Exploring simulation-based education in pre-registration nursing curriculum - Barriers and enablers: An integrative review

<h2>Abstract</h2><h3>Background</h3> Simulation-Based Education (SBE) has long been considered an effective model for teaching pre-registration nursing students. However, several factors impact the successful development and implementation of SBE programs that are sustainable, quality-driven and scalable. <h3>Methods</h3> An integrative review was used in the analysis of qualitative, quantitative, and mixed methodology papers, in the context of SBE programs in pre-registration nursing programs. <h3>Results</h3> About 1151 articles were originally identified, and the data was further analyzed in three phases with 17 articles remaining, eight articles were deemed suitable for review. Thematic analysis revealed three themes: Resources, Faculty development, and Embedding into practice. <h3>Conclusion</h3> SBE is considered an effective model for delivering education in pre-registration nursing programs. However, several factors impact the effectiveness of these programs when embedding them into nursing curricula. The most critical component to success was the utilization of simulation design frameworks which are underpinned by strong pedagogical methodologies.