Challenges of Simulation Training in Nursing Student Education and Proposing Effective Approaches: A Systematic Review Study

 Introduction: One of the effective methods of teaching students is the use of simulation. Some simulation challenges are mentioned in the most studies; However, different studies do not agree on the types of challenges and their approaches. Objective: The present study is a systematic review to identify the challenges of education by simulation and provide effective approaches in educating nursing students. Method: This study is a systematic review that was conducted in 2020. The study was conducted with the keywords “nursing education, patient simulation, challenges and barriers” in internal information resources such as SID, Irandoc as well as external resources such as PubMed, Science Direct, Scopus, Google Scholar. The inclusion criteria in this study are as the relevance of the articles with the title, the language of the articles (either Persian or English), the availability of the original article in addition to the abstract, the type of study (i.e., quantitative, qualitative, or combined) in the period 2000 to 2020. Results: Out of 274 related articles, 13 qualified articles were reviewed. The results showed that simulation challenges in nursing education were classified into 4 main categories: faculty challenges, student challenges, lack of adequate support from management and resources. Conclusion: The use of simulation technology based on a literature review can be used as a way to prepare students before entering the clinic. Considering that the most of these challenges can be solved and need the full support of managers, managers may have a significant contribution to the progress of education and reduce clinical problems of students and professors by investigating these cases. It should be also considered in terms of the readiness of students and professors.