Early online The perspective of undergraduate nursing students regarding simulation learning: Insights from Botswana

Main Article Content

G Lubinda
W B Tshiamo
D B Maripe-Perera
M Sabone

Abstract





Background. Simulation is used in nursing education to help students attain practical skills before they are placed in a clinical setting. Its effectiveness in bridging the gap between theory and practice has been documented. Simulation mimics the real clinical area situation and fosters nursing students’ learning. Globally the demand for nurses and nurse educators has increased. The scarcity of nurse educators has created an enormous shortage, resulting in a high student-to-educator ratio. During the COVID-19 pandemic, simulation-based learning was appreciated, yet the perspectives of undergraduate nursing students regarding simulation-based learning remain under-researched in Botswana and low-income countries.


Objective. To explore undergraduate nursing students’ perceptions regarding the use of low-fidelity simulation learning.


Methods. The study used a descriptive qualitative design to explore undergraduate nursing students’ perceptions regarding simulation learning. The sample for the survey was twenty (n=20) third- and fourth-year Bachelor of Nursing Science students registered for a simulation-based course in the academic years 2020-2021 and 2021-2022. Three focus group interviews were conducted between 15 and 30 May 2024. Thematic data analysis was done.


Results. Twenty participants, comprising 35% (n=7) males and 65% (n=13) females, aged between 18 and 24 with a mean age of 22.18 (standard deviation 0.87), were interviewed. Three themes emerged: perception of the benefits of simulation-based learning, students’ experiences, and challenges regarding simulation-based learning.


Conclusion. Generally, participants appreciated simulation learning, because it allowed them to acquire nursing care skills in a non-threatening and safe environment. However, the researcher’s perspective and self-selection bias of participants may have influenced the study findings.






 

Downloads

Download data is not yet available.

Article Details

Section

Research Articles

Author Biographies

G Lubinda, School of Nursing, University of Botswana, Gaborone, Botswana

Dr Gaonyadiwe Lubinda is a Family Nurse Practitioner (FNP) and nurse educator in the University of Botswana, School of Nursing. She is a lecturer teaching undergraduate and graduate nursing students. 

She Holds a Doctoral of Philosophy degree in Nursing from the University of Cape Town, South Africa. Her research was focused on health promotion and prevention of Non-communicable Diseases among adolescents. She is currently a co-investigator in the Botswana team on the ongoing SUNRISE project for the International Surveillance Study of Movement Behaviors in the Early Years. She has co-authored a book chapter on the role and practice of Nurse Practitioners in Botswana.

She is serving in the 7th Nursing and Midwifery Council of Botswana (NMCB). She is currently involved as principal investigator on substance use and drug abuse among nurses and midwives and simulation-based teaching and learning in nursing education in Botswana.

She published in diverse journals and was a reviewer in PLos One journal and the British Journal of Medical Education

 

W B Tshiamo, School of Nursing, University of Botswana, Gaborone, Botswana

Wananani Tshiamo is an Associate Lecturer at the School of Nursing, University of Botswana. Prof Tshiamo is a Primary Pediatric Nurse Practitioner (PNP). She holds a Master's and a Doctor of Philosophy Degrees in Nursing from Case Western Reserve University, Cleveland, Ohio. Prof Tshiamo currently teaches child and adolescent health nursing courses at both graduate and undergraduate levels and supervises graduate students' research at the University of Botswana. Her research focuses on child health and clinical issues in nursing. Prof Tshiamo published in diverse peer-reviewed journals and serves as a reviewer for several journals.

D B Maripe-Perera, School of Nursing, University of Botswana, Gaborone, Botswana

Dr Dorcus Basetana Maripe-Perera is an adult health nurse specialist, and as a clinical educator at the University of Botswana, School of Nursing. She holds a doctorate in Disaster management.

 

She is a nurse educator who uses simulation as a teaching and learning strategy to teach undergraduate and graduate nursing students. Currently she coordinates simulation based learning course and is working on another simulation research project.

 

How to Cite

Early online: The perspective of undergraduate nursing students regarding simulation learning: Insights from Botswana. (2025). African Journal of Health Professions Education, 17(3), e2648. https://doi.org/10.7196/

References

1. Koukourikos K, Tsaloglidou A, Kourkouta L. Muscle atrophy in intensive care unit patients. Acta Inform Med 2014;22(6):406. https://doi.org/1.0.5455/aim.2014.22.406-410

2. McKitterickDJ,JayasekaraR,ParkerB.Effectivenessofsimulationinundergraduatenursingprograms:Systematic review. Science Talks 2023; 6:100186. https://doi.org/10.1016/j.sctalk.2023.100186

3. Wheeler CA, McNelis AM. Nursing student perceptions of a community-based home visit experienced by a role- play simulation. Nurs Educ Perspect 2014;35(4):259-261. https://doi.org/10.5480/12-932.1

4. Khalid AF, George MA, Eggen C, Sritharan A, Wali F, Viens AM. Using simulation-based experiential learning to increase students’ ability to analyze increasingly complex global health challenges: A mixed methods study. MedRxiv 2023. https://doi.org/10.1101/2023.12.19.23300262

5. TeniMT,GebretensayeT.Knowledgeandperceptiontowardsclinicalsimulationinteachingundergraduatenursing students among nurse educators working at teaching institutions in Addis Ababa, Ethiopia. Int J Afr Nurs Sci 2019; 10:81-86. https://doi.org/10.1016/j.ijans.2019.01.007

6. AlshutwiS,AlsharifF,ShibilyF,WedadMA,AlmotairyMM,AlgabbashiM.Maintainingclinicaltrainingcontinuity during COVID-19 pandemic: Nursing students’ perceptions about simulation-based learning. Int J Environ Res Public Health 2022;19(4):2180. https://doi.org/10.3390/ijerph19042180

7. Le KDR. Principles of effective simulation-based teaching sessions in medical education: A narrative review. Cureus 2023;15(110):e49159. https://doi.org/10.7759/cureus.49159

8. Mothiba TM, Bopape MA, Mbombi MO. The emergence of a clinical skills laboratory and its impact on clinical learning: Undergraduate nursing students’ perspective in Limpopo Province, South Africa. Afr J Health Professions Educ 2020;12(4):197. https://doi.org/10.7196/ajhpe.2020.v12i4.1375

9. Human Resource Development Council (2016-2024). Top occupation in high demand. http://www.hrdc.org.bw (accessed 12 August 2024).

10. World Health Organization. Regional Office for the Eastern Mediterranean. A guide to nursing and midwifery education standards. WHO, 2015. Regional Publications, Eastern Mediterranean Series, 37. https://iris.who.int/ handle/10665/195726 (accessed 26 June 2025).

11. GuestG,NameyE,McKennaK.Howmanyfocusgroupsareenough?Buildinganevidencebasefornonprobability sample sizes. Field Methods 2016;29(1):3-22. https://doi.org/10.1177/1525822x16639015

12. Braun V, Clarke V. Conceptual and design thinking for thematic analysis. Qualitative Psychology 2022;9(1):3-26.

https://doi.org/10.1037/qup0000196

13. Rahimi S, Khatooni M. Saturation in qualitative research: An evolutionary concept analysis. Int J Nurs Studies Advances 2024:100174. https://doi.org/10.1016/j.ijnsa.2024.100174

14. Moabi PS, Mtshali NG. Simulation-based education model for under-resourced nursing education institutions in Lesotho. Health SA Gesondheid 2022;27. https://doi.org/10.4102/hsag.v27i0.1889

15. Msosa A, Msiska M, Mapulanga P, Mtambo J, Mwalabu G. Simulation-based education in classroom and clinical settings in sub-Saharan Africa: A systematic review. Higher Education Skills and Work-Based Learning 2023;13(6):1126-1141. https://doi.org/10.1108/heswbl-02-2023-0043

16. AlinierG,OriotD.Simulation-basededucation:Deceivinglearnerswithgoodintent.AdvSimul2022;7(1).https:// doi.org/10.1186/s41077-022-00206-3

17. WorldHealthOrganization.(2024)Simulationinnursingandmidwiferyeducation.WHORegionalOfficeEurope. 2024. http://www.iris.who.intel/handle/10665/345156 (accessed 16 August 2024).

18. Benchadlia F, Rabia Q, Abderrahim K. Simulation in basic nursing student education: Uses and barriers. Open Nurs J 2023:1-7. https://doi.org/10.1016/j.nedt.2024.106103.

19. Chernikova O, Heitzmann N, Stadler M, Holzberger D, Seidel T, Fischer F. Simulation-based learning in higher education: A meta-analysis. Rev Educ Res 2020;90(4):499-541. https://doi.org/10.3102/0034654320933544

20. Bouriami A, Boussaa S, El Adib AR. Effects of role-play simulation-based case studies on motivation and learning strategies in healthcare sciences: A randomized controlled trial. Simulation & Gaming 2024;56(2):192-209. https:// doi.org/10.1177/10468781241301103

21. Madlala ST, Mvandaba AN. Experiences of nurse educators regarding the use of the clinical skills laboratory at the School of Nursing in the Free State province. Health SA Gesondheid 2023;28. https://doi.org/10.4102/hsag. v28i0.2077

22. Essfadi H, Khyati A, Abidi O, Radid M. Exploration of clinical learning challenges among Moroccan undergraduate nursing students. Open Nurs J 2024;18:18744346295835. https://doi.org/10.2174/0118744346295835240405071522 23. HamashK.Studentevaluationofnursingsimulationlablearningexperience.IrisJNursCare2020;3(2).https://doi.

org/10.33552/ijnc.2020.03.000559

24. McMullanT,WilliamsD,LagosOrtizY,LollarJ.Isconsistencypossible?Coursedesignanddeliverytomeetfaculty and student needs. Curr Issues Educ 2022;23(3). https://doi.org/10.14507/cie.vol23iss3.2092

25. Reedy GB. Using cognitive load theory to inform simulation design and practice. Clin Simulation Nurs 2015;11(8):355–360. https://doi.org/10.1016/j.ecns.2015.05.004

26. Sabone MB, Lubinda-Sinombe G, Swart N, Lekone L. Graduates’ experiences of the Bachelor of Nursing Science Programme – 2003 - 2017. Lonaka J Learn Teach 2020;11(2). https://journals.ub.bw/index.php/jolt/article/ view/1913 (accessed 26 June 2025)