“…Twenty studies (38%) explicitly addressed culture and diversity in the study design, curriculum, purpose, instruments, client vignette scenarios, and/or findings. Of the 20 articles explicitly integrating culture, 8 (16%) stated that they used assessment tools that incorporated dimensions of culture and diversity (Carter et al, 2018; Costello et al, 2017; Dennison, 2011; Katz et al, 2014; Lu et al, 2011; Schreiber & Minarik, 2018; Scourfield et al, 2019; Tufford et al, 2017). In three (6%) of these studies, authors stated that elements of culture and diversity were incorporated in curricula or courses that students completed before the simulation session (Manning et al, 2016; Robinson, Thiel, Shirkey, Zurakowski, & Meyer, 2016; Sampson et al, 2018).…”