Perception of Dental, Medical, and Nursing Students on the Use of Simulation-Based Training in Clinical Skills.
Keywords:
simulation-based training, clinical skills, perceptions, health professional education, Likert surveyAbstract
Background: Simulation-based training (SBT) is increasingly used in health professions education to improve clinical skills in a safe environment. This cross-sectional study assessed and compared perceptions of SBT among undergraduate dental (BDS), medical (MBBS), and nursing students.
Methods: A structured questionnaire including a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree) measuring overall perception/acceptability of SBT and specific domains (realism, usefulness for skill acquisition, confidence building, preference for future use) was administered to 30 BDS, 100 MBBS, and 50 Nursing students (N = 180). Descriptive statistics, one-way ANOVA for mean score comparisons, and proportion tests for favorable responses (score ≥4) were used. Significance was set at α = 0.05.
Results: Mean overall perception scores (mean ± SD) were: BDS 3.71 ± 0.46; MBBS 4.08 ± 0.47; Nursing 4.04 ± 0.47. One-way ANOVA showed a significant difference between groups (F = 7.41, p = 0.0008). Proportion of students with favorable perception (score ≥4): BDS 30.0% (9/30), MBBS 61.0% (61/100), Nursing 62.0% (31/50). Pairwise proportion tests showed MBBS and Nursing students had significantly higher favorable proportions than BDS students (BDS vs MBBS p = 0.0028; BDS vs Nursing p = 0.0056). MBBS and Nursing did not differ significantly (p = 0.906).
Conclusions: MBBS and Nursing students reported more positive perceptions of SBT than BDS students in this sample. Implementation strategies to improve engagement and perceived relevance for dental undergraduates are recommended
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References
Gaba DM. The future vision of simulation in health care. Quality & Safety in Health Care. 2004;13(suppl 1):i2–i10. PubMed
McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003–2009. Medical Education. 2010;44(1):50–63. PubMed
INACSL Standards Committee. Healthcare Simulation Standards of Best Practice™ (Simulation Design; Debriefing; Facilitation; Outcomes & Objectives; Operations). INACSL / Clinical Simulation in Nursing (2021 edition and updates). inacsl.org+1
Watts PI, et al. Introducing the Healthcare Simulation Standards of Best Practice®. Clinical Simulation in Nursing. 2021. nursingsimulation.org
McGaghie WC, et al. A critical review of simulation-based mastery learning with translational outcomes. Academic Medicine. 2014;89(11):1613–1625. PubMed
Alinier G, Hunt B, Gordon R, Harwood C. Effectiveness of intermediate-fidelity simulation training technology in undergraduate nursing education. Journal of Advanced Nursing. 2006;54(3):359–369. PubMed
National League for Nursing (NLN) — Simulation Innovation Resource Center (SIRC) / NLN simulation guidance and resources. Default+1
Agha S, Alhamrani AY, Khan MA. Satisfaction of medical students with simulation-based learning. Saudi Medical Journal. 2015;36(6):731–736. PubMed+1
Joseph N, Nelliyanil M, Jindal S, et al. Perception of simulation-based learning among medical students in South India. Annals of Medical and Health Sciences Research. 2015. archive.johs.org.uk
Martínez-Arce A, et al. Validation of a short version of the high-fidelity simulation questionnaire (33-item instrument). BMC/PMC validation study (2023). PMC
Ekelund K, et al. Evaluation of the simulation based training quality assurance (SBT-QA10) — construct validity and use for appraisal of learners’ perceptions. BMC Medical Education. 2023. BioMed Central
Khalil AI, et al. The effect of simulation training on enhancing nursing students' perception and clinical competencies. Nursing Open / PMC. 2023. PMC
Gabbouj SB, et al. Nursing students' satisfaction and self-confidence with simulation activities. Nursing Education Research / PMC. 2024. PMC
Rehman K, et al. Perceptions of virtual clinical learning in dentistry: Virtual Dental Clinics (VDCs) in simulated clinical training. BMC Medical Education. 2025. BioMed Central+1
Mascarenhas S, et al. Simulation-based education for selected communication skills: exploring the perception of postgraduate dental students. BMC Medical Education / PMC. 2021. PMC+1
McKenzie CT, Tilashalski K, Abou-Arraj R, Peterson DT, White ML. Students' evaluations of simulations in dentistry: a multiple cohort study. Journal of Dental Education. 2019;83(10):1142–1150. joralres.com
Li Y, et al. Current situation and future prospects of dental simulators (review). Journal of Medical Internet Research. 2021;23(4):e23635. JMIR Publications
Bandiaky ON, et al. Predicting novice dental students' performances in conventional simulations using haptic exercise failures. 2025. (Journal article on haptics in dental education). ScienceDirect
El Mouatarif F, et al. High-fidelity simulation in dental treatment under sedation: effects on competence and patient safety. European Journal of Education. 2024. European Journal of Education
Mirza MB, et al. Use of simulation-based technology in pre-clinical years: effectiveness study. Aga Khan University eCommons. 2021. ecommons.aku.edu
Al Malki N, et al. Nursing students' perception of clinical simulation in Saudi Arabia. The Open Nursing Journal. 2023. The Open Nursing Journal
Masot O, et al. Nursing student perception of different simulation modalities. Procedia / Simulation conference article 2024. ScienceDirect
Malya RM, et al. Perception of simulation-based education among diploma nursing and midwifery students (Tanzania). Advances in Simulation. 2025. BioMed Central
Forneris SG, et al. Simulation education solutions for nursing: NLN & Laerdal collaboration and program integration. Nurse Educator / 2016 NLN resources. Lippincott Journals+1
McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. Effect of practice on standardized learning outcomes in simulation-based medical education. Medical Education. 2006;40(8):792–797. highmarkhealth.org
Lawson L, et al. Use of simulation and clinical skills in nurse education: an investigation. Simulation in Healthcare. 2006. Lippincott Journals
Rhodes CA, et al. Evaluation of nurse-specific and multidisciplinary simulation on transition outcomes. Clinical Simulation Journal. 2016. ScienceDirect
Yassin A, et al. Integration of simulation-based medical education: student experiences before and after integration in internal medicine clerkship. Saudi Journal of Health Sciences. 2024. Lippincott Journals
Cureus editorial / study: Evaluation of medical students' satisfaction with using a simulation-based learning program as a method for clinical teaching. Cureus. 2024. Cureus
Design and validation of a perception questionnaire on clinical simulation in health sciences students: a multidisciplinary study (Revista Chilena de Nutrición / 2025) — instrument development relevant to perception questionnaires. Revista Chilena de Nutrición
Student perception of early simulation in dentistry. Journal of Oral Research (2021). — cross-sectional student perceptions on early simulation exposure. ResearchGate
Plch L, et al. Perception, beliefs and attitudes towards simulation-based education: a recent scoping review. (Scoping review 2025 summarizing student perceptions and types of simulation).
Issenberg SB, McGaghie WC, Petrusa ER, Gordon DL, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Medical Teacher. 2005;27(1):10–28. PubMed
Issenberg, S. B., McGaghie, W. C., Hart, I. R., et al. (2005). Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Medical Teacher.
Lateef, F. (2010). Simulation-based learning: Just like the real thing. Journal of Emergencies, Trauma, and Shock.
McGaghie, W. C., et al. (2010). A critical review of simulation-based medical education research: 2003–2009. Medical Education..
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