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Accepted for/Published in: JMIR Nursing

Date Submitted: Nov 16, 2025
Open Peer Review Period: Nov 16, 2025 - Jan 11, 2026
Date Accepted: Mar 23, 2026
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Simulation-Based Training for Nursing Students to Improve Patient Safety: Systematic Review

González-Sanz A, López-García JC, Sutil-Rodríguez E, Juárez-Vela R, Santos-Sánchez J, Navas-Echazarreta N, Martínez-Sabater A, Sancho-Sanchez C

Simulation-Based Training for Nursing Students to Improve Patient Safety: Systematic Review

JMIR Nursing 2026;9:e87898

DOI: 10.2196/87898

PMID: 42189579

PMCID: 13205464

Simulation-Based Training for Nursing Students. Key Strategies to Improve Patient Safety: A systematic Review

  • Azucena González-Sanz; 
  • José Carlos López-García; 
  • Elena Sutil-Rodríguez; 
  • Raúl Juárez-Vela; 
  • José Ángel Santos-Sánchez; 
  • Noelia Navas-Echazarreta; 
  • Antonio Martínez-Sabater; 
  • Consuelo Sancho-Sanchez

ABSTRACT

Background:

Safety in healthcare is a key indicator of the quality of healthcare services. The identification of errors can be trained prior to entering the workforce by incorporating simulation into the education of nursing students.

Objective:

This systematic review aimed to determine whether simulation-based education for nursing students improves patient safety outcomes, by identifying which simulation strategies are most effective in reducing errors and enhancing safety-related competencies.

Methods:

A systematic review was conducted following the PRISMA methodology across the PubMed, Web of Science (WoS), Scopus, CINAHL, Cochrane, and Lilacs databases, covering studies published between 2019 and 2024. The methodological quality of the included studies was assessed using the tools provided by the Joanna Briggs Institute.

Results:

A total of 20 studies focusing on the use of simulation to enhance patient safety were included in the final review. The most frequently addressed topics were communication, medication administration, and the reporting of adverse effects using high-fidelity simulation.

Conclusions:

Simulation-based training for nursing students appears to be an effective approach to developing the skills and knowledge necessary to ensure patient safety.


 Citation

Please cite as:

González-Sanz A, López-García JC, Sutil-Rodríguez E, Juárez-Vela R, Santos-Sánchez J, Navas-Echazarreta N, Martínez-Sabater A, Sancho-Sanchez C

Simulation-Based Training for Nursing Students to Improve Patient Safety: Systematic Review

JMIR Nursing 2026;9:e87898

DOI: 10.2196/87898

PMID: 42189579

PMCID: 13205464

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