Abstract

Background: Nursing education often employs simulation-based education to prepare for clinical practice. However, despite its perceived importance, there is no common practice for its integration into
different nursing curricula. This study aimed to describe and compare the levels of implementation of
simulation-based education in nursing curricula across different countries.
Methods: A quantitative and qualitative exploratory study was conducted in 2019 using a questionnaire developed using the Delphi technique. Eight European member institutions participated in this
exploratory study. Qualitative data were hand-coded and analyzed using descriptive analysis.
Results: Differences were found regarding (a) simulation in nursing programs, (b) the simulation
environment, and (c) expert opinions. There exists a wide range of simulation-based education accreditation systems, and the absence of regulatory standards to replace clinical hours in the curriculum is
a challenge for international exchange programs.
Conclusions: Universities should invest in and guarantee high-quality research to evaluate national
and international initiatives and contribute to simulation-based education.