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Research Article Open access CC BY 4.0

Simulation Based Training in to Clinical Competence among Nursing Students: Systematic Review

Daryl Jake S. Fornolles, Ma. Theresa Salinda, Suzette V. Zapico, Alicia Tuazon, Myracle Isip- De Torres, Francis M. Culala, Jocelyn Dimarucut Quiboloy, Wilfredo D. Quijencio Jr., Orlane Marybhell D. Dimaunahan

Asian Journal of Research in Nursing and Health · pp. 607–616 · Published 14 Oct 2025

10.9734/ajrnh/2025/v8i1232

Abstract

Background: Simulation based training foster clinical competence. This provide authenticity and unique experience for nursing students that focus on theoretical knowledge and skills in providing quality of care to the patient. The globalization have impact on the health care delivery, an increase in diverse population due to migration had influence on approach or care to be deliver that anchor on patient values, beliefs and practices. Simulation pedagogy has been recognize in patient safety however there is  need on the enhancement of clinical competence among nursing students. These include knowledge, skills and attitude to responds in cross cultural scenario during their clinical rotation in the hospital. It is important to reduce health disparities through providing cultural sensitivity when rendering care to the patient. The foundation of enhancing integration through simulation based training is beneficial in  creating inclusive environment. Purpose: The aim of study is to synthesize the literature findings on clinical competency using simulation based training among nursing students that will enhance clinical skills and competence in clinical fields. Methods: A systematic review as an methods in analysis. EBSCO, PubMed, Elsevier, CINAHL,ERIC and google scholar data bases was utilized in searched for relevant articles published between 2020- 2025.  The process include methodological process as framework including defining the issue, formulating the research question, conducting a focused literature search, and utilizing mixed-methods or qualitative data processing strategies to reduce the risk of bias and error. Results: The study reveals that a total of 10   were identified that relevant in simulation based training among nursing students. The process of evaluation has been conducted to determine evidence based that enhance competency among students during clinical rotation. The result reveals that simulation based training provides nursing students to enhance capability in clinical judgement and skills, establish collaboration and Team work and, prepare the nursing students in the delivery of quality car. Conclusion: The systematic review highlights the use of simulation based training plays vital role in shaping the nursing students competency in the clinical area. The refinement of strategic approach is important for nursing student in the development of knowledge, skills and attitude. the analysis of the literature pertains in the enhancement of clinical judgement and skills, collaboration and team work and better preparation in the delivery of care.

Clinical competence. clinical environment nursing students simulation based training

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