Saudi Journal of Nursing and Health Care (SJNHC)
Volume-8 | Issue-12 | 278-286
Review Article
Simulation-Based Learning Versus Traditional Clinical Experience in Improving Nursing Staff Competencies: A Systematic Review
AS-Shakur Jumdain Hamsinain, MSN, RN, Alman Agga Jumdain, MSN, RN, Mel Jehan Redoble, MAN, RN, Lileth Cao, MSN, RN, Markhipolito Galingana, MAN, RN, Maria Elizabeth C. Baua, DNS
Published : Dec. 12, 2025
Abstract
Simulation-Based Learning (SBL) has become an essential component of modern nursing education, offering learners realistic and risk-free environments to practice essential clinical and decision-making skills. With the increasing complexity of healthcare systems and the growing emphasis on patient safety, nursing educators are seeking innovative methods that effectively prepare students for real-world clinical challenges. Traditional Clinical Experience (TCE), while historically the cornerstone of nursing training, presents several challenges including inconsistent patient exposure, ethical concerns, and variability in supervision. As a result, educators have turned to SBL as a structured, evidence-based approach that enhances clinical competence, self-efficacy, and professional readiness. The objective of this systematic review was to critically evaluate and synthesize existing research comparing simulation-based learning and traditional clinical experiences in improving nursing staff competencies. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the seven stages of knowledge synthesis in nursing science: formulating the research question, developing a data protocol, implementing a rigorous search strategy, appraising study quality, extracting data, synthesizing evidence, and interpreting findings. Electronic databases PubMed, Scopus, CINAHL, MEDLINE, Web of Science, and the Cochrane Library were searched for studies published between 2010 and 2024. Fifteen studies met the inclusion criteria, encompassing a total of 1,676 participants. Results demonstrated that SBL produced superior or equivalent outcomes compared with TCE across the cognitive, affective, and psychomotor domains. Specifically, simulation significantly improved students’ self-efficacy, confidence, clinical judgment, and procedural accuracy. Quantitative synthesis revealed large effect sizes favoring SBL for self-efficacy (SMD = 1.93), clinical performance (SMD = 1.62), and confidence (SMD = 1.83). Additionally, qualitative findings highlighted that simulation enhanced learner engagement, reflective thinking, and perceived readiness for clinical practice. However, challenges related to cost, faculty training, and standardization of simulation protocols remain persistent barriers to widespread implementation. This review concludes that simulation-based learning represents a pedagogically sound, effective, and safe educational strategy that bridges the longstanding gap between theory and practice in nursing education. Its structured and controlled learning environment fosters measurable improvements in knowledge, skill performance, and confidence among nursing students. Nevertheless, ongoing research is needed to establish standardized evaluation tools, assess long-term outcomes, and ensure cost-effective scalability. The findings support the integration of simulation-based learning as a core component of nursing curricula, complementing traditional clinical experiences to produce competent, confident, and patient-centered nursing professionals.