Manikin-based simulation produced equal or superior competency outcomes versus traditional clinical practice, except in the Patient Safety domain¶

Claim · All claims
Evidence · 1 study · review r2 · q2 · i2 medium
Currency · newest study 2026 · checked against its sources 2026-10-31 (automated, 1 of 1 entry) · not reviewed by a person

Subclaims¶

q2 i2 In one included quasi-experimental study (Haerlin et al. 2023, n=193), manikin-based simulation students scored significantly higher than the traditional clinical group in communication (effect size=0.52; P=.04), but no significant differences appeared in the Patient Safety domain. → González-Sanz A 2026

Evidence¶

González-Sanz A 2026¶

González-Sanz A, López-García JC, Sutil-Rodríguez E, Juárez-Vela R, Santos-Sánchez JÁ, Navas-Echazarreta N, Martínez-Sabater A, Sancho-Sanchez C. (2026). Simulation-Based Training for Nursing Students to Improve Patient Safety: Systematic Review. JMIR Nursing. https://doi.org/10.2196/87898

q2 · i2 · review · r2

Systematic review of 20 studies (narrative synthesis) of simulation-based patient-safety training for undergraduate nursing students. The finding comes from one included study, Haerlin et al. (2023), a quasi-experimental study with convenience sampling (n=193 nursing students) comparing traditional clinical practice, manikin-based high-fidelity simulation, and screen-based virtual simulation; it found no significant cognitive differences between groups. The review reports the printed effect size=0.52 for communication.

"students in the manikin-based simulation group achieved significantly higher scores than those in the traditional clinical group in several competency domains measured by the Creighton Competency Evaluation Instrument, including communication (effect size=0.52; P=.04), although no significant differences were observed in the Patient Safety domain."

Discussion¶

Related Claims¶

• Competency-based progression simulation combined with e-learning yields higher communication competence than e-learning alone or standard simulation — related
• Simulation Based Education Improves Outcomes — a broader claim this one bears on
• Simulation Based Education With Deliberate Practice Improves Clinical Outcomes — a broader claim this one bears on
• Simulation complemented by other techniques improves patient safety competency more than simulation alone, but added classroom teaching did not improve teamwork attitudes — related
• Increasing the proportion of simulation within a nursing course shows mixed effects on competency outcomes (Hayden et al. trial) — related
• Simulation-based training is associated with improved patient safety-related skills and knowledge in undergraduate nursing students — related
• Active methodologies show no definitive superiority over traditional teaching in undergraduate dentistry — related
• VR clinical simulation produced higher anxiety than face-to-face manikin simulation in maternal-newborn nursing — a narrower finding that bears on this claim