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Leading Change in Health Education: Assessing Organisational Readiness to Implement Simulation in Multidisciplinary
James Naismith1, Wendy Cross1, Kerry Hood1
1Institute of Health and Wellbeing, Federation University, Berwick, Victoria, Australia, federation.edu.au.
Journal of Nursing Management
|July 28, 2026
Summary
Organisational readiness for simulation-based education (SBE) is crucial for healthcare training. While staff value SBE, resource limitations present significant operational challenges, indicating a need for strategic planning and support.
Area of Science:
- Healthcare Education
- Simulation-Based Education
- Organisational Readiness
Background:
- Simulation-based education (SBE) is effective for healthcare training but faces challenges in integration and sustainability.
- Barriers include insufficient resources, limited faculty capacity, and lack of robust educational frameworks.
- Organisational readiness is a key determinant of SBE success, especially in complex settings.
Purpose of the Study:
- To evaluate an organisation's readiness for implementing SBE programs across various health disciplines.
- Utilized the Simulation Culture Organisational Readiness Survey (SCORS) for assessment.
Main Methods:
- Administered the SCORS tool, a 38-item Likert-scale survey assessing readiness for change, resources, and sustainable development.
- Conducted a cross-sectional survey using Qualtrics XM, collecting demographic data on participants' disciplines.
Main Results:
- 43 staff completed the survey; Nursing (46%) and Physiotherapy (14%) were most represented.
- Highest mean score was for 'Need and Support for Change' (3.04), indicating strong perceived value.
- Lowest mean score was for 'Time, Personnel and Resource Readiness' (2.31), highlighting operational challenges.
- Overall readiness score of 103.86 classified the organisation as 'somewhat ready' for SBE integration.
- Administrators were identified as key influencers.
Conclusions:
- A centralized, strategically governed SBE framework with adequate resourcing, leadership, and faculty development is essential.
- Clear reporting, coordinated resource allocation, and a service-oriented model are recommended for interdisciplinary collaboration and sustainability.
- Sustainable SBE integration requires a holistic organizational approach aligning governance, pedagogy, and operations.
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