Welcome to the Current Issues section of the Journal of Advances in Nursing Clinical Simulation and Training (JAN-CST). This section offers full access to our latest and previously published peer-reviewed articles that highlight groundbreaking developments in clinical simulation, nursing training methodologies, and educational technologies.
Featured Articles in the Latest Issue
- Volume 2 (Issue 1) JANUARY- JUNE 2026
Research Articles
High-Fidelity Virtual Reality Training for Developing Critical Care Judgment in Nursing Students
Vol.2(1); Pages:1-9. Published on April-2026
Abstract
Immersive virtual reality (VR) in nursing simulation has increased the possibilities of experiential learning in a high-acuity setting. It was a randomized controlled trial that investigated the capability of a VR-based high fidelity simulation program in enhancing critical care decision-making skills in a population of undergraduate nursing students. One hundred and twenty third-year students were randomly divided into traditional mannequins-based and VR-enhanced simulation modules of sepsis management and mechanical ventilation care. The outcome measures were scores of clinical judgment, response time to clinical deterioration, and pre and post intervention self-efficacy scales. The VR group showed statistically significant differences between the rapid assessment accuracy and intervention prioritization with the control group (p < 0.01). Also, there was an improvement in the levels of cognitive immersion and a decrease in performance anxiety among participants. The results indicate that simulated training in immersive VR may help to enhance clinical reasoning and readiness to work in critical care facilities. The paper highlights the pedagogic importance of simulated learning involving technologically advanced simulation platforms in enhancing competency-based nursing education and further curriculum integration advocacy based on faculty training programs.
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Standardized Patient Simulation to Improve Communication Competence in Palliative Care Nursing
Vol.2(1); Pages:10-17. Published on May-2026
Abstract
Value communication is essential in palliative and end-of-life care, and nursing students frequently express low levels of confidence over the management of emotionally sensitive discussions. The study was a quasi experimental one that explored the effect of standardized patient (SP) simulation on final-year nursing students on communication competence. A total of 80 participants took part in the structured SP interactions with the advanced cancer care discussion, family counseling, and ethical decision-making situations. Valid communication skill checklists and reflective empathy scale were used as pre- and post-intervention measures. The findings revealed that active listening, empathic response and clarity of information delivery improved significantly (p < 0.05). The students stated that they were more emotionally resilient and ready to interact with palliative in the real world. Student reviews showed increased professional competence and moral awareness. The debriefing process as organized helped a lot in reflective learning and assimilating theory into practice. This study advises the use of SP-based simulation modules in strengthening interpersonal competencies in palliative nursing education and suggests longitudinal follow-up to evaluate the maintenance of skills in the future.
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Simulation-Driven Team Training to Reduce Medication Errors in Acute Healthcare Settings
Vol.2(1); Pages:18-25. Published on May-2026
Abstract
Medication error is a major patient safety issue in acute care settings. This was a mixed-method research where it was determined that interprofessional simulation-based training comprising of nursing, pharmacy, and medical students is effective in reducing medication administration errors. The participants were involved in high-fidelity simulation models that simulates the management of polypharmacy and emergency administration of medication. The quantitative results were the detection of errors and their compliance with medication safety measures, and the qualitative results were gained in response to the focus group discussions. The results of the post-intervention showed that the accuracy of medication reconciliation was improved by 32 percent, and the score of interprofessional communication improved (p < 0.01). Thematic analysis showed better clarity of roles and confidence in making joint decisions. The sim learning environment allowed to rehearse complex medication procedures safely and facilitate interdisciplinary responsibility. The results support the efficiency of combining interprofessional simulation to support patient safety skill development. Learning institutions are advised to implement interprofessional simulation models in accordance with the priorities of the healthcare system to reduce errors.
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Augmented Reality-Guided Clinical Skills Training for Peripheral Intravenous Cannulation: A Prospective Cohort Study
Vol.2(1); Pages:26-34. Published on June-2026
Abstract
The use of augmented reality (AR) technologies has become a new approach to the development of psychomotor skills acquisition in nursing education. This future study conducted a prospective cohort study to evaluate the effectiveness of AR-guided simulation to enhance peripheral intravenous (IV) cannulation competency among second-year nursing students. AR headsets with real-time anatomical visualization and performance feedback were used in the intervention group and traditional lab-based instruction was used in the comparison group. Performance in the skills was assessed based on the objective structured clinical examination (OSCE) criteria, the first-attempt success, and the time spent on the procedure. The AR group had much better first attempt success rates (p < 0.05) and made better anatomical landmark identification. The students claimed that they felt more confident and felt that the practice sessions were more real. There were observations by the faculty of increased accuracy and less procedural hesitation. The feedback provided through AR made it possible to make corrections immediately and reinforce with the help of experience. These results indicate that simulation with AR could be integrated with conventional skills training, which facilitates skill competency and patient safety in the preparation of clinical practice.
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Debriefing Framework Optimization in High-Fidelity Obstetric Emergency Simulations
Vol.2(1); Pages:35-43. Published on June-2026
Abstract
High-fidelity obstetric emergency simulations are important as they equip nurses with a rapid clinical deterioration, but the best methods of debriefing are still under research. This was an experimental study that examined the strengths and weaknesses of a structured advocacy-inquiry debriefing model and a traditional reflective discussion model after simulation of postpartum hemorrhage and neonatal resuscitation situations. There were 90 nursing participants who were put in either framework of debriefing. Outcome measures were rates of clinical reasoning assessment, teamwork behavior scales and knowledge retention at four weeks after the simulation. The advocacy-inquiry group showed much higher gains in the logical thinking and coordinating response actions (p < 0.01). There was also better retention of emergency protocols and accuracy of self assessment. Formal debriefing encouraged critical thinking and was able to utilize constructive feedback. The research focuses more on the evidence-based debriefing approaches as playing a central role in optimizing simulation learning outcomes. It is advisable to adopt structured debriefing models that enhance the development of competencies in obstetric emergency nursing education.
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