Clinical simulation in advanced nursing care for critically ill patient: a scoping review protocol
DOI:
https://doi.org/10.62741/ahrj.v3iSuppl.123Keywords:
Advanced practice nursing, Critically ill patient, Evidence-based practice, Simulation trainingAbstract
Introduction: Clinical simulation has emerged as an essential resource in nursing, providing a safe environment for the development of technical and non-technical competencies. In the context of advanced nursing practice, simulation is recognised as a strategy to support decisionmaking, critical thinking, leadership, and the implementation of evidence-based practices. However, evidence on how clinical simulation contributes to advanced nursing practice in the care of critically ill patients remains fragmented and conceptually heterogeneous.
Objectives: To map the available scientific evidence on the role of clinical simulation in the development of competencies associated with advanced nursing practice in the care of critically ill patients.
Methodology: Scoping review protocol that will follow the Joanna Briggs Institute guidelines and is based on the question: What is the role of clinical simulation in the development of advanced nursing practice in the care of critically ill patients? The search strategy will be conducted in the following databases: Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, CINAHL Complete, MedicLatina and Nursing & Allied Health Collection: Comprehensive (via EBSCOhost), as well as PubMed (via National Library of Medicine) and Scopus. Grey literatute will also be searched through OpenGrey and the Portuguese Open Access Scientific Repository. The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta Analyses Extension for Scoping Reviews will be adopted for the article selection.
Conclusion: The proposed scoping review will map existing evidence, clarify how advanced nursing practice is conceptualised across different contexts,
References
Toasa-Ortiz FP, Acosta-Lalaleo DP, Maya-Calva FP, Mon-tesdeoca-Tello A, Lalaleo-Portero TJ. Innovaciones en la en-señanza de enfermería: uso de simulación clínica y realidad virtual. Innova Science Journal. 2025;3(2):126-137. doi:10.63618/omd/isj/v3/n2/59.
O'Rourke LA, Morrison M, Grimsley A, Cotter VT. High-fidelity simulation and nurse clinical competence—An in-tegrative review. J Clin Nurs. 2023;32(9-10):1549-1555. doi:10.1111/jocn.16028.
Silva AP. Enfermagem avançada: um sentido para o desen-volvimento da profissão e da disciplina. Servir. 2007;55(1-2):11–20.
Santos J. Enfermagem avançada: recordar o passado, apre-ciar o presente e perspetivar o futuro. Pensar En-ferm [Internet]. 2023 Aug;27(1):87–94. Available-from: https://doi.org/10.56732/pensarenf.v27i1.218
Souza RS, Dias AAL, Silva SL, Figueiredo RM, Silva MJR, Amendoeira JJP. Desenvolvimento de competências não técnicas mediadas pelo ensino baseado em simulação para enfermeiros: uma scoping review. HU Rev. 2024;50:1 11. doi:10.34019/1982 8047.2024.v50.44880
Jensen JF, Ramos J, Ørom M L, Naver KB, Shiv L, Bunken-borg G, Kodal AM, Skram U. Improving patient's intensive care admission through multidisciplinary simulation-based crisis resource management: a qualitative study. J Clin Nurs. 2023;32(19 20):7530 7542. doi:10.1111/jocn.16821
Chang Y L, Hsieh M J, Feng T H, Shang S T, Tsai Y F. Ef-fectiveness of multiple scenario simulations of acute and critical care for undergraduate nursing students: a quasi-experimental design. Nurse Educ Today. 2022;118:105526. doi:10.1016/j.nedt.2022.105526
Martins JJP, Carvalho EC, Ferreira MRS do C F. A simulação em enfermagem no desenvolvimento de competências não técnicas em contexto de emergência pré-hospitalar: survey. Servir. 2019;60(1 2):14 22. doi:10.48492/servir021-2.24489
Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, Casaña Mohedo J. In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandem-ic? Healthcare. 2023;11(2):263. doi:10.3390/healthcare11020263
Nascimento JSG, Oliveira JLG, Alves MG, Braga FTMM, Góes FSN, Dalri MCB. Métodos e técnicas de debriefing uti-lizados em simulação na enfermagem. Acta Paul Enferm. 2020;33:e20190182. doi:10.1590/1983-1447.2020.20190182
Cortegiani A, Ippolito M, Abelairas-Gómez C, Nabecker S, Olaussen A, Lauridsen KG, Lin Y, Sawyer T, Yeung J, Lock-ey AS, Cheng A, Greif R, Donoghue A, Farquharson B, Yang C W, Geduld H, Eastwood K, Nation K, Schnaubelt S, Ma-tsuyama T, Ko Y C, Allen KS, Kidd T, Breckwoldt J, Hsieh M J. In situ simulation for cardiopulmonary resuscitation training: a systematic review. Resusc Plus. 2025;4:100053. doi:10.1016/j.resplu.2024.100863
Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, edi-tors. JBI manual for evidence synthesis. JBI; 2024. doi:10.46658/JBIMES-24-01
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, … Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi:10.1136/bmj.n71
Bernabe R de la C, Carvalho AS, Dash KCK, Koivisto E, Kwamboka L, Mezinska S, Mbanya V, Strech M, et al. ROSiE General Guidelines on Responsible Open Science (Version 1.0) [Deliverable]. Zenodo; 2023. doi:10.5281/zenodo.10046520
Dias JP, Leão A, Regadas S. Simulação clínica na enferma-gem avançada à pessoa em situação crítica: a scoping revi-ew protocol. OSF Preprints. 2025 Sep 29. https://osf.io/sb5cz
Downloads
Published
Versions
- 10-02-2026 (2)
- 10-02-2026 (1)
Issue
Section
License
Copyright (c) 2026 Athena Health & Research Journal

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright of published papers is assigned to the Journal, but all content is licensed under the terms of Creative Commons Non-comercial 4.0 International License. Thus users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.







