill, M. (2021a). Healthcare simulation standards of best practiceTM operations. Clinical Simulation in Nursing, 58, 33 – 39. doi: 10.1016/j.ecns.2021.08.012
INACSL Standards Committee, Decker, S., Alinier, G., Crawford, S. B., Gordon, R. M., Jenkins, D., & Wilson, C. (2021b). Healthcare simulation standards of best practiceTM the debriefing process. Clinical Simulation in Nursing, 58, 27 – 32. doi: 10.1016/j.ecns.2021.08.011
INACSL Standards Committee, DiGregorio, H., Todd, A., Blackwell, B., Brennan, B. A., Repsha, C., … Yeager, C. (2025). Healthcare simulation standards of best practiceⓇ facilitation. Clinical Simulation in Nursing, 105, 101776.
INACSL Standards Committee, Watts, P.I., McDermott, D.S., Alinier, G., Charnetski, M., Ludlow, J., … Nawathe, P. A. (2021c). Healthcare simulation standards of best practiceTM simulation design. Clinical Simulation in Nursing, 58, 14 – 21. doi: 10.1016/j.ecns.2021.08.009
Jeffries, P. R. (2005). A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing education perspectives, 26(2), 96 – 103.
Kolb, A. Y., & Kolb, D. A. (2005). Learning styles and learning spaces: Enhancing experiential learning in higher education. Academy of Management Learning & Education, 4(2), 193 – 212.
Koukourikos, K., Tsaloglidou, A., Kourkouta, L., Papathanasiou, I. V., Iliadis, C., Fratzana, A., & Panagiotou, A. (2021). Simulation in clinical nursing education. Acta informatica medica, 29(1), 15–20. doi: 10.5455/aim.2021.29.15-20
Mishra, R., Hemlata, & Trivedi, D. (2023). Simulation-based learning in nursing curriculum- time to prepare quality nurses: A systematic review and meta-analysis. Heliyon, 9, e16014. doi: 10.1016/j.heliyon.2023.e16014
Nair, M. A., Muthu, P., & Abuijlan, I. A. M. (2024). The effectiveness of high-fidelity simulation on clinical competence among nursing students. SAGE Open Nursing, 10, 1 – 9. doi: 10.1177/23779608241249357
Santomauro, C. M., Hill, A., McCurdie, T., & McGlashan, H. L. (2020). Improving the quality of evaluation data in simulation-based healthcare improvement projects: A practitioner's guide to choosing and using published measurement tools. Journal of the Society for Simulation in Healthcare, 15(5), 341– 355. doi: 10.1097/SIH.0000000000000442
Saragih, I. D., Tarihoran, D. E. T. A. U., Lin, W. T., & Lee, B-O. (2024). Outcomes of scenario-based simulation courses in nursing education: A systematic review and meta-analysis. Nurse Education Today, 136, 106145. doi: 10.1016/j.nedt.2024.106145
Singh-Pillay, A. (2024). Exploring science and technology teachers’ experiences with integrating simulation-based learning. Education Sciences, 14, 803. doi: 10.3390/educsci14080803
Sivagami, G., Vijayalakshmi, & Victor. (2025). Current practices and challenges in simulation-based learning: Nurse educators’ perspective. International Journal of Multidisciplinary, 10(1), 117 – 124. doi: 10.31305/rrijm.2025.v10.n1.014
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