SynthesisNursing open2021
The effect of multiple exposures in scenario-based simulation-A mixed study systematic review.
Synthesis in Nursing open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Identifying Research Priorities in Digital Education for Health Care: Umbrella Review and Modified Delphi Method Study.Journal of medical Internet research · 2025Pooled it
- The effect of multiple exposures in scenario-based simulation-A mixed study systematic review.Nursing open · 2021Pooled it
- Self-confidence and anxiety in clinical decision-making among nursing students during high-fidelity simulation training: a longitudinal study.Advances in simulation (London, England) · 2026Article
- The changes in perceived self-efficacy, academic engagement, and empathy following simulation-based learning among undergraduate physiotherapy students: a quasi-experimental study.BMC medical education · 2026Article
- Classroom to crisis: Exploring nursing students' preparedness for emergency unit placements in the Western Cape.Curationis · 2026Article
- Article
- 360-degree projection simulation versus traditional simulation in undergraduate paramedicine education: a pilot randomised controlled trial.British paramedic journal · 2025Article
- Factors influencing implementation of simulation in nursing and midwifery training in Malawi.Health SA = SA Gesondheid · 2024Article
- Impact of palliative care simulation on nursing students' learning outcomes and reported use in hospital placement.Nursing open · 2022Article
- The lived experiences of intensive care nursing students exposed to a new model of high-fidelity simulation training: a phenomenological study.BMC nursing · 2021Article
- Nursing Education: Students' Narratives of Moral Distress in Clinical Practice.Nursing reports (Pavia, Italy) · 2021Article
- Structuring Continual Learning Through a Hierarchy of Objectives: A Conceptual Framework.SAGE open nursingReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aims: To examine the use and effects of multiple simulations in nursing education. Design: A mixed study systematic review. Databases (CINAHL, Medline, PubMed, EMBASE, ERIC, Education source and Science Direct) were searched for studies published until April 2020. Method: Researchers analysed the articles. Bias risk was evaluated using the Critical Appraisal Skills Programme and Cochrane Risk of Bias tool. Results: In total, 27 studies were included and four themes identified. Students participated in multiple simulation sessions, over weeks to years, which included 1-4 scenarios in various nursing contexts. Simulations were used to prepare for, or partly replace, students' clinical practice. Learning was described in terms of knowledge, competence and confidence. Conclusion: Multiple scenario-based simulation is a positive intervention that can be implemented in various courses during every academic year to promote nursing students' learning. Further longitudinal research is required, including randomized studies, with transparency regarding study design and instruments.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.