Education and Ethics In Nursing ISSN: 2322-5300

Effectiveness of Simulation-Based Education on Pediatric Care Learning Outcomes Among Health Professions Learners: A Systematic Review

https://doi.org/10.22034/ethic.2026.2095844.1245
Volume 15, Issue 1
June 2026
Pages 184-194
Education and Ethics In Nursing ISSN: 2322-5300

Document Type : Review Article

Authors

Zahra Tanha 1
Fatemeh Babaie Motlagh 2
Hora Alirahmzadeh 2
Zahra Mohammadi 2

1 Associate Professor, Department of Educational and Psychosocial Services, Khor. C., Islamic Azad University, Khorram Abad, Iran

2 Department of Psychology, Bo. C., Islamic Azad University, Borujerd, Iran

Abstract
Introduction: Pediatric care education requires the integration of theoretical knowledge, clinical skills, and effective decision-making. Limited opportunities for clinical practice and the growing emphasis on patient safety have led to the widespread adoption of simulation-based education as an innovative instructional strategy in health professions education. This study aimed to systematically review the available evidence regarding the effectiveness of simulation-based education on pediatric care learning outcomes among health professions learners.
Materials & Methods: This systematic review was conducted in accordance with the PRISMA 2020 guidelines. A comprehensive literature search was performed in PubMed, Scopus, Web of Science, Embase, and CINAHL using relevant keywords. Interventional studies published in English between 2015 and 2025 that investigated the effects of simulation-based education on pediatric care learning outcomes were included. Study selection, data extraction, and quality assessment were independently performed by two reviewers.
Results: The findings demonstrated that simulation-based education was associated with significant improvements in learners’ knowledge, clinical skills, professional competence, self-confidence, clinical performance, and learning satisfaction compared with conventional educational approaches. High-fidelity simulation yielded the greatest positive effects on learning outcomes across most studies.
Conclusion: Simulation-based education is an effective educational strategy for enhancing pediatric care training among health professions learners. By improving professional competencies and clinical preparedness, it has the potential to enhance both the quality and safety of pediatric patient care. The findings of this review provide valuable evidence to support the integration of simulation-based learning into health professions curricula.

Keywords

Simulation-Based Education
Pediatric Care
Learning Outcomes
Health Professions Learners
Systematic Review
Subjects
1.Lioce L, et al. Standards of Best Practice: Simulation Standard IX: Simulation Design. Clinical Simulation in Nursing. 2015;11(6):309-15. doi: 10.1016/j.ecns.2015.03.005
2.Rassouli M, Zagheri Tafreshi M, Esmaeil M. Challenges in clinical nursing education in Iran and strategies. Clin Exc 2014; 2 (1) :11-22. URL: http://ce.mazums.ac.ir/article-1-76-fa.html
3.Aebersold M. Simulation-based learning: No longer a novelty in undergraduate education. Online Journal of Issues in Nursing. 2018;23(2). doi: 10.3912/OJIN.Vol23No02PPT39C
4.Tavousi S A, Najimi A. The Mechanisms of the Impact of Educational Simulation On the Learning of Medical Science Students: A Review of Evidence. Iranian Journal of Medical Education 2025; 25 :83-95. URL: http://ijme.mui.ac.ir/article-1-5904-fa.html
5.heng A, Lang TR, Starr SR, Pusic M, Cook DA. Technology-enhanced simulation and pediatric education: A meta-analysis. Pediatrics. 2014;133(5):e1313-e1323. doi: 10.1542/peds.2013-2139.
6.Thim S, Henriksen TB, Laursen H, Schram AL, Paltved C, Lindhard MS. Simulation-based emergency team training in pediatrics: A systematic review. Pediatrics. 2022;149(4): e2021054305. doi: 10.1542/peds.2021-054305.
7.Hippe DS, Umoren RA, McGee A, Bucher SL, Bresnahan BW. A targeted systematic review of cost analyses for implementation of simulation-based education in healthcare. SAGE Open Medicine. 2020; 8:2050312120913451. doi: 10.1177/ 2050312120913451.
8.Kim E, Song S, Kim S. Development of pediatric simulation-based education: A systematic review. BMC Nursing. 2023; 22:291. doi: 10.1186/s12912-023-01458-8.
9.Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: A systematic review and meta-analysis. JAMA. 2011;306(9):978–988. doi: 10.1001/jama.2011.1234.
10.     INACSL Standards Committee. Healthcare Simulation Standards of Best Practice™: Simulation Design. Clinical Simulation in Nursing. 2021; 58:14–21. doi: 10.1016/j.ecns.2021.08.009.
11.     Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB. Simulation in healthcare education: A best evidence practical guide. Medical Teacher. 2013;35(10): e1511–e1530. doi: 10.3109/0142159X.2013.818632.
12.     Lopreiato JO, Sawyer T. Simulation-based medical education in pediatrics. Academic Pediatrics. 2015;15(2):134–142. doi: 10.1016/j.acap.2014.10.010.
13.     Sawyer T, White M, Zaveri P, et al. Learn, see, practice, prove, do, maintain: An evidence-based pedagogical framework for procedural skill training in medicine. Academic Medicine. 2015;90(8):1025–1033. doi: 10.1097/ACM.0000000000000734.
14.     Cheng A, Auerbach M, Hunt EA, et al. Designing and conducting simulation-based research. Pediatrics. 2014;133(6):1091–1101. doi: 10.1542/peds.2013-3267.
15.     Padhya D, Tripathi S, Kashyap R, Alsawas M, Murthy S, Arteaga GM, et al. Training of pediatric critical care providers in developing countries in evidence-based medicine utilizing remote simulation sessions. Glob Pediatr Health. 2021; 8:2333794X211007473. https://doi.org/10.1177/2333794X211007473. PMID 33997121.
16.     INACSL Standards Committee. Healthcare Simulation Standards of Best Practice™. Clinical Simulation in Nursing. 2021 Sep 1; 58:1-86. doi:10.1016/j.ecns.2021.08.008.
17.     Cant RP, Cooper SJ. Simulation-based learning in nurse education: systematic review. Journal of Advanced Nursing. 2010 Jan 1;66(1):3-15. doi:10.1111/j.1365-2648.2009.05240.x.
18.     Sepúlveda Oviedo EH, Bermeo Clavijo LE, Méndez Córdoba LC. OpenModelica-based virtual simulator for the cardiovascular and respiratory physiology of a neonate. J Med Eng Technol. 2022;46(3):179 – 97. doi: 10.1080/03091902.2022.2026500, PMID 35172686.
19.     Liaw SY, Scherpbier A, Rethans JJ, Klainin-Yobas P. Assessment for simulation learning outcomes: A comparison of knowledge and clinical performance. Nurse Education Today. 2012 Aug 1;32(6):e35-e39. doi:10.1016/j.nedt.2011.10.006.
20.     Lateef F. Simulation-based learning: Just like the real thing. Journal of Emergencies, Trauma and Shock. 2010 Oct;3(4):348-52. doi:10.4103/0974-2700.70743.
21.     Shin S, Park JH, Kim JH. Effectiveness of patient simulation in nursing education: Meta-analysis. Nurse Education Today. 2015 Jan 1;35(1):176-82. doi: 10.1016/j.nedt.2014.09.009.
22.     Foronda C, Fernandez-Burgos M, Nadeau C, Kelley CN, Henry MN. Virtual simulation in nursing education: A systematic review spanning 1996 to 2018. Simulation in Healthcare. 2020 Feb 1;15(1):46-54. doi:10.1097/SIH.0000000000000411.
23.     Kononowicz AA, Woodham LA, Edelbring S, Stathakarou N, Davies D, Saxena N, et al. Virtual patient simulations in health professions education: Systematic review and meta-analysis by the Digital Health Education Collaboration. Journal of Medical Internet Research. 2019 Jul 2;21(7):e14676. doi:10.2196/14676.
24.     Labrague LJ, McEnroe-Petitte DM, Bowling AM, Nwafor CE, Tsaras K. High-fidelity simulation and nursing students' anxiety and self-confidence: A systematic review. Nurse Education Today. 2019 Jul 1; 78:96-104. doi: 10.1016/j.nedt.2019.04.001.
25.     Cantrell MA. The importance of debriefing in clinical simulations. Clinical Simulation in Nursing. 2008 Apr 1;4(2): e19-e23. doi: 10.1016/j.ecns.2008.06.006.
26.     INACSL Standards Committee. Healthcare Simulation Standards of Best Practice™: Debriefing. Clinical Simulation in Nursing. 2021 Sep 1; 58:27-32. doi: 10.1016/j.ecns.2021.08.011.
27.     Kolb DA. Experiential Learning: Experience as the Source of Learning and Development. 2nd ed. Boston: Pearson Education; 2015.

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