The impact of virtual versus mannequin-based simulation on undergraduate nursing students’ preparedness for early recognition of clinical deterioration: A systematic review

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Detalles Bibliográficos
Publicado en:	Nurse Education in Practice vol. 88 (Oct 2025), p. 104563-104577
Autor principal:	Rajasekaran, Rajarajeswari
Otros Autores:	Zhao, Lin, Cleary, Sonja, Harland, James
Publicado:	Elsevier Limited
Materias:	Physiology Narratives Quantitative analysis Students Databases Curricula College students Systematic review Group practice Simulation Quasi-experimental methods Cognitive ability Distance learning Virtual reality Deterioration Cognition & reasoning Medical education Anxiety Reflective teaching Experiential learning Standardized patients Nurses Learning Critical thinking Trainers Debriefing Clinical assessment Pedagogy Nursing education Medical personnel Decision making Patients Nursing Clinical deterioration Medical decision making Clinical decision making Realism Ability Clinical nursing Learning Modalities Computer Simulation Basic Skills Curriculum Development Evidence Information Seeking Instructional Effectiveness Decision Making Skills Evaluative Thinking Educational Environment Database Management Systems Learner Engagement Educational Strategies Competence Control Groups Influence of Technology Distance Education Educational Technology Meta Analysis Blended Learning Computer Use Fidelity
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Descripción
Resumen:	Aim The paper examined the current evidence on the impact of virtual simulation compared with mannequin-based simulation learning on undergraduate nursing students’ ability to recognise and manage clinical deterioration. Background Simulation-based learning is widely used in nursing education to enhance clinical decision-making. Mannequin-based simulation has been the standard, as emerging virtual simulation technologies offer new opportunities for experiential learning. However, the comparative effectiveness of these approaches in preparing students for clinical deterioration remains unclear. Design Systematic review and narrative synthesis on the outcomes of using mannequin-based and virtual simulation among undergraduate nursing students in the context of clinical deterioration were conducted. Methods A comprehensive search was performed following PRISMA guidelines across multiple databases, including PubMed, CINAHL, EMBASE, PsycINFO, Web of Series and ProQuest. The focus included quantitative studies, such as randomised controlled trials and quasi-experimental trials from 2013 to 2023, that compared virtual simulation to other simulation methods. The methodological quality of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal Tool and a narrative synthesis was conducted. Results Fourteen studies met the inclusion criteria. The notable advantages of using virtual simulation include improved clinical performance, enhanced assessment, increased adaptability for larger group practice and knowledge retention. However, limitations included the absence of immediate debriefing, reduced realism and technological challenges that impacted virtual simulation. Conclusion This review highlights the strengths of mannequin-based and virtual simulation methods in clinical deterioration management, with marked differential outcomes in realism and anxiety among undergraduate nursing students.
ISSN:	1471-5953 1873-5223
DOI:	10.1016/j.nepr.2025.104563
Fuente:	Sociology Database