Simulation-Based Learning in Nursing Education

Abstract

Simulation-based learning (SBL) has emerged as a transformative pedagogical approach in nursing education, enhancing clinical competence, critical thinking, decision-making, and patient safety. This review synthesizes current evidence on the application, effectiveness, and challenges of simulation-based learning in nursing programs worldwide. A comprehensive literature search was conducted in PubMed, Scopus, CINAHL, Web of Science, and Google Scholar for studies published between 2010 and 2024. Thirty-two studies met inclusion criteria, encompassing randomized controlled trials, quasi-experimental studies, qualitative research, and systematic reviews. Findings indicate that SBL improves clinical skills, knowledge retention, communication, and teamwork, while fostering confidence and reducing anxiety among nursing students. High-fidelity simulations, standardized patient scenarios, and virtual simulation technologies are among the most effective modalities. Barriers include high implementation costs, faculty training needs, limited access to resources, and curriculum integration challenges. Incorporating simulation into nursing curricula, alongside traditional clinical experiences, provides a safe, controlled, and effective learning environment for developing competent and confident nurses.