The use of clinical simulation in technical nursing education

Authors

DOI:

https://doi.org/10.12957/reuerj.2025.88144

Keywords:

Education, Nursing, Inventions, High Fidelity Simulation Training, Licensed Practical Nurses

Abstract

Objective: to discuss the use of clinical simulation in technical nursing education by identifying, synthesizing, and analyzing the scientific knowledge produced, as well as describing a case involving the implementation of simulation in technical-level training. Method: descriptive and exploratory study conducted in two phases: a scoping review and a single case study addressing the implementation of technical education at a private technical nursing school, with exemption from ethical approval. Results: the review showed that simulated practices in technical education include activities designed for research purposes, which are not part of the standard curriculum and have not been used to strengthen or expand professional training in the country. The case study demonstrates that well-structured projects with institutional support can make the use of simulation feasible in technical nursing education, generating impact and ensuring and enhancing patient care. Conclusion: clinical simulation is a viable approach in the education of nursing technicians.

Author Biographies

Alessandra Mazzo, Universidade de São Paulo

Nurse. Postdoctoral degree in Nursing. Associate Professor at Faculdade de Medicina de Bauru da Universidade de São Paulo (FMBRU-USP). Bauru, SP, Brazil.

Adson Hugo Gonçalves Soares, Universidade de São Paulo

Nurse. Master’s degree in Nursing. Universidade de São Paulo, Ribeirão Preto School of Nursing, São Paulo, Brazil.

Manoel Messias Teixeira Silva, Serviço Nacional de Aprendizagem Comercial

Nurse. Specialist. National Commercial Learning Service, Rio de Janeiro Unit (Senac RJ), Rio de Janeiro, RJ, Brazil.

Camila Picharillo, Serviço Nacional de Aprendizagem do Comercial

Nurse. Specialist. National Commercial Learning Service, Rio de Janeiro Unit (Senac RJ), Rio de Janeiro, RJ, Brazil.

Rodrigo Guimarães dos Santos Almeida, Universidade Federal de Mato Grosso do Sul

Nurse. PhD in Health Sciences. PhD Professor at the Integrated Health Institute – Inisa, Universidade Federal de Mato Grosso do Sul. Campo Grade, MS, Brazil.

Enfermero. Doctor en Ciencias de la Salud. Profesor Doctor en el Instituto Integrado de Salud (Inisa), Universidade Federal de Mato Grosso do Sul. Máster en Ciencias (Brasil).

Marília Souto de Araújo, Universidade Federal do Rio Grande do Norte

Nurse. PhD in Nursing. Universidade Federal do Rio Grande do Norte (UFRN). Caicó, RN, Brazil.

Rodolfo da Silva Freitas, Serviço Nacional de Aprendizagem Comercial

Nurse. Specialist. National Commercial Learning Service, Rio de Janeiro Unit (Senac RJ), Rio de Janeiro, RJ, Brazil.

Raphael Raniere de Oliveira Costa, Universidade Federal do Rio Grande do Norte

Nurse. PhD. Postdoctoral fellowship in Nursing. Adjunct Professor of Medicine, Multicampi School of Medical Sciences (EMCM) at Universidade Federal do Rio Grande do Norte (UFRN). Caicó, RN, Brazil.

References

1. Costa RRO, Araújo MS, Medeiros SM, Mata ANS, Almeida RGS, Mazzo A. Conceptual analysis and applicability of telesimulation in health education: A scoping review. Esc Anna Nery. 2022 [cited 2024 Nov 25]; 26(1):1-8. DOI: https://doi.org/10.1590/2177-9465-EAN-2021-0457en.

2. Costa RRO, Medeiros SM, Martins JCA, Enders BC, Lira ALBC, Araujo MS. Simulation in nursing teaching: a conceptual analysis. Rev Enferm Cent-Oeste Min. 2018 [cited 2024 Nov 25]; 8:e1928. DOI: https://doi.org/10.19175/recom.v8i0.1928.

3. Costa RRO, Medeiros SM, Martins JCA, Coutinho VRD, Araújo MS. Effectiveness of simulation in teaching immunization in nursing: a randomized clinical trial. Rev Latino-Am Enfermagem. 2020 [cited 2024 Nov 25]; 19(28):e3305. DOI: https://doi.org/10.1590/1518-8345.3147.3305.

4. Costa RRO, Mata ANS, Almeida RGS, Coutinho VRD, Alves LYM, Mazzo A. Laboratório de habilidades e simulação clínica em época de Covid-19: possibilidades e recomendações práticas. Medicina (Ribeirão Preto). 2021 [cited 2024 Nov 25]; 54(1):e-177075. DOI: https://doi.org/10.11606/issn.2176-7262.rmrp.2021.177075.

5. Costa RRO, Almeida RGDS, Mazzo A. The use of clinical simulation in nursing education in brazil: conditions in the face of the covid-19 pandemic. Cogitare Enferm. 2021 [cited 2024 Nov 25]; 26. DOI: https://doi.org/10.5380/ce.v26i0.81207.

6. Cecilio-Fernandes D, Peccin MS, Sandars J, Couto TB, Mazzo A. Advancing simulation-based education in Brazil: bridging research and practice for healthcare excellence. Einstein (São Paulo). 2023 [cited 2024 Nov 25]; 21(Suppl 3):eEDS3. DOI: https://doi.org/10.31744/einstein_journal/2023EDS3.

7. Mazzo A, Costa RRO, Lourençone LFM, Almeida RGS, Sanches BCH. Laboratório de habilidades e simulação: perspectivas atuais e futuras. Simulación Clínica. 2022 [cited 2024 Nov 25]; 4(3):106-111. DOI: https://doi.org/10.35366/109711.

8. Nunes JG, Freitas P, Bergamasco EC, Cruz DA. Implementation of good practices in clinical simulation in nursing education. Acta Paul Enferm. 2022 [cited 2024 Nov 25]; 35:eAPE00347. Available from: https://www.scielo.br/j/ape/a/snwSCdqwQLr4M4Nz75MJMZP/?lang=en#.

9. Papanagnou D. Telesimulation: a paradigm shift for simulation education. AEM Educ Train. 2017 [cited 2024 Nov 25]; 1(2):137-9. DOI: http://dx.doi.org/10.1002/aet2.10016.

10. Hayden EM, Khatri A, Kelly HR, Yager PH, Salazar GM. Mannequin-based Telesimulation: Increasing Access to Simulation-based Education. Acad Emerg Med. 2018 [cited 2024 Nov 25]; 25(2):144-7. DOI: http://dx.doi.org/10.1111/acem.13299.

11. Garland C, Wilson JA, Parsons MH, Dubrowski A. The Application of Low-fidelity Chest Tube Insertion Using Remote Telesimulation in Training Healthcare Professionals. Cureus. 2019 [cited 2024 Nov 25]; 11(12):e6273. DOI: http://dx.doi.org/10.7759/cureus.6273.

12. COFEN. Conselho Federal de Enfermagem. Quantitativo de Profissionais por Regional. 2024 [cited 2024 Nov 25]. Available from: https://descentralizacao.cofen.gov.br.

13. COFEN. Conselho Federal de Enfermagem. Parecer normativo nº 001/2019/COFEN. Carga Horária mínima. Estágios. Cursos Técnicos de Enfermagem. 2019 [cited 2024 Nov 25]. Available from: https://www.cofen.gov.br/parecer-normativo-no-001-2019/.

14. Camargo RAA, Gonçalves AE, Góes FSN, Nakata CY, Pereira MCA. Assessment of the training of nursing technicians by nurses who work in hospitals. Rev Min Enferm. 2015 [cited 2024 Nov 25];19(4):958-64. DOI: https://doi.org/10.5935/1415-2762.20150073.

15. Rodrigues RM, Menegarde M, Conterno SFR. Evaluation of the technical course in nursing at a state professional training center. Educ Rev. 2024 [cited 2024 Nov 25]; 40:1-19. DOI: https://doi.org/10.1590/0102-469837629.

16. Soares AHG. A formação prática dos técnicos em enfermagem e sua valorização no mercado de trabalho no Brasil [dissertação]. Ribeirão Preto: Universidade de São Paulo, Escola de Enfermagem; 2023 [cited 2024 Nov 25]. DOI: https://doi.org/10.11606/D.22.2023.tde-08032024-093016.

17. COFEN. Conselho Federal de Enfermagem. É necessário olhar para quem mais precisa. 2021 [cited 2024 Nov 25]. Available from: https://www.coren-rj.org.br.

18. Pollock D, Peters MDJ, Khalil H, McInerney P, Alexander L, Tricco AC, et al. Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evid Synth. 2023 [cited 2024 Nov 25]; 21(3):520-32. DOI: https://doi.org/10.11124/JBIES-22-00123.

19. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018 [cited 2024 Nov 25]; 169(7):467-473. DOI: https://doi.org/10.7326/M18-0850.

20. Yin RK. Estudo de caso: Planejamento e métodos. Porto Alegre: Bookman; 2001.

21. Chizzotti A. Pesquisa em ciências humanas e sociais. 8ª ed. São Paulo: Cortez; 2006.

22. Mendonça AW. Metodologia para estudo de caso: livro didático. Palhoça: Unisul Virtual; 2014.

23. Araújo MS, Medeiros SM, Costa RR, Coutinho VR, Mazzo A, Sousa YG. Effect of clinical simulation on the knowledge retention of nursing students. Acta Paul Enferm. 2021 [cited 2024 Nov 25]; 34:eAPE000955. DOI: http://dx.doi.org/10.37689/acta-ape/2021AO000955.

24. Bianchini A, Góes FSN, Miranda FBG, Camargo RAA, Almeida RGDS. Aprendendo a comunicar-se com simulação: satisfação, confiança e autopercepção de estudantes de Educação Profissional de Nível Médio em Enfermagem. Bol Técnico Senac. 2020 [cited 2024 Nov 25];46(2):65-79. DOI: https://doi.org/10.26849/bts.v46i2.808.

25. Kletemberg DF, Siqueira MTD, Mantovani MF, Padilha MI, Amantel LN, Anders JC. O processo de enfermagem e a lei do exercício profissional. Rev Bras Enferm. 2010 [cited 2024 Nov 25]; 63(1):26-32. DOI: https://doi.org/10.1590/S0034-71672010000100005.

26. Almeida ACT. Subseções no Sistema COFEN/Coren: uma análise de viabilidade sob a ótica econômica [Tese de Doutorado]. Brasília: Universidade de Brasília, 2021 [cited 2024 Nov 25]. Available from: https://repositorio.unb.br/handle/10482/41308.

27. ABEN. Associação Brasileira de Enfermagem. 2023 [cited 2024 Nov 25]. Available from: https://www.abennacional.org.br/site/historia/.

28. Farrar HME, Scharf-Swaller C, Chu L. Effect of Nurse-Led Review Plus Simulation on Obstetric/Perinatal Nurses' Self-Assessed Knowledge and Confidence. Nurs Womens Health. 2017 [cited 2024 Nov 25]; 20(6):568-581. DOI: https://doi.org/10.1016/j.nwh.2016.10.007.

29. Karlsen MW, Gabrielsen AK, Falch AL, Stubberud D. Intensive care nursing students' perceptions of simulation for learning confirming communication skills: A descriptive qualitative study. Intensive Crit Care Nurs. 2017 [cited 2024 Nov 25]; 42:97-104. DOI: https://doi.org/10.1016/j.iccn.2017.04.005.

30. Araújo PRS, Santana BS, Nogueira JWS, Magro MCS. Clinical simulation in nursing professionals’ late retention of knowledge and self-confidence: a quasi-experimental study. Cogitare Enferm. 2022 [cited 2024 Nov 25]; 27:e86981. DOI: https://doi.org/10.5380/ce.v27i0.86981.

31. COFEN. Conselho Federal de Enfermagem. PÓS-TEC Enfermagem. 2023 [cited 2024 Nov 25]. Available from: https://postec.cofenplay.com.br/.

32. Verschoore JR. A coordenação de esforços coletivos para enfrentar a pandemia do novo coronavírus: um estudo de caso sobre o hackathon Hack for Brazil | covid-19. REAd Rev eletrôn adm. 2020 [cited 2024 Nov 25]; 26(2):238-64. Available from: https://seer.ufrgs.br/index.php/read/article/view/103388.

Downloads

Published

2025-06-30

How to Cite

1.
Mazzo A, Soares AHG, Silva MMT, Picharillo C, Almeida RG dos S, Araújo MS de, et al. The use of clinical simulation in technical nursing education. Rev. enferm. UERJ [Internet]. 2025 Jun. 30 [cited 2026 Apr. 22];33(1):e88144. Available from: https://www.e-publicacoes.uerj.br/enfermagemuerj/article/view/88144

Issue

Vol. 33 (2025)

Section

Research Articles

License

Copyright (c) 2025 Alessandra Mazzo, Adson Hugo Gonçalves Soares, Manoel Messias Teixeira Silva, Camila Picharillo, Rodrigo Guimarães dos Santos Almeida, Marília Souto de Araújo, Rodolfo da Silva Freitas, Raphael Raniere de Oliveira Costa

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

When publishing in Revista Enfermagem UERJ, the authors declare that the work is their exclusive authorship and therefore assume full responsibility for its content.

Authors retain copyright to their article and agree to license their work using a Creative Commons Attribution International Public License (CC BY), thereby accepting the terms and conditions of this license (https://creativecommons.org/licenses/by/4.0/legalcode.en), which allows material created by the author to be distributed, copied and displayed by third parties. The original work must be cited and present a link to the article available on the website of the journal in which it was published.

The Copyright of the articles published in Revista Enfermagem UERJ belongs to their respective author(s), with the rights of first publication assigned to Revista Enfermagem UERJ, with the work simultaneously licensed under a Creative Commons License CC BY, which allows sharing of work with recognition of authorship and initial publication in this journal.

The authors grant Revista Enfermagem UERJ the right of first publication, to identify themselves as the original publisher of the work and grant the magazine a license of non-exclusive rights to use the work in the following ways:

  1. Sell and/or distribute the work in printed copies and/or electronic format;
  2. Distribute parts and/or the work as a whole with the aim of promoting the magazine through the internet and other digital and printed media;
  3. Record and playback work in any format, including digital media.

In line with the journal's policies, each published article will be assigned a Creative Commons Attribution (CC BY) license.

Crossref
Scopus
Google Scholar
Europe PMC