1887
Volume 2025, Issue 3
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Simulation-based education (SBE) is an effective teaching method in nursing education that integrates theoretical knowledge with practical application. It provides nursing students with a safe and controlled environment where they can apply their knowledge, develop essential clinical skills, and make critical decisions - without compromising patient safety.

Nursing learners possess varying levels of experience, ranging from novice to expert, as outlined in Benner’s “Novice to Expert” theory. This variation in expertise necessitates the design of simulation experiences that are tailored to accommodate these diverse levels of competence. This practical guide presents evidence-informed strategies to support simulation facilitators in tailoring their facilitation approaches for nurses ranging from novice to expert.

A narrative conceptual review approach was employed to examine the literature on facilitation in SBE. Key theoretical perspectives, including “Novice to Expert” theory and adaptive approaches, were used to frame the discussion. The review synthesized findings from existing studies and frameworks to develop this practical guide, which supports the use of tailored simulation facilitation strategies in nursing education.

Tailoring facilitation strategies based on learners’ developmental stages enhances learner engagement, performance, and learning outcomes. Novice learners benefit from structured guidance, close supervision, and stepwise instruction. In contrast, proficient and expert learners require facilitation approaches that promote autonomy, critical thinking, and complex decision-making. This guide emphasizes the importance of adjusting simulation facilitation strategy, feedback style, and simulation complexity to meet learners’ needs. Additionally, adherence to established simulation standards supports consistency and effectiveness of facilitation across different learner levels.

Simulation facilitators play an important role in customizing learning experiences based on nursing learners’ level of expertise. Applying Benner’s Novice to Expert theory enables facilitators to provide appropriate support, which enhances the educational outcomes of simulations. Future efforts should focus on faculty development and institutional support to ensure facilitators are prepared to deliver adaptive, learner-centered simulation experiences.

© 2025 Mukherjee, Sarkar, Pandit, Ray, Das, Dubey, Licensee HBKU Press.
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References

  1. Gaba DM. The future vision of simulation in health care. Qual Saf Health Care. 2004 10; 13 Suppl 1:(Suppl 1):i2–10.https://doi.org/10.1136/qhc.13.suppl_1.i2
     [Google الباحث العلمي]
  2. Alinier G, Platt A. International overview of high-level simulation education initiatives in relation to critical care. Nurs Crit Care. 2014 01; 19:(1):42–9.https://doi.org/10.1111/nicc.12030
     [Google الباحث العلمي]
  3. Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review. Med Teach. 200501; 27:(1):10–28. https://doi.org/10.1080/01421590500046924
     [Google الباحث العلمي]
  4. Alinier G, Shehatta AL, Makker R. Simulation for clinical skills in healthcare education. Clinical education for the health professions: Theory and practice. Springer; 2021. p. 1–21. https://doi.org/10.1007/978-981-15-3344-0_93
     [Google الباحث العلمي]
  5. Alinier G. A typology of educationally focused medical simulation tools. Med Teach. 2007 10; 29:(8):e243–50.https://doi.org/10.1080/01421590701551185
     [Google الباحث العلمي]
  6. Benner P. From novice to expert. Am J Nurs. 1982; 82:(3):402–7. Available from: http://www.jstor.org/stable/3462928
     [Google الباحث العلمي]
  7. Cant RP, Cooper SJ. The value of simulation-based learning in pre-licensure nurse education: A state-of-the-art review and meta-analysis. Nurse Educ Prac. 2017 11; 27::45.https://doi.org/10.1016/j.nepr.2017.08.012
     [Google الباحث العلمي]
  8. Cantrell MA, Franklin A, Leighton K, Carlson A. The evidence in simulation-based learning experiences in nursing education and practice: An umbrella review. Clin Simul Nurs. 2017; 13:(12):634–67.https://doi.org/10.1016/j.ecns.2017.08.004
     [Google الباحث العلمي]
  9. Ericsson KA. Acquisition and maintenance of medical expertise: A perspective from the expert-performance approach with deliberate practice. Acad Med. 2015 11; 90:(11):1471–86.https://doi.org/10.1097/ACM.0000000000000939
     [Google الباحث العلمي]
  10. Colman N, Wiltrakis SM, Holmes S, Hwu R, Iyer S, Goodwin N, et al.. A comparison of rapid cycle deliberate practice and traditional reflective debriefing on interprofessional team performance. BMC Med Educ. 2024 02 7; 24:(1):122.https://doi.org/10.1186/s12909-024-05101-1
     [Google الباحث العلمي]
  11. Oriot D, Alinier G. Pocket book for simulation debriefing in healthcare. Springer; 2018 08 14;:107. https://doi.org/10.1007/978-3-319-59882-6
     [Google الباحث العلمي]
  12. Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB. Simulation in healthcare education: A best evidence practical guide. AMEE Guide No. 82. Med Teach. 2013 10; 35:(10):e1511–30.https://doi.org/10.3109/0142159X.2013.818632
     [Google الباحث العلمي]
  13. Foronda C, Liu S, Bauman EB. Evaluation of simulation in undergraduate nurse education: An integrative review. Clin Simul Nurs. 2013 10; 9:(10):e409–16.https://doi.org/10.1016/j.ecns.2012.11.003
     [Google الباحث العلمي]
  14. Koukourikos K, Areti T, Kourkouta L, Papathanasiou IV, Iliadis C, Fratzana A, et al.. Simulation in clinical nursing education. Acta Inform Med. 2021 03; 29:(1):15.https://doi.org/10.5455/aim.2021.29.15-20
     [Google الباحث العلمي]
  15. Uppor W, Klunklin A, Viseskul N, Skulphan S, Turale S. Designing simulation scenarios to enhance nursing students’ clinical judgment: A qualitative study. Pac Rim Int J Nurs Res. 2023 06; 27:(3):445–56.https://doi.org/10.60099/prijnr.2023.262001
     [Google الباحث العلمي]
  16. Reid CA, Ralph JL, El-Masri M, Ziefle K. High-fidelity simulation and clinical judgment of nursing students in a maternal-newborn course. West J Nurs Res. 2020 10; 42:(10):829–37.https://doi.org/10.1177/0193945920907395
     [Google الباحث العلمي]
  17. Alinier G, Oriot D. Simulation-based education: Deceiving learners with good intent. Adv Simul (Lond). 2022 03; 7:(1):8.https://doi.org/10.1186/s41077-022-00206-3
     [Google الباحث العلمي]
  18. Binstadt ES, Dahms RA, Carlson AJ, Hegarty CB, Nelson JG. When the learner is the expert: A simulation-based curriculum for emergency medicine faculty. West J Emerg Med. 2019 12 19; 21:(1):141–4.https://doi.org/10.5811/westjem.2019.11.45513
     [Google الباحث العلمي]
  19. Tun JK, Alinier G, Tang J, Kneebone RL. Redefining simulation fidelity for healthcare education. Simul Gaming. 2015 04 5; 46:(2):159–74.https://doi.org/10.1177/1046878115576103
     [Google الباحث العلمي]
  20. Maran NJ, Glavin RJ. Low- to high-fidelity simulation - a continuum of medical education? Med Educ. 2003 11; 37 Suppl 1:22-8.https://doi.org/10.1046/j.1365-2923.37.s1.9.x.
     [Google الباحث العلمي]
  21. Der Sahakian G, Buléon C, Alinier G. Educational foundations of instructional design applied to simulation-based education. Clinical simulation: Elsevier; 2019 01.p. 185–206. https://doi.org/10.1016/B978-0-12-815657-5.00014-0
     [Google الباحث العلمي]
  22. Bahreman NT, Swoboda SM. Honoring diversity: Developing culturally competent communication skills through simulation. J Nurs Educ. 2016 02; 55:(2):105–8.https://doi.org/10.3928/01484834-20160114-09
     [Google الباحث العلمي]
  23. Cheng A, Grant V, Dieckmann P, Arora S, Robinson T, Eppich W. Faculty development for simulation programs: Five issues for the future of debriefing training. Simul Healthc. 2015 08; 10:(4):217–22.https://doi.org/10.1097/SIH.0000000000000090
     [Google الباحث العلمي]
  24. Decker S, Alinier G, Crawford SB, Gordon RM, Jenkins D, Wilson C. Healthcare simulation standards of best practice TM the debriefing process. Clin Simul Nurs. 2021 08; 58:(4):27–32.https://doi.org/10.1016/j.ecns.2021.08.011
     [Google الباحث العلمي]
  25. Duff JP, Morse KJ, Seelandt J, Gross IT, Lydston M, Sargeant J, et al.. Debriefing methods for simulation in healthcare: A systematic review. Simul Healthc. 2024 01 1; 19:(1S):S112–21.https://doi.org/10.1097/SIH.0000000000000765
     [Google الباحث العلمي]
  26. Clapper TC, Leighton K. Incorporating the reflective pause in simulation: A practical guide. J Contin Educ Nurs. 2020 01 1; 51:(1):32–8.https://doi.org/10.3928/00220124-20191217-07
     [Google الباحث العلمي]
  27. Jones I, Alinier G. Supporting students’ learning experiences through a pocket size cue card designed around a reflective simulation framework. Clin Simul Nurs. 2015 07; 11:(7):325–34.https://doi.org/10.1016/j.ecns.2015.04.004
     [Google الباحث العلمي]
  28. LeFlore JL, Anderson M. Alternative educational models for interdisciplinary student teams. Simul Healthc. 2009 Fall; 4:(3):135–42.https://doi.org/10.1097/SIH.0b013e318196f839
     [Google الباحث العلمي]
  29. Alinier G. Developing high-fidelity health care simulation scenarios: A guide for educators and professionals. Simul Gaming. 2011; 42:(1):9–26.https://doi.org/10.1177/1046878109355683
     [Google الباحث العلمي]
  30. Aho JM, Ruparel RK, Graham E, Zendejas-Mummert B, Heller SF, Farley DR, et al.. Mentor-guided self-directed learning affects resident practice. J Surg Educ. 2015 07-08; 72:(4):674–9.https://doi.org/10.1016/j.jsurg.2015.01.008
     [Google الباحث العلمي]
  31. Arizo-Luque V, Ramirez-Baena L, Pujalte-Jesús MJ, Rodríguez-Herrera MÁ, Lozano-Molina A, Arrogante O, et al.., editors. Does self-directed learning with simulation improve critical thinking and motivation of nursing students? A pre-post intervention study with the MAES© methodology.. Healthcare (Basel). 2022 05 18; 10:(5):927. https://doi.org/10.3390/healthcare10050927
     [Google الباحث العلمي]
  32. Paige JB, Morin KH. Simulation fidelity and cueing: A systematic review of the literature. Clin Simul Nurs. 2013 11; 9:(11):e481–9.https://doi.org/10.1016/j.ecns.2013.01.001
     [Google الباحث العلمي]
  33. Nestel D, Mobley BL, Hunt EA, Eppich WJ. Confederates in health care simulations: Not as simple as it seems. Clin Simul Nurs. 2014 12; 10:(12):611–6. https://doi.org/10.1016/j.ecns.2014.09.007
     [Google الباحث العلمي]
  34. Jeffries PR. A framework for designing, implementing, and evaluating: Simulations used as teaching strategies in nursing. Nurs Educ Perspect. 2005 03-04; 26:(2):96–103. Available from: https://pubmed.ncbi.nlm.nih.gov/15921126/
     [Google الباحث العلمي]
  35. Aebersold M, Tschannen D. Simulation in nursing practice: The impact on patient care. Online J Issues in Nurs. 2013 05 31; 18:(2):6. Available from: https://pubmed.ncbi.nlm.nih.gov/23758424/
     [Google الباحث العلمي]
  36. Kardong-Edgren S, Butt A, Macy R, Harding S, Roberts CJ, McPherson S, et al.. Expert modeling, expert/self-modeling versus lecture: A comparison of learning, retention, and transfer of rescue skills in health professions students. J Nurs Educ. 2015 04; 54:(4):185–90.https://doi.org/10.3928/01484834-20150318-01
     [Google الباحث العلمي]
  37. Gilbert M, Beroz ST, Loanzon P, Zyniewicz TL, Swoboda SM, O’Neal C, et al.. Knowledge, skills and attitudes (KSAs) of adaptable academic nurse educators. Nurse Edu Pract. 2024 03; 76:103933.https://doi.org/10.1016/j.nepr.2024.103933
     [Google الباحث العلمي]
  38. Madsgaard A, Røykenes K, Smith-Strøm H, Kvernenes M. The affective component of learning in simulation-based education–facilitators’ strategies to establish psychological safety and accommodate nursing students’ emotions. BMC Nurs. 2022 04 20; 21:(1):91.https://doi.org/10.1186/s12912-022-00869-3
     [Google الباحث العلمي]
  39. Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007 Summer; 2:(2):115–25.https://doi.org/10.1097/SIH.0b013e3180315539
     [Google الباحث العلمي]
  40. Eppich W, Cheng A. Promoting excellence and reflective learning in simulation (PEARLS): Development and rationale for a blended approach to health care simulation debriefing. Simul Healthc. 2015 04; 10:(2):106–15.https://doi.org/10.1097/SIH.0000000000000072
     [Google الباحث العلمي]
  41. Almomani E, Sullivan J, Samuel J, Maabreh A, Pattison N, Alinier G. Assessment of clinical reasoning while attending critical care postsimulation reflective learning conversation: A scoping review. Dimens Crit Care Nurs. 2023 03-04; 42:(2):63–82.https://doi.org/10.1097/DCC.0000000000000567
     [Google الباحث العلمي]
  42. Dieckmann P, Gaba D, Rall M. Deepening the theoretical foundations of patient simulation as social practice. Simul Healthc. 2007 Fall; 2:(3):183–93.https://doi.org/10.1097/SIH.0b013e3180f637f5
     [Google الباحث العلمي]
  43. Lioce L, Meakim CH, Fey MK, Chmil JV, Mariani B, Alinier G. Standards of best practice: Simulation standard IX: Simulation design. Clin Simul Nurs. 2015 06; 11:(6):309–15.https://doi.org/10.1016/j.ecns.2015.03.005
     [Google الباحث العلمي]
  44. Nyein KP, Gregory ME. Needs assessment and stakeholders in medical simulation curriculum development. StatPearls [online]. Treasure Island (FL): StatPearls Publishing; 2025 01.
     [Google الباحث العلمي]
  45. Persico L, Belle A, DiGregorio H, Wilson-Keates B, Shelton C. Healthcare simulation standards of best practice TM facilitation. Clin Simul Nurs. 2021 09; 58:22.https://doi.org/10.1016/j.ecns.2021.08.010
     [Google الباحث العلمي]
  46. Hallmark B, Brown M, Peterson DT, Fey M, Decker S, Wells-Beede E, et al.. Healthcare simulation standards of best practice TM professional development. Clin Simul Nurs. 2021 09; 58:5. https://doi.org/10.1016/j.ecns.2021.08.007
     [Google الباحث العلمي]
  47. Alinier G, Heinrichs W. Train-the-trainers: Creating simulation educators. Clinical simulation: Elsevier; 2019 01. p. 857–64. https://doi.org/10.1016/B978-0-12-815657-5.00057-7
     [Google الباحث العلمي]
  48. Leighton K, Mudra V, Gilbert GE. Development and psychometric evaluation of the facilitator competency rubric. Nurs Educ Perspect. 2018 12; 39:(6):E3–9.https://doi.org/10.1097/01.NEP.0000000000000409
     [Google الباحث العلمي]
  49. Kang SJ, Min HY. Psychological safety in nursing simulation. Nurse Educ. 2019 09; 44:(2):E6-E9.https://doi.org/10.1097/NNE.0000000000000571
     [Google الباحث العلمي]
  50. McDermott DS, Ludlow J, Horsley E, Meakim C. Healthcare simulation standards of best practiceTM prebriefing: Preparation and briefing. Clinical Simulation in Nursing. 2021 09; 58:9.https://doi.org/10.1016/j.ecns.2021.08.008
     [Google الباحث العلمي]
  51. Al-Ghareeb AZ, Cooper SJ. Barriers and enablers to the use of high-fidelity patient simulation manikins in nurse education: An integrative review. Nurse Educ Today. 2016 01; 36:281.https://doi.org/10.1016/j.nedt.2015.08.005
     [Google الباحث العلمي]
  52. Alinier G. Prosperous simulation under an institution’s threadbare financial blanket. In: Kyle RR, Murray WB, editors, Clinical simulation: Operations, engineering and management. Academic Press; 2007. chapter 521, p. 491–3.
     [Google الباحث العلمي]
  53. Alinier G, Tuffnell C, Dogan B. Simulation on a low budget. Clinical simulation. Elsevier; 2019. p. 667–89. https://doi.org/10.1016/B978-0-12-815657-5.00046-2
     [Google الباحث العلمي]
  54. Leighton K, Foisy-Doll C, Mudra V, Ravert P. Guidance for comprehensive health care simulation program evaluation. Clin Simul Nurs. 2020 11; 48:20.https://doi.org/10.1016/j.ecns.2020.08.003
     [Google الباحث العلمي]
  55. Hill K, Schumann M, Farren L, Clerkin R. An evaluation of the use of low-fidelity and high-fidelity mannequins in clinical simulations in a module preparing final year children’s and general nursing students for internship placement. Compr Child Adolesc Nurs. 2023 12; 46:(4):295–308.https://doi.org/10.1080/24694193.2023.2232456
     [Google الباحث العلمي]
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  • نوع المستند: Review Article
الموضوعات الرئيسية facilitation strategies, Novice to Expert theory, nursing, simulation outcomes and Simulation-based education

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