High-fidelity simulation and nurse clinical competence-An integrative review

Area of Science:

• Nursing Education
• Simulation-Based Learning
• Patient Safety

Background:

• Lack of standardized high-fidelity simulation practices in acute care.
• Limited research on optimal simulation delivery and impact on clinical competence.

Approach:

• Integrative review utilizing the Johns Hopkins Nursing Evidence-Based Practice Model.
• Systematic search of PubMed, CINAHL, and Embase databases (through September 2020).
• PRISMA checklist evaluation for study quality.

Key Points:

• Three core concepts emerged: simulation delivery modes, learner engagement strategies, and outcome assessment methods.
• Identified variations in simulation course design and implementation globally.
• Highlighted the need for context-specific standardization.

Conclusions:

• High-fidelity simulation improves nurses' early detection and management of clinical deterioration.
• Standardized, regionally tailored simulation approaches are recommended.
• Findings inform nursing education, particularly for training redeployed nurses during the COVID-19 pandemic.