ISSN 2409-7616

Lanina S.Yu., Plascheva E.V., Lushkina S.A.


UDC 371.64:614.253.2


Lanina S.Yu.1 (Blagoveshchensk, Russian Federation) –; Plascheva E.V.2 (Blagoveshchensk, Russian Federation) –; Lushkina S.A.3 (Astrakhan, Russian Federation) –

1Blagoveshchensk State Pedagogical University

2Amur State Medical Academy

3Astrakhan of the State Medical University

Abstract. As advances in health continue to change the landscape of nursing education, integration of simulation simulators has become a key strategy to bridge the gap between theory and practice. This article provides a detailed overview of the practice of using simulation simulators in nursing education, offering valuable information about their diverse use and impact on student learning outcomes. The review includes analysis of various types of simulations, including high-precision mannequins, virtual reality scenarios, and computer simulations. Through systematic study of the literature, this paper highlights the multifaceted benefits of simulation learning, such as the development of clinical reasoning, critical thinking skills, improved communication and teamwork of nursing students. In addition, the review also looks at the broader implications for patient safety, highlights the role of simulation in providing a controlled environment for students to practice clinical skills without compromising patient well-being. The paper highlights the potential of simulation scenarios to reproduce real problems in healthcare, allowing students to develop competence and self-confidence in a risk-free setting. The results of the research literature review, in our view, can serve as a valuable resource for educators, researchers and medical professionals seeking to improve nursing training by strategically integrating simulation simulators and the practice of junior medical personnel. By providing a nuanced understanding of current practice and future directions, the paper seeks to empower stakeholders to shape the transformative and progressive landscape of nursing education, ultimately benefiting both students and patients they will serve in their future careers in healthcare.

Keywords: training of nurses, simulation simulators, clinical thinking, patient safety, realistic review.


  1. Van Graafeiland B., Sloand E., Silbert-Flagg J. [et al.] Academic-clinical service partnerships are innovative strategies to advance patient safety competence and leadership in prelicensure nursing students. Nurs Outlook, 2019, vol. 67(1), pp. 49-53. DOI: 10.1016/j.outlook.2018.08.003
  2. De Rezende H., Vitorio A.M.-F., Morais A.S. [et al.] Effectiveness of educational interventions to develop patient safety knowledge, skills, behaviours and attitudes in undergraduate nursing students: a systematic review protocol. BMJ Open, 2022, vol. 12(3), ID. e:058888. DOI: 10.1136/bmjopen-2021-058888
  3. Ivanchuk O.V., Plashcheva E.V., Nurmukhambetova S.A. Artificial intelligence in the healthcare system: problems of preparedness and training. CITISE, 2022, no. 3, pp.225-237. (In Russian). DOI: 10.15350/2409-7616.2022.3.20
  4. Wong G., Greenhalgh T., Westhorp G. [et al.] Realist methods in medical education research: what are they and what can they contribute? Medical Education, 2020, vol.46, рр.  89-96. DOI: 10.1111/j.1365-2923.2011.04045.x
  5. Hergе A., Karim S.A., Foley L. [et al.] A realistic overview of voluntary actions by food and beverage producers and their implications for public health and policy in low- and middle-income countries. Nature Food, 2022, vol. 3(8), рр. 650-663. DOI: 10.1038/s43016-022-00552-5
  6. Masterton W., Falzon D., Burton G. [et al.] A realistic overview of how community-based drug screening services can be developed and implemented to facilitate the involvement of people who use drugs. International Journal of Environmental Research and Public Health, 2022, vol. 19(19), ID. е11960. DOI: 10.3390/ijerph191911960
  7. Shliff M., Saunders K. R., Appleton R. [et al.] Summarizing the evidence about what works in the field of telemedicine and for whom: a brief overview of the realist. Interactive Journal of Medical Research, 2022, vol. 11(2), ID. e38239. DOI: 10.2196/31746
  8. Varsi C., Solberg Nes L., Kristjansdottir O.B. [et al.] Implementation strategies to enhance the implementation of ehealth programs for patients with chronic illnesses: realist systematic review. J Med Internet Res, 2019, vol. 21(9), ID. e14255. DOI: 10.2196/14255
  9. McGaghie W.C., Issenberg S.B., Petrusa E.R. [et al.] A Critical Review of Simulation-Based Medical Education Research: 2003-2009. Medical Education, 2010, vol. 44 (1), рр. 50–63. DOI: 10.1111/j.1365-2923.2009.03547.x
  10. Chen W.T., Fu C.P., Chang Y.D. [et al.] Developing an innovative medical ethics and law curriculum-constructing a situation-based, interdisciplinary, court-based learning course: a mixed methods study. BMC Med Educ, 2022, vol. 22(1), ID. е284. DOI: 10.1186/s12909-022-03349-z
  11. Meum T.T., Slettebо А., Fossum M. Improving the use of simulation in nursing education: protocol for a realist review. JMIR Res Protoc, 2020, vol. 9(4), ID. e16363. DOI: 10.2196/16363
  12. Skedsmo K., Nes A.A.G., Stenseth H.V. [et al.] Simulation-based learning in palliative care in postgraduate nursing education: a scoping review. BMC Palliat Care, 2023, vol.22(1), рр. 30. DOI: 10.1186/s12904-023-01149-w
  13. Isaza-Restrepo A., Gоmez M.T., Cifuentes G. [et al.] The virtual patient as a learning tool: a mixed quantitative qualitative study. BMC Med Educ, 2018, vol.18(1), ID. е297. DOI: 10.1186/s12909-018-1395-8
  14. Arias-Amezquita E., Alkureishi L., Purnell C. [et al.] Virtual reality planning in reconstructive surgery for orbital prosthetic rehabilitation using immersive touch platform: Preliminary Report. J Craniofac Surg, 2023. DOI: 10.1097/SCS.0000000000009794
  15. Prakash S., Bihari S., Need P. [et al.] Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. BMC Med Educ, 2017, vol. 36.  DOI: 10.1186/s12909-017-0871-x
  16. Pohanka M. Copper and copper nanoparticles toxicity and their impact on basic functions in the body. Bratislava Medical Journal, 2019, vol.120, рр. 397-409. DOI: 10.4149/BLL_2019_065
  17. Graham A.C., McAleer S. An overview of realist evaluation for simulation-based education. Adv Simu, 2018, vol. 13.  DOI: 10.1186/s41077-018-0073-6
  18. Cant R.P., Cooper S.J. The value of simulation-based learning in pre-licensure nurse education: A state-of-the-art review and meta-analysis. Nurse Education in Practice, 2017, vol. 27, рр.45-62. DOI: 10.1016/j.nepr.2017.08.012
  19. Berragan L. Simulation: an effective pedagogical approach for nursing? Nurse Educ Today, 2020, vol. 31(7), рр. 660-663. DOI: 10.1016/j.nedt.2011.01.019
  20. Harmon C.A. A mixed methods case study exploring simulation and caring in nursing education. LSU Doctoral Dissertations Publ., 2016. 750с.
  21. Schoenherr J.R., Hamstra S.J. Beyond Precision: Deconstructing the seductive simplicity of precision in medical training on simulators. Modeling in Healthcare: Journal of the Society for Modeling in Healthcare, 2017, vol.12 (2), рр. 117-123. DOI: 10.1097/SIH.0000000000000226
  22. Gaba A., Costa S.A., Schnoll R. et al.] Development and evaluation of an online simulated hospital unit for nutrition assessment training. Topics in Clinical Nutrition, 2023, vol. 38(2), рр. 133-143. DOI: 10.1097/TIN.0000000000000315  
  23. Kirkpatrick D., Kirkpatrick J. Evaluating training programs: the four levels. Berrett-Koehler Publ., 2020. 379р.

For citation:  Lanina S.Yu., Plascheva E.V., Lushkina S.A. The use of simulation simulators in nursing education: a review of application practice. CITISE, 2024, no. 1, pp. 74-84. DOI: