Clinical simulation in training families for the hospital discharge of children with medical devices: an integrative review

Objective: to identify the impact of clinical simulation in training families for the hospital discharge of children who use medical devices. Methods: this integrative review was guided by the following research question: “How has clinical simulation supported family preparation for the hospital discharge of children who use medical devices?” We formulated this question based on the study’s population, variable, and objective. Searches were conducted in the Embase, Scopus, Web of Science, PubMed, and Virtual Health Library databases. Full-text articles addressing the topic were included, while unavailable studies and those not aligned with this type of review were excluded. The selection and analysis process was performed in pairs using the Rayyan platform. Results: eight studies on simulation training programs for families of pediatric patients were included. Four focused on tracheostomy care, neonatal hospital discharge, and long-term mechanical ventilation in children. The remaining studies evaluated the impact of simulation on caregivers’ self-efficacy, confidence, competence, and skills. Conclusion: simulation-based training for families enhanced safety and self-confidence; however, its use among family members remains limited. Contributions to practice: this study highlights the need to improve teaching practices by enabling professionals to implement simulation with families across diverse methodological and clinical settings.