An integrative review of in situ simulation training: Implications for critical care nurses.

Abstract

Twenty-eight articles were reviewed. Studies were mainly descriptive and exploratory. They underlined the advantages and challenges of the ISS training regarding safety, as well as the perspectives of patients, families, health care providers and administrators. CONCLUSION AND NURSING IMPLICATIONS: Although ISS is a promising educational strategy to increase patient safety, there is still a need for higher evidence level research to support its efficacy to improve competencies. With regard to patient safety improvement, ISS-based training offers opportunities to identify hazards and deficiencies of clinical systems and the provider team. Experimental studies are necessary to increase evidence about the impact of ISS training.