Simulation is potentially a means of increasing clinical education capacity. Significant investments have been made in simulation but the extent to which this has improved uptake, quality and diversity of simulation use is unclear.
To describe the current use of simulation in tertiary nursing education programs leading to nurse registration Australia and New Zealand, and determine whether investments in simulation have improved uptake, quality and diversity of simulation experiences.
A cross sectional electronic survey distributed to lead nursing academics in programs leading to nurse registration in Australia and New Zealand.
51.6% of institutions responded and reported wide variation in allocation of program hours to clinical and simulation learning. Simulation was embedded in curricula and positively valued as an adjunct or substitute for clinical placement. While simulation environments were adequate, staff time, training and resource development were barriers to increasing the quality, amount and range of simulation experiences. Quality assurance and robust evaluation were weak.
Simulation program hours are inconsistently reported and underutilized in terms of potential contribution to clinical learning. Benefits of capital investment in simulation physical resources have been realised, but barriers persist for increasing high quality simulation in nursing programs.
Transitioning components of clinical education from the clinical to tertiary sectors has resource implications. Establishment of sustainable, high quality simulation experiences requires staff training, shared resources, best practice and robust evaluation of simulation experiences in nursing curricula.
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- National safety and quality health service standards version 2, consultation draft.2015 ([Retrieved from Sydney])
- Final report − health workforce Australia.2015 ([Retrieved from Canberra, ACT])
- Registered nurse accreditation standards.2012 ([Canberra, Australia])
- Predictors for electronic survey completion in healthcare research.Computers Informatics Nursing. 2011; 29: 297-301
- Simulation can contribute a part of cardiorespiratory physiotherapy clinical education: two randomized trials.Simulation in Healthcare. 2013; 8: 32-42https://doi.org/10.1097/SIH.0b013e318273101a
- Simulated learning environments: midwifery curriculum. final report.2010 ([Retrieved from Adelaide. South Australia])
- Simulation based learning in Australian midwfery curricula: results of a national electronic survey.Women & Birth. 2012; 25: 86-97
- A trial of e-simulation of sudden patient deterioration (FIRST2ACT WEB) on student learning.Nurse Education Today. 2015; 35: e36-e42https://doi.org/10.1016/j.nedt.2015.08.003
- A meta-analysis of response rates in Web- or Internet-Based Surveys.Educationan and Psychological Measurement. 2000; 60
- Small, more efficient and effective government [Press release].2014 ([Retrieved from])http://www.financeminister.gov.au/media-release/2014/12/15/smaller-more-efficient-and-effective-government
- Training for shoulder dystocia: a trial of simulation using low-fidelity and high-fidelity mannequins.Obstetrics and Gynecology. 2006; 108: 1477-1485https://doi.org/10.1097/01. AOG.0000246801.45977. c8
- Standards of best practice: simulation standard VI: the debriefing process.Clinical Simulation in Nursing. 2013; 9: eS26-eS29
- Mail and internet surveys: the tailored design method.2nd ed. Wiley, New York2000
- Project Report: collaboration in clinical simulation: leading the way.Retrieved from Ako Aotearoa, National Centre for Tertiary Teaching Excellence, 2013https://akoaotearoa.ac.nz/download/ng/file/group-6261/collaboration-in-clinical-simulation-leading-the-way.pdf
- The role of debrieing in simulation.Simulation in Health Care. 2007; 2: 115-125
- Replace is not a four letter word.Clinical Simulation in Nursing. 2015; 11: 435-436
- The NCSBN National Simulation Study: a longitudinal, randomised, controlled study replacing clinical hours with simulation in prelicensure nursing education.Journal of Nursing Regulation. 2014; 5: S1-64
- Use of simulation in nursing education.Journal of Nursing Regulation. 2010; 1: 52-57
- Health quality & safety indicators.2016 ([Retrieved from])https://www.hqsc.govt.nz/our-programmes/health-quality-evaluation/projects/health-quality-and-safety-indicators/
- Health workforce Australia act.2009
- Health workforce Australia (Abolition) act.2014
- Effectiveness and cost-effectiveness of embedded simulation in occupational therapy clinical practice education: study protocol for a randomised controlled trial.Trials. 2017; 18: 345https://doi.org/10.1186/s13063-017-2087-0
- Standards of best practice simulation.Clinical Simulation in Nursing. 2013; 9: Sii-Siii
KRS Simulation, Mask-Ed TM Retrieved from https://www.cqu.edu.au/about-us/structure/schools/nm/simulation/mask-ed.
- Results of the national council of state boards of nursing national simulation survey: part II.Clinical Simulation in Nursing. 2012; 8: e117-e123
- Discussion re NCSBN study implementation.2014 ([19 November 2014])
- Enhancing students' learning through simulation: dealing with diverse large cohorts.Clinical Simulation in Nursing. 2016; 12: 171-176https://doi.org/10.1016/j.ecns.2016.01.010
- The FIRST(2)ACT simulation program improves nursing practice in a rural Australian hospital.Australian Journal of Rural Health. 2012; 20: 270-274https://doi.org/10.1111/j. 1440-1584.2012.01296.x
- Simulation in preparation or substitution for clinical placement: a systematic review of the literature.Journal of Nursing Education. 2015; 5: 132-140
- Healthcare simulation dictionary.2016 ([Retrieved from])
- Standards of best practice: simulation standard I: terminology.Clinical Simulation in Nursing. 2013; 9: S3-S11
- NHET-Sim training the healthcare simulation community.2016 ([Retrieved from])
- Simulation use in prelicensure nursing programs.2017 ([undated])
- SIRC glossary.2016 ([Retrieved from])
- Simulated patient methodology: theory, evidence and practice.1st ed. John Wiley & Sons Ltd., Chichester2015
- Education programme standards for the registered nurse scope of practice.2015
- Observer roles that optimise learning in healthcare simulation education: a systematic review.Advances in Simulation. 2016; 1 ([10 pages])
- Use of simulated learning environments in nursing curricula.2010 ([Retrieved from Health Workforce Australia])
- Thinking like a nurse: a research based model of clinical judgement in nursing.Journal of Nursing Education. 2006; 45: 204-211
- What shall we teach? The development of key clinical leanring outcomes for scenario based simulated clinical learning experiences in New Zealand undergraduate nursing programmes.2014 ([Retrieved from])
- The world health report 2006: working together for health.2006 ([Retrieved from Geneva, Switzerland])
- Global strategy on human resources for health: workforce 2030.2016 ([Retrieved from Geneva, Switzerland])
Published online: October 09, 2017
Accepted: September 22, 2017
Received in revised form: August 17, 2017
Received: November 28, 2016
© 2017 Australian College of Nursing Ltd. Published by Elsevier Ltd.