The time is right for Web-based clinical simulation in nursing education

Abstract

E-simulation involves goal-based role play using digital simulations that take place via a computer screen.  Learners interact with the program via multi-media applications such as animation and video, graphics, sound, vision, and text through the use of advanced Web authoring tools. When the simulation is Web-based (via a remote server), this allows data collection and real-time feedback.  We aimed to explore how the Internet has been utilized for the purposes of e-simulation in healthcare education.  We describe published resources focusing on pre-registration education for undergraduate nursing and medicine students.  Many studies in these domains have developed e-simulation as components of research, but we identified only four that were openly accessible (without fees).  We describe four Web-based simulation programs that will benefit learners through better understanding of cardiopulmonary resuscitation; patient deterioration recognition and management; communication with the mentally ill; and knowledge of cultural competence. These programs have the advantage of being available across borders and are accessible to a broad audience wherever there is adequate Internet access.  The approach appears to be highly acceptable to learners and offers the opportunity for repeated practice.  The time is right for greater distribution and sharing of Web-based simulation resources for teaching in both undergraduate and at professional levels.  Web-based simulation programs are a valuable resource that can be used in combination with traditional forms of laboratory and classroom teaching, in order to facilitate the development of students’ clinical competence.