Characteristics transferred into
simulation-based learning of
nursing programs
Cristine Hermann Nodari, Daiane Riva de Almeida,
Fabiano de Lima Nunes, Jefferson Dobner Sordi and Marta Bez
Universidade FEEVALE - Campus II, Novo Hamburgo, Brazil
Abstract
Purpose – The purpose of this research is to relate the characteristics transferred from teaching into
simulation-based learning in nursing by highlighting how they are presented and, thus, focus on more assertive
pedagogical actions in higher education.
Design/methodology/approach – The research was performed in the Brazilian context through a survey,
and the data were analyzed by the structural equation modeling.
Findings – The results show meaningful relationships for the four factors that are impacted by simulation-
based learning: clinical reasoning for decision-making, patient safety, self-confidence and knowledge.
Practical implications – This research identified the importance of simulation as an alternative to
improving the teaching–learning process, and it can contribute to structuring the nursing program curriculum
and other training zones, by enabling the inclusion of new methodological modalities.
Originality/value – The simulation strategy becomes a differential tool in the integration between theory and
practice, especially in the nursing program, and promotes teamwork, leadership and communication,
self-confidence, critical thinking, clinical reasoning, priority management, decision-taking and conflict
management.
Keywords Learning, Nursing, Students, Educational technology, Simulation, Transferred characteristics
Paper type Research paper
Introduction
Simulation searches for the expansion of real experiences into guided experiences, which
focus on and copy aspects of real assistance interactively, favoring the development of ethical
and technical aspects and professional competency, by developing efficient aspects of
management and leadership in a real environment (Quilici et al., 2015).
The simulation strategy comes out relevantly as it favors the creation of competencies and
the development of critical reasoning, as well as the taking of efficient and safe decisions,
which improves the independent position in relation to the teaching–learning process and
becomes a differentiated tool in the integration between theory and practice (Agrawal et al.,
2016; Nikendei et al., 2016).
The United States’ National Council of State Boards on Nursing suggested that simulation
can be effectively adopted to replace up to 50% of traditional clinical practices (Hayden
et al., 2014).
With the curricular reform in nursing programs in Brazil from 2001 (Brasil, 2001),
simulation-based learning (SBL) started to be gradually and asymmetrically included.
Regional initiatives located at Brazilian urban centers with easy access to technological
resources boosted this reality and, thus, the dissemination of practical results that come from
adopting this approach with the development of (1) experiential learning and leadership
(Costa et al., 2015); (2) motivation (Quilici et al., 2015); (3) bioethics and safety (Costa et al., 2017)
and (4) diagnostic reasoning (Jer^ onimo et al., 2018), among others.
However, it is noted that few researchers have dedicated time to integrating the
characteristics developed holistically in the professional training from SBL. With a whole
perspective view proposed by this research, actions for the development and improvement of
Simulation-
based learning
of nursing
programs
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Received 10 July 2019
Revised 2 December 2019
9 February 2020
19 March 2020
Accepted 15 April 2020
Higher Education, Skills and
Work-Based Learning
© Emerald Publishing Limited
2042-3896
DOI 10.1108/HESWBL-07-2019-0090