Effectiveness of Virtual Simulation to Enhance Cultural Competence in Pre-licensure and Licensed Health Professionals: A Systematic Review

• Published in: Clinical simulation in nursing Vol. 56; pp. 137 - 154
• Main Authors: Chae, Duckhee, Yoo, Jae Yong, Kim, Jaseon, Ryu, Jeeheon
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.07.2021
• Subjects: cultural competence; health personnel; simulation training; systematic review; virtual simulation; simulation training; virtual simulation; cultural competence; systematic review; health personnel
• ISSN: 1876-1399; 1876-1402
• DOI: 10.1016/j.ecns.2021.04.013

•Virtual simulation significantly enhanced cultural competence.•Heterogeneity of the intervention and methodological flaws were major limitations.•Overall, positive experience and usefulness of virtual simulation were reported. This systematic review aimed to identify, appraise, and synthesize existing evidence of virtual simulation to improve the cultural competence of pre-licensure and licensed health professionals. This review used the Johns Hopkins Nursing Evidence-Based Practice model and assessment tools. Analysis included nine studies rated as good (n=4) or low (n=5) quality. It was found that virtual simulation significantly enhanced cultural competence in four good-quality studies. Overall, positive experience and usefulness of virtual simulation were reported. Virtual simulation provides opportunities to learn non-technical skills required in caring for migrants. Heterogeneity of the virtual simulation interventions and methodological flaws were major limitations. It is necessary to develop and implement virtual simulation consistently through best practice standards.