Low-cost simulation studies in nursing most frequently target specific clinical competencies (79.5%), with obstetric and neonatal emergency management the single largest group¶
Claim · All claims
Evidence · 1 study · reviewr2·q3
Currency · newest study 2025 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
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q3 i? 31 studies (79.5%) focused on specific clinical areas — 16 (41%) on neonatal, paediatric and obstetric areas and 11 (28.2%) on critical care and emergency — while 8 (20.5%) covered transversal skills. → Frangi Duccio 2025
Evidence¶
Frangi Duccio 2025¶
Frangi Duccio, Bardacci Yari, Magi Camilla Elena, El Aoufy Khadija, Longobucco Yari, Iovino Paolo, Amato Carla, Balestri Chiara, Forciniti Carolina, Rasero Laura, Iozzo Pasquale, Lucchini Alberto, Bambi Stefano. (2025). Exploring the use of low-cost simulation in nursing education: a scoping review. BMJ Open. https://doi.org/10.1136/bmjopen-2025-099968
q3 · i? · review · r2
The review's competency synthesis reports that "Thirty-one studies (79.5%) focused on specific areas", with neonatal, paediatric and obstetric areas the largest group and transversal skills addressed by eight studies. Most studies addressed obstetric and neonatal emergency management and resuscitation (n=10, 25.6%).
"Thirty-one studies (79.5%) focused on specific areas: 11 (28.2%) on critical care and emergency, and 16 (41%) on neonatal, paediatric and gynaecological-obstetric areas. Additionally, eight studies (20.5%) covered transversal skills applicable across multiple settings."
Discussion¶
Related Claims¶
- A prominent trend was the reliance on competency metrics that involved expert observation of specific clinical skills, with a notable absence of comprehensive measures combining broad scope and operationally defined skill sets. — related
- Simulation dominates the literature on obstetric emergency knowledge-building, but evidence for sustained behaviour change and clinical impact remains limited — related
- Low-cost simulation studies in nursing span multiple continents, with 89.7% conducted on a single continent and North America the most common location — related
- Simulation-based education studies in pediatric and neonatal critical care more consistently report system-level process improvements (Level 4a) than significant direct patient-level outcome improvements (Level 4b) — related
- Predictive validity of airway simulators is rarely evaluated, and the two tracheal-intubation studies assessing it found no improvement in real-world neonatal intubation outcomes after simulator training — related
- Frequent brief on-site Helping Babies Breathe simulation training was associated with a significant decrease in 24-hour neonatal mortality in a Tanzanian before–after study — related
- Among 39 included studies of low-cost simulation in nursing education, hybrid forms were the most common strategy (48.8%), followed by computer-based tools (17.9%) — related
- Immersive VR assessments of nursing and medical students are concentrated in settings that are difficult to replicate, especially emergencies — related
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