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Background The COVID-19 pandemic has precipitated rapid changes in medical education to protect students and patients from the risk of infection. Virtual Patient Simulators (VPS) provide a simulated clinical environment in which students can interview and examine a patient, order tests and exams, prioritize interventions, and observe response to therapy, all with minimal risk to themselves and their patients. Like high-fidelity simulators (HFS), VPS are a tool to improve curricular integration. Unlike HFS, VPS require limited infrastructure investment and can be used in low-resource settings. Few studies have examined the impact of VPS training on clinical education. This international, multicenter cohort study was designed to assess the impact of small-group VPS training on individual learning process and curricular integration from the perspective of nursing and medical students. Methods We conducted a multi-centre, international cohort study of nursing and medical students. Baseline perceptions of individual learning process and curricular integration were assessed using a 27-item pre-session questionnaire. Students subsequently participated in small-group VPS training sessions lead by a clinical tutor and then completed a 32-item post-session questionnaire, including 25 paired items. Pre- and post-session responses were compared to determine the impact of the small-group VPS experience. Results Participants included 617 nursing and medical students from 11 institutions in 8 countries. At baseline, nursing students reported greater curricular integration and more clinical and simulation experience than did medical students. After exposure to small-group VPS training, participants reported significant improvements in 5/6 items relating to individual learning process and 7/7 items relating to curricular integration. The impact of the VPS experience was similar amongst nursing and medical students. Conclusions In this multi-centre study, perceptions of individual learning process and curricular integration improved after exposure to small-group VPS training. Nursing and medical students showed similar impact. Small-group VPS training is an accessible, low-risk educational strategy that can improve student perceptions of individual learning process and curricular integration.

Objective: to identify the profile of transversal teaching/learning skills, which allows an adequate intervention of disaster nursing students. Methods: this is research framed in the qualitative, transversal paradigm methodology, supported by inductive and exploratory reasoning. Results: it was found that there is no consensus between Nursing Education Major Coordinators/Directors and disaster nursing experts regarding transversal skills considered decisive, due to the current absence of the theme in study plans and the limited personal and professional training of professors. Final considerations: the development and implementation of teaching/learning strategies that allow the development of transversal skills, favoring students’ ability to meet this reality in a conscious, balanced and efficient way, is crucial.

A simulação na formação é um método pedagógico efetivo para o desenvolvimento de competências. Sintetizar o conhecimento atual sobre a prática simulada, especificamente a satisfação dos estudantes. Revisão integrativa. Artigos em texto integral livre, nos idiomas português, inglês e espanhol, entre 2008-2018, disponíveis na CINAHL, LILACS, MEDLINE, MEDICLATINA, Cochrane Database of Systematic Reviews, MedicLatinaPubMed, BDEnf, IBECS e SCIELO. Emerge 3 categorias: Satisfação/autoconfiança com a simulação; Eficácia da simulação no treino de competências; Impacto das várias estratégias de ensino com a simulação na aquisição de competências em Enfermagem. Os estudantes sentem-se satisfeitos com a prática da simulação, considerando-a, uma experiência que contribui para a autoconfiança e promotora da aquisição de competências. Necessidade de estudos demostrativos da efetividade da prática simulada a longo prazo.Descritores: Simulação, Satisfação, Estudantes de Enfermagem. Nursing student satisfaction with simulated practiceAbstract: Simulation in training is an effective pedagogical method for developing skills. To synthesize current knowledge about the simulated practice, to specify student satisfaction. Integrative review. Articles in free full text, in Portuguese, English and Spanish, between 2008-2018, available at CINAHL, LILACS, MEDLINE, MEDICLATINA, Cochrane Systematic analysis database, MedicLatinaPubMed, BDEnf, IBECS and SCIELO. Emerging 3 categories: Satisfaction / self-confidence with the simulation; Simulation effectiveness in skills training; Impact of various teaching strategies with the simulation of skills acquisition in Nursing. Conclusions: students feel satisfied with the practice of simulation, considering it an experience that contributes to self-confidence and the promotion of the acquisition of skills. There is a need for studies demonstrating the effectiveness of simulated practice in the long term.Descriptors: Simulation, Satisfaction, Nursing Students. Satisfacción del estudiante de enfermería con la práctica simuladaResumen: La simulación en el entrenamiento es un método pedagógico efectivo para desarrollar habilidades. Sintetizar el conocimiento actual sobre la práctica simulada, para especificar la satisfacción del alumno. Revisión integradora. Artículos en texto completo en inglés, en portugués, inglés y español, entre 2008-2018, disponibles en CINAHL, LILACS, MEDLINE, MEDICLATINA, base de datos de análisis sistemático Cochrane, MedicLatinaPubMed, BDEnf, IBECS y SCIELO. Emergentes 3 categorías: Satisfacción / confianza en sí mismo con la simulación; Efectividad de la simulación en el entrenamiento de habilidades; Impacto de diversas estrategias de enseñanza con la simulación de adquisición de habilidades en Enfermería. Los estudiantes se sienten satisfechos con la práctica de la simulación, considerándola una experiencia que contribuye a la autoconfianza y a la promoción de la adquisición de habilidades. Necesidad de estudios que demuestren la efectividad de la práctica simulada a largo plazo.Descriptores: Simulación, Satisfacción, Estudiantes de Enfermería.

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