Simulation in Nursing Education Programs: Findings From an International Exploratory Study

Background: Nursing education often employs simulation-based education to prepare for clinical prac- tice. However, despite its perceived importance, there is no common practice for its integration into different nursing curricula. This study aimed to describe and compare the levels of implementation of simulation-based education in nursing curricula across different countries. Methods: A quantitative and qualitative exploratory study was conducted in 2019 using a question- naire developed using the Delphi technique. Eight European member institutions participated in this exploratory study. Qualitative data were hand-coded and analyzed using descriptive analysis. Results: Differences were found regarding (a) simulation in nursing programs, (b) the simulation environment, and (c) expert opinions. There exists a wide range of simulation-based education accred- itation systems, and the absence of regulatory standards to replace clinical hours in the curriculum is a challenge for international exchange programs. Conclusions: Universities should invest in and guarantee high-quality research to evaluate national and international initiatives and contribute to simulation-based education.