Halk Sağlığı Hemşireliği Eğitim ve Uygulamalarında Simülasyon Uygulamaları: Kapsam Derlemesi

Yıl 2025, Cilt: 27 Sayı: 2, 157 - 186, 26.08.2025

Merve Reyyan Telkesen , Kübra Akalin , Mahir Can Gökçe , Ecem Çiçek Gümüş , İlknur Dolu

https://doi.org/10.69487/hemarge.1626390

Öz

Amaç: Halk sağlığı hemşireliği eğitimi ve uygulamalarında kullanılan simülasyon uygulamalarına ilişkin çalışmaları inceleyerek bir sentez oluşturmaktır.
Yöntem: Çeşitli metodolojileri ve bulguları içeren ampirik çalışmaları sentezlemeyi sağlan kapsam derlemesi gerçekleştirilmiştir. Bu yaklaşım, halk sağlığı hemşireliği eğitim ve uygulamalarında simülasyon uygulamalarının daha kapsamlı bir şekilde anlamamıza olanak sağladı. Ocak 2018 ile Kasım 2024 yılları arasında yapılan çalışmalar için PubMed, Scopus ve Web of Science veri tabanları taranmıştır. Başlıklar ve özetler tarandıktan sonra tam metin makaleler, dahil edilme ve dışlanma kriterlerine göre değerlendirilmiş, çıkarılan bulgular eleştirel bir şekilde incelenmesi ve sentezlenmesi ile temalar oluşturulmuştur.
Bulgular: Çalışmada, PubMed, Scopus ve Web of Science tabanlari taranarak toplam 1810 makale elde edilmiştir. Dahil edilme kriterlerini karşılamayan 1697 makale hariç tutulmuştur. Böylece, tam metin değerlendirmesi için toplam 113 makale seçilmiş ve nihayetinde 22 makale dahil etme kriterlerini karşılamıştır. Bu sistematik derlemenin bulguları 1. simülasyon ve eğitim, 2. simülasyonun tanı ve tedavi süreçlerini geliştirmesi ve 3. sağlık ve sosyal bakımda teknolojinin rolü başlıklı temalar altında toplanmıştır. Bulgular hemşirelik öğrencileri ve hemşirelerin simülasyon tabanlı uygulamalar sayesinde iletişim becerileri, kritik düşünme, klinik becerilerdeki özgüvenleri, empati, bakış açısı ve eleştirel düşünme gibi yönlerinin gelişimine olumlu etki gösterdiği fakat bazı ekipmanların kullanımın zor olduğu, teknik açıdan problemler yaşandığı, maliyetin fazla olduğu, denetim ve eğitimlerin güç olduğu bildirilmiştir.
Sonuç: Bu çalışma, halk sağlığı hemşireliği eğitimi ve uygulamalarında simülasyon temelli eğitimlerini incelemiştir. Gelecekteki çalışmalarda bu eğitimlerin daha verimli hale getirilmesi için mevcut olumsuzlukların aşılması ve teknolojik gelişmelerin eğitim süreçlerine entegre edilmesi önerilmektedir.

Anahtar Kelimeler

Simülasyon Eğitimi , Yüksek gerçekli simülasyon uygulamaları , hemşirelik eğitimi , Halk sağlığı hemşireliği , Kapsam Derlemesi

Etik Beyan

Kapsam derlemesi olması dolayısı ile etik kurul onamı alınmasına ihtiyaç bulunmadığından onam alınmamıştır.

Destekleyen Kurum

Yazarlar çalışma için finansal destek almadıklarını beyan etmişlerdir.

Teşekkür

Araştırma grubuna teşekkür ederiz.

Simulation Practices in Public Health Nursing Education and Practice: A Scoping Review

Öz

Objective: The aim is to synthesize the studies on simulation practices used in public health nursing education and practice.
Method: A scoping review was conducted to synthesize empirical studies with various methodologies and findings. This approach allowed for a more comprehensive understanding of simulation practices in public health nursing education and practice. PubMed, Scopus, and Web of Science databases were searched for studies conducted between January 2018 and November 2024. Titles and abstracts were screened, and full-text articles were evaluated based on inclusion and exclusion criteria. Extracted findings were critically analyzed and synthesized into themes.
Results: A total of 1,810 articles were retrieved from PubMed, Scopus, and Web of Science. After excluding 1,697 articles that did not meet the inclusion criteria, 113 articles were selected for full-text evaluation, and ultimately, 22 articles met the inclusion criteria. The findings were categorized under three main themes: (1) Simulation and education, (2) Improvement of diagnostic and treatment processes through simulation, and (3) The role of technology in health and social care. The findings indicated that simulation-based practices positively impacted nursing students and nurses by enhancing their communication skills, critical thinking, clinical confidence, empathy, perspective, and reflective thinking. However, challenges like the difficulty in using certain equipment, technical problems, high costs, and supervision and training difficulties were reported.
Conclusion: This study examined simulation-based training in public health nursing education and practice. Future studies should address existing challenges and

Anahtar Kelimeler

Simulation Training , High Fidelity Simulation Training , Nursing Education , Community Health Nursing , Scoping Review

Kaynakça

• Akdemir, N. (2014). Hemşirelikte yenilikçi bir eğitim stratejisi: simülasyon eğitimi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 30(1), 127-139. https://dergipark.org.tr/tr/pub/egehemsire/issue/49342/630229.
• Altun, S., & Tastan, S. (2022). Low-fidelity simulation vs. Standardized patients in prevention and management of pressure injury education. Journal of Tissue Viability, 31(4), 643-648. https://doi.org/10.1016/j.jtv.2022.07.016.
• Arrogante, O., Velarde-García, J. F., Blázquez-González, P., & Moro-Tejedor, M. N. (2022). The effects of high-fidelity simulation training on empathy and attitudes toward older people among undergraduate nursing students: A quasi-experimental study. Nurse Education in Practice, 64, 103441. https://doi.org/10.1016/j.nepr.2022.103441.
• Au, M. L., Sao Lo, M., Cheong, W., Wang, S. C., & Van, I. K. (2016). Nursing students’ perception of high-fidelity simulation activity instead of clinical placement: A qualitative study. Nurse Education Today, 39, 16-21. https://doi.org/10.1016/j.nedt.2016.01.015.
• Azher, S., Cervantes, A., Marchionni, C., Grewal, K., Marchand, H., & Harley, J. M. (2023). Virtual simulation in nursing education: Headset virtual reality and screen-based virtual simulation offer a comparable experience. Clinical Simulation in Nursing, 79, 61-74. https://doi.org/10.1016/j.ecns.2023.02.009.
• Birido, N., Brown, K. M., Ferrer, D. O., Friedland, R., Bailey, S. K., Wawersik, D., Charnetski, M., Nair, B., Kutzin, J. M., & Gross, I. T. (2024). Health Care Simulation in Person and at a Distance: A Systematic Review. Simulation in Healthcare, 19(1S), S65-S74. https://doi.org/10.1097/SIH.0000000000000763
• Bosak, S., Namaky, A., Aghababaeian, H., Bazyar, J., Rokhafroz, D., & Ahmadi-Mazhin, S. (2023). Applied distance learning methods in disaster preparedness: A systematic review. Journal of Education and Health Promotion, 12(1), 447. https://doi.org/10.4103/jehp.jehp_1721_22.
• Bray, L., & Østergaard, D. (2024). A qualitative study of the value of simulation-based training for nursing students in primary care. BMC Nursing, 23, 308. https://doi.org/10.1186/s12912-024-01886-0.
• Chabrera, C., Curell, L., & Rodríguez-Higueras, E. (2025). Effectiveness of high versus mixed-level fidelity simulation on undergraduate nursing students: A randomised controlled trial. Nurse Education in Practice, 82, 104206. https://doi.org/10.1016/j.nepr.2024.104206.
• Chang, H.-Y., Chen, C. H., & Liu, C. W. (2022). The effect of a virtual simulation-based educational application on nursing students’ belief and self-efficacy in communicating with patients about complementary and alternative medicine. Nurse Education Today, 114, 105394. https://doi.org/10.1016/j.nedt.2022.105394.
• Choi, Y.-J., & Um, Y.-J. (2022). The effects of a home-visit nursing simulation for older people with dementia on nursing students’ communication skills, self-efficacy, and critical thinking propensity: Quantitative research. Nurse Education Today, 119, 105564. https://doi.org/10.1016/j.nedt.2022.105564.
• Çınar, İ. Ö., Özkaya, E. (2023). Teknolojinin Sağlık Uygulamalarındaki Yeri. Turkiye Klinikleri Obstetric-Women’s Health and Diseases Nursing-Special Topics, 9(1), 1-7.
• Eost‐Telling, C., Kingston, P., Taylor, L., & Emmerson, L. (2021). Ageing simulation in health and social care education: A mixed methods systematic review. Journal of Advanced Nursing, 77(1), 23-46. https://doi.org/10.1111/jan.14577.
• Gaba, D. M. (2004). The future vision of simulation in health care. BMJ Quality & Safety, 13(suppl 1), i2-i10. https://doi.org/10.1136/qhc.13.suppl_1.i2.
• Habtamu, K., Birhane, R., Demissie, M., & Fekadu, A. (2023). Interventions to improve the detection of depression in primary healthcare: Systematic review. Systematic Reviews, 12(1), 25. https://doi.org/10.1186/s13643-023-02177-6.
• Hayden, J. (2010). Use of simulation in nursing education: National survey results. Journal of Nursing Regulation, 1(3), 52-57. https://doi.org/10.1016/S2155-8256(15)30335-5.
• Hayden, J. K., Smiley, R. A., Alexander, M., Kardong-Edgren, S., & Jeffries, P. R. (2014). The NCSBN national simulation study: A longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education. Journal of Nursing Regulation, 5(2), S3-S40. https://doi.org/10.1016/S2155-8256(15)30062-4.
• Hernández-López, M. J., Ruzafa-Martínez, M., Leal-Costa, C., Ramos-Morcillo, A. J., Díaz-García, I., López-Pérez, M. V., … García-González, J. (2023). Effects of a clinical simulation-based training program for nursing students to address social ısolation and loneliness in the elderly: A quasi-experimental study. Healthcare, 11(18), 2587. https://www.mdpi.com/2227-9032/11/18/2587.
• Hur, Y., & Hickman, R. L. (2024). Use and impact of simulation in family caregiver education: A systematic review. Western Journal of Nursing Research, 46(2), 143-151. https://doi.org/10.1177/01939459231218956.
• Karabacak, Ü., & Uğur, E. (2019). Sağlık bilimlerinde simülasyon: Kavramdan uygulamaya. İstanbul: Nobel Tıp Kitabevleri.
• Karaduman, G. S., & Basak, T. (2023). Is virtual patient simulation superior to human patient simulation: A randomized controlled study. CIN: Computers, Informatics, Nursing, 41(6), 467-476. https://doi.org/10.1097/CIN.0000000000000957.
• Kiegaldie, D., & Shaw, L. (2023). Virtual reality simulation for nursing education: Effectiveness and feasibility. BMC Nursing, 22(1), 488. https://doi.org/10.1186/s12912-023-01639-5.
• Ko, E. J., & Kim, E. J. (2022). Comparing the stress, anxiety, and learning effects of leaders and team members in high fidelity nursing simulation. Clinical Simulation in Nursing, 70, 14-20. https://doi.org/10.1016/j.ecns.2022.06.001.
• Lewis, R., Strachan, A., & Smith, M. M. (2012). Is high fidelity simulation the most effective method for the development of non-technical skills in nursing? A review of the current evidence. The Open Nursing Journal, 6, 82. https://doi.org/10.2174/1874434601206010082.
• L’her, E., Geeraerts, T., Desclefs, J.-P., Benhamou, D., Blanié, A., Cerf, C., … Ouanes, I. (2020). Simulation-based teaching in critical care, anaesthesia and emergency medicine. Anaesthesia Critical Care & Pain Medicine, 39(2), 311-326. https://doi.org/10.1016/j.accpm.2020.03.010.
• Martins, T., Santos, F., Lumini, M. J., Sousa, M. R., Peixoto, M. J., Freire, R. M., … De Fátima Araújo, M. (2023). Realistic simulation in nursing education: Testing two scenario‐based models. Nursing Open, 10(5), 3326-3335. https://doi.org/10.1002/nop2.1585.
• Meakim, C., Boese, T., Decker, S., Franklin, A. E., Gloe, D., Lioce, L., … Borum, J. C. (2013). Standards of best practice: Simulation standard I: Terminology. Clinical Simulation in Nursing, 9(6), S3-S11 http://dx.doi.org/10.1016/j.ecns.2013.04.001.
• Muirhead, K., Macaden, L., Smyth, K., Chandler, C., Clarke, C., Polson, R., & O’Malley, C. (2021). Establishing the effectiveness of technology-enabled dementia education for health and social care practitioners: A systematic review. Systematic Reviews, 10(1), 252. https://doi.org/10.1186/s13643-021-01781-8 .
• Parrillo, J. E., & Dellinger, R. P. (2014). Principles of diagnosis and management in the adult. Elsevier. Erişim adresi: https://booksdo.com/wp-content/uploads/XPreview/Anesthesiology/5/critical-care-medicine-principles-of-diagnosis-5th-ed-by-parrillo.pdf.
• Pollock, D.K., Khalil, H., Evans, C., Godfrey, C., Pieper, D., Alexander, L., … Munn, Z. (2024). The role of scoping reviews in guideline development. J Clin Epidemiol, 169, 111301. https://doi.org/10.1016/j.jclinepi.2024.111301.
• Romero-Collado, A., Baltasar-Bagué, A., Puigvert-Viu, N., Rascón-Hernán, C., & Homs-Romero, E. (2020). Using simulation and electronic health records to train nursing students in prevention and health promotion interventions. Nurse Education Today, 89, 104384. https://doi.org/10.1016/j.nedt.2020.104384.
• Sawin, E. M., Hummel, R., Lam, C., Mullen, L., Switzer, T., Robinson, J., & Walton, B. (2024). Use of telehealth simulation to teach the enhanced primary care RN role through community/public health‐focused simulations. Public Health Nursing, 41(6), 1588-1599. https://doi.org/10.1111/phn.13393.
• Süha, B.K., & Karagözoğlu, Ş. (2024). The Effect of high fidelity simulation training applied to nursing students for improving endotracheal suctioning skills on clinical decision making and practices: An experimental study. Turkiye Klinikleri Journal of Nursing Sciences, 16(2), 479-488. https://doi.org/10.5336/nurses.2023-99808.
• Şahiner, N. C., Türkmen, A. S., & Kuğuoğlu, S. (2017). Ülkemizde çocuk hemşireliği eğitiminde simülasyon nerede. Turkiye Klinikleri J Pediatr Nurs-Special Topics, 3(1), 39-43.
• Uslusoy, E. Ç. (2018). Hemşirelik eğitiminde simülasyon kullanımı: Öğrencilerin görüşleri. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 9(2), 13-18. https://doi.org/10.22312/sdusbed.414083.
• Wong, I. Y. F., Kwok, T. T. O., Leung, L. Y. L., Lam, Y. H. L., & So, G. L. H. (2024). Immersive virtual reality simulation for learning fundamental nursing skills: A mixed-methods study. Nurse Educator, 49(6), E321-E326. https://doi.org/10.1097/NNE.0000000000001675.
• Wu, P.L. (2025). Effects of cooperative learning and situational simulation on nursing competence in clinical practice among nursing students: A quasi-experimental study. Nurse Education Today, 144, 106464. https://doi.org/10.1016/j.nedt.2024.106464.