Use of Screen-Based Simulation in Nursing Schools in France: A National, Descriptive Study

Abstract

Background Clinical simulation is a major component of undergraduate healthcare training. However, data are lacking regarding simulation modalities used in Europe. The purpose of this national study is to describe how screen-based simulation (SBS) is being used as well as identify the barriers to its use in nursing schools in France. Methods This study employed a descriptive design with 207 nursing schools in France. Nursing school leaders (Deans, Heads of School, Simulation Coordinators or Leaders) were asked to complete an online survey. Results Traditional simulation was used in 92% of the nursing schools, but only 41% used SBS. Most nursing schools used SBS in a face-to-face format with students paired at a computer followed by a debriefing or alone at home. SBS is used mostly to teach decision making and clinical reasoning. SBS was used to complement traditional clinical time rather than replace it. Barriers included cost of SBS solutions, lack of recent computer equipment, high-speed internet network and training of the trainers. SBS is more frequently used in small nursing schools or large nursing schools where leaders are trained in simulation. Conclusion Although simulation is broadly adopted by nursing schools in France, the use of SBS remains limited. Nurse leaders in mid-size nursing schools (with 100-200 nursing students) should consider investing more resources in SBS. A post-pandemic assessment is warranted.