High-Fidelity Simulation in Undergraduate Nursing Education: A Review of Simulation Reviews

Published on Jul 1, 2016in Clinical Simulation in Nursing1.713
· DOI :10.1016/J.ECNS.2016.01.009
Jessica Doolen9
Estimated H-index: 9
(UNLV: University of Nevada, Las Vegas),
Bette Mariani11
Estimated H-index: 11
(Villanova University)
+ 4 AuthorsChad L. Cross20
Estimated H-index: 20
(Nevada State College)
Abstract The purpose of this focused review was to provide an overview of existing high-fidelity simulation reviews in undergraduate nursing education. ​Over the last 10 years, there has been a substantial increase in the use of high-fidelity simulation in undergraduate nursing education. Six reviewers conducted a systematic literature search on existing reviews of high-fidelity simulation and undergraduate nursing education from January 1, 2009, through June 30, 2015. Using a comprehensive search of literature databases and hand searches, a total of 34 reviews were initially selected for full review with seven reviews included in the final analysis after rereview of the inclusion/exclusion criteria. Findings from simulation research and reviews revealed significant differences in design and assessment methods leading to a wide variety of measurement outcomes and a variety of limitations. Of the seven reviews, five were integrative reviews and two were reviews of the literature. No meta-analysis or systematic reviews met the inclusion criteria. The review suggests a need for methodologically sound research that translates simulation outcomes to future performance and practice. Findings from the review support the multitude of challenges in simulation research including a lack of funding, a lack of simulation training for faculty and staff, and a lack of support for faculty conducting simulation research. Limitations of prior studies include weak designs, mixed samples, and a lack of valid and reliable evaluation tools.
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