Strides in Development of Medical Education

Document Type : Original Article


1 PhD in Medical Education, Associate Professor, Department of Medical Education, Medical Science Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Ph.D. Student, Department of Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

3 PhD Candidate in Nursing, Department of Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran


  Background & Objective: Simulation is an educational technique which through providing whole or part of a clinical experience helps students to learn without being afraid of either their personal weaknesses or hurting the patient during interaction Manipulation of medical education is widely being spread all over the world and this can be due to various factors such as technological improvements ethical issues relating to practicing clinical skills crowdedness of clinical environments for educational purposes illness severity in most patients drop in the length of patients stay in the hospitals shortage of specialized staff in hospitals to facilitate educational process and so on   Methods: The current study has reviewed existing books library references papers and essays available in different scientific databases using keywords of “simulation” “medical education” and “clinical skills”   Results: Simulation offers several advantages including increase in patients safety reinforcement of interactive learning and studentcentered improvement in problemsolving abilities and critical thinking skills and selfpaced learning Despite all the abovementioned benefits the point is that due to the high costs of simulation equipment as well as improper cost management policies particularly in educational centers several studies should be run to analyze outcomes of manipulation of different simulators on students learning and then based on the efficiency of the simulators the proper ones be used for educational purposes in clinical environments


  1. Gaberson K, Oermann M. Clinical Teaching Strategies in Nursing. 3nd ed. New York: Springer Publishing Company; 2010.
  2. Burnard P. Learning Human Skills: An experiential and reflective guide for nurses and health care professionals. J Adv Nurse 2004;45(1): 109.
  3. Sanford PG. Simulation in Nursing Education: A Review of the Research. The Qualitative Report 2010; 15(4): 1006-11.
  4. Pazargadi M, Sadeghi R. Simulation in Nursing Education: Iran J Educ Strategies 2011; 3(4): 161-67. [In Persian]
  5. Billings DM, Halstead JA. Teaching in nursing: A guide for faculty. 3nd ed. Philadelphia: Saunders Elsevier; 2009.
  6. Lapkin S, Levett-Jones T, Bellchambers H, Fernandez R. Effectiveness of Patient Simulation Manikins in Teaching Clinical Reasoning Skills to Undergraduate Nursing Students: A Systematic Review. Clinical Simulation in Nursing 2010; 6(6): e207-e222.
  7. Burns H, O’Donnell J, Artman J. Highfidelity Simulation in Teaching Problem Solving to 1 st -Year Nursing Students: A Novel Use of the Nursing Process. Clinical Simulation in Nursing 2010; 6(3): e87-e95.
  8. Freeth D, Heather F. Nursing students’ and tutors’ perceptions of learning and teaching in a clinical skills centre. Nurs Educ Today 2005; 25(4): 272-82.
  9. Chambers Clark C. Classroom skills for nurse educators. United States of America: Jones and Bartlett Publishers; 2008.
  10. Young SD. Teaching strategies for nurse educators. 2nd Ed. New Jersey: Prentice Hall; 2009.
  11. Nehring WM, Lashley FR. High-Fidelity Patient Simulationin nursing education. United States of America: Jones and Bartlett Publishers; 2010.
  12. Jeffries PR. A framework for designing, implementing and evaluating simulations used as teaching strategies in nursing. Nurs Educ Perspec 2005; 26(2): 96-103.
  13. Wilson RD, Klein JD. Design, Implementation and Evaluation of a Nursing Simulation: A Design and Development Research Study. The Journal of Applied Instructional design 2012; 2(1): 57-68.
  14. Hallenbeck VJ. Use of High-Fidelity Simulation for Staff Education/Development. J Nurses Staff Dev 2012; 28(6): 260-9.
  15. Bland AJ, Topping A, Wood B. A Concept Analysis of Simulation as a Learning Strategy in the Education of Undergraduate Nursing Students. Nurse Educ Today 2011; 31(7): 664-70.
  16. Gardner MR, Suplee PD. Handbook of Clinical Teaching in Nursing and Health Sciences.United States of America: Jones and Bartlett Publishers; 2010.
  17. Rausen CA. Simulation as a Teaching Strategy for Nursing Education and Orientation in Cardiac Surgery. Crit Care Nurse 2004; 24(3): 46-51.
  18. Durham CF, Alden KR. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. [cited 2008 Apr 8]. Available from: http:// ciansproviders/resources/nursing/resources/nurses hdbk/nurseshdbk.pdf