Integrating simulation based learning into nursing education programs: Hybrid simulation

Technol Health Care. 2018;26(2):263-270. doi: 10.3233/THC-170853.


Background: Hybrid simulation can be developed with mannequins of any fidelity and tabletop simulators with a standardized patient to create a complex, high-level learning activity.

Objective: The aim of this study is to analyze the effects of a hybrid simulation technique used with nursing students in a scenario about the emergency setting.

Methods: This one-group pre-test post-test model quasi-experimental study was carried out with 39 students in Ankara, Turkey, from October 2014 to July 2015.

Results: Nearly all participants reported that the simulation improved their critical thinking, decision-making skills, and self-confidence before the clinical activity and that they felt as though they were real nurses during the activity (94.7%, 97.3%, 84.2%, and 92.1%, respectively).

Conclusion: The results of this study support the integration of hybrid simulation experiences throughout the nursing curriculum, as evidenced by positive responses from students through the simulation evaluation questionnaire.

Keywords: Hybrid simulation; curriculum; education; nursing; practical skill.

Publication types

  • Clinical Study

MeSH terms

  • Adolescent
  • Clinical Competence
  • Clinical Decision-Making
  • Education, Nursing / organization & administration*
  • Female
  • Humans
  • Manikins
  • Problem-Based Learning*
  • Self Efficacy
  • Simulation Training / organization & administration*
  • Turkey
  • Young Adult