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Simulation Training Needs and Challenges for Nurse Educators in the Caribbean: Strengthening Clinical Teaching in
Deborah Lee1, Melissa A Bathish, Jessica Marsack
1About the Authors The authors are faculty affiliated with the University of Michigan School of Nursing, Ann Arbor, Michigan, a Pan American Health Organization/World Health Organization (PAHO/WHO) Collaborating Centre. Deborah Lee, PhD, RN, FNP, ACNP-BC, CHSE, is a clinical assistant professor. Melissa A. Bathish, PhD, RN, CPNP-PC, is a clinical associate professor. Jessica Marsack, PhD, RN, CMSRN, is a clinical assistant professor. Megan Eagle, PhD, RN, MPH, FNP-BC, is a clinical assistant professor. Linnea Brunvand, BSN, RN, is a registered nurse. Jody R. Lori, PhD, CNM, FACNM, FAAN, is a tenured professor. This article is not a publication of PAHO/WHO. The authors are responsible for the views expressed in this publication, which do not necessarily represent the decisions or policies of PAHO/WHO.
Abstract:
Global disparities in the use of simulation-based nursing education highlight gaps in low-resource settings, such as the Caribbean. This study explored the needs and challenges of nurse educators across 13 Caribbean countries, focusing on their use of simulation and its postpandemic impact. While 62% of respondents used simulation, only 42.5% had standardized protocols; many respondents lacked confidence in scenario development and facilitation. Despite resource limitations, participants expressed strong interest in expanding simulation for clinical decision-making and team communication. Findings emphasize the importance of collaborative training initiatives and resource-appropriate strategies to strengthen nursing education and improve patient outcomes regionally.
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