ArticleBMC nursing2025
The benefits and boundaries of psychological safety in simulation-based education: an integrative review.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Article
- Virtual simulation as a catalyst for equitable and authentic interprofessional learning.BMC medical education · 2026Article
- Article
- Breaking barriers: transforming healthcare education for transgender patient equity in a South African undergraduate paramedic program.BMC medical education · 2026Article
- Implementation and utilization of Physical Examination Teaching Associate (PETA) programs: a scoping review.Advances in simulation (London, England) · 2026Article
- Nurses' perceptions about the use of virtual reality simulation to develop competencies in managing violent and threatening behaviours: a qualitative study.BMC nursing · 2026Article
- Implementing and evaluating a comprehensive simulation-based program to enhance nursing students' coping with death, burnout, and communication skills.Frontiers in psychology · 2026Article
- A primer on artificial intelligence for palliative care educators.Palliative care and social practice · 2026Review
- "Flying the Nest" - The Transition from the Pre-Clinical to Clinical Years in Medical Education: A Pilot Study Exploring Contemporary Challenges and Opportunities for Enhancement.Advances in medical education and practice · 2026Article
- Progress in educational theory and translational implementation of simulation-based education for healthcare professionals: an integrative analysis from theory to effectiveness.Frontiers in medicine · 2026Review
- Advancing clinical evaluation programs in nursing education in Saudi Arabia: a cross-sectional study of students' and instructors' perspectives.Frontiers in medicine · 2026Article
- Empowering future nurses: a focus group study on simulation for transition to clinical practice.BMC nursing · 2025Article
- Cultural empathy development through simulation-based education: a qualitative exploration of Saudi nursing students' and academics' experiences.BMC nursing · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
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Abstract
backgroundPsychological safety has been highlighted as essential for student learning in simulation-based education (SBE). The pedagogical literature emphasizes that such learning situations must challenge learners and make them experience that something is at stake. Therefore, this study aimed to analyse how psychological safety in SBE is assured in recent research.
methodsThe study employed an integrative review method. Databases were systematically searched for articles, and 2071 records were screened, of which 13 studies met the inclusion criteria.
findingsThe findings of the study resulted in two themes related to psychological safety in SBE. Theme 1 demonstrates that psychological safety is warranted because simulation is an unsafe learning environment, while theme 2 illustrates that psychological safety is implemented to optimise students' learning during SBE.
conclusionThis study reveals that establishing psychological safety in SBE is crucial due to the potential for students to feel anxious and stressed. Psychological safety in SBE is more nuanced than in traditional work environments in which the concept originated and is not merely about eliminating all discomfort during learning situations. Additionally, psychological safety is necessary for a challenging learning environment in which students feel safe enough to risk failure and be exposed to dilemmas, thereby facilitating learning opportunities. CLINICAL TRIAL NUMBER: Not applicable.
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