{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T04:32:19Z","timestamp":1792470739954,"version":"4.5.0"},"reference-count":87,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,8,11]],"date-time":"2021-08-11T00:00:00Z","timestamp":1628640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2022,2]]},"abstract":"Abstract<\/jats:title>\n \n Aims<\/jats:title>\n Mental disorders constitute one of the main causes of disease and disability worldwide. While nurses are often at the frontline of mental health care, they have limited access to dedicated psychiatric training opportunities. Simulation training may foster the development of the appropriate competencies required when supporting people with mental disorders. To evaluate the effectiveness of simulation training in psychiatry for nursing students, nurses and nurse practitioners.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Systematic review and meta\u2010analysis.<\/jats:p>\n <\/jats:sec>\n \n Data sources<\/jats:title>\n Eight electronic databases, trial registries, key journals and reference lists of selected studies were searched from inception to August 20, 2020 without language restriction.<\/jats:p>\n <\/jats:sec>\n \n Review Methods<\/jats:title>\n We included randomized and non\u2010randomized controlled studies and single group pre\/post studies. Cochrane Risk of Bias tool 2.0 was used for randomized controlled study appraisal, and the Medical Education Research Study Quality instrument was completed for all other studies. Meta\u2010analysis was restricted to randomized controlled studies. The other studies were synthesized narratively. The main outcomes were based on Kirkpatrick levels.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 118\u00a0studies (6738 participants) were found. Interventions included simulated patients (\n n<\/jats:italic>\n \u00a0=\u00a055), role\u2010plays (\n n<\/jats:italic>\n \u00a0=\u00a040), virtual reality (\n n<\/jats:italic>\n \u00a0=\u00a012), manikins (\n n<\/jats:italic>\n \u00a0=\u00a09) and voice simulations (\n n<\/jats:italic>\n \u00a0=\u00a09). Meta\u2010analyses based on 11 randomized controlled studies found a significant large effect size on skills at immediate post\u2010test for simulation compared with active control; and a small and medium effect size on learners\u2019 attitudes for simulation compared with inactive control, at immediate post\u2010test and at three\u2010month follow\u2010up respectively. Three quarters of non\u2010randomized controlled studies and pre\/post\u2010tests assessing attitudes and skills showed significant differences, and three quarters of participants in randomized controlled studies and pre\/post\u2010tests showed significant differences in behaviours. Among the few studies assessing people with mental health outcomes, almost all reported significant differences.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n These findings support the effectiveness of simulation training in psychiatric nursing throughout professional development grades, despite heterogeneity in methods and simulation interventions.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jan.14986","type":"journal-article","created":{"date-parts":[[2021,8,11]],"date-time":"2021-08-11T03:03:12Z","timestamp":1628650992000},"page":"332-347","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":76,"title":["Effectiveness of simulation in psychiatry for nursing students, nurses and nurse practitioners: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6776-1611","authenticated-orcid":false,"given":"Marie\u2010Aude","family":"Piot","sequence":"first","affiliation":[{"name":"Universit\u00e9 de Paris Institute Mutualiste Montsouris, Department of Psychiatry Paris\u2010Saclay University UVSQ, INSERM 1018, CESP Ilumens, Simulation Center Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agn\u00e8s","family":"Dechartres","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, INSERM, Institut Pierre Louis d'Epid\u00e9miologie et de Sant\u00e9 Publique AP\u2010HP. H\u00f4pital Piti\u00e9 Salp\u00eatri\u00e8re, D\u00e9partement de Sant\u00e9 Publique Centre de Pharmaco\u00e9pid\u00e9miologie de l'AP\u2010HP (Cephepi), F75013 Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Attoe","sequence":"additional","affiliation":[{"name":"Maudsley Simulation South London & Maudsley NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Romeo","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris Institute Mutualiste Montsouris, Department of Psychiatry Paris\u2010Saclay University UVSQ, INSERM 1018, CESP Ilumens, Simulation Center Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrice","family":"Jollant","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris, GHU Paris Psychiatrie et Neurosciences Sainte\u2010Anne Hospital, Department of Psychiatry, Moods Team INSERM UMR\u20101178, CESP Paris France"},{"name":"N\u00eemes academic hospital (CHU) N\u00eemes France"},{"name":"Department of Psychiatry and Psychotherapy Jena University Hospital Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gr\u00e9goire","family":"Billon","sequence":"additional","affiliation":[{"name":"Maudsley Simulation South London & Maudsley NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Cross","sequence":"additional","affiliation":[{"name":"Maudsley Simulation South London & Maudsley NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9dric","family":"Lemogne","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris, AP\u2010HP, H\u00f4pital H\u00f4tel\u2010Dieu DMU Psychiatrie et Addictologie, Service de Psychiatrie de l\u2019adulte INSERM, Institut de Psychiatrie et Neurosciences de Paris (IPNP), UMR_S1266 Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carine","family":"Layat Burn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery La Providence Hospital Neuch\u00e2tel Switzerland"},{"name":"Department of Psychotherapy Berger Psychotherapeutic Centre Neuch\u00e2tel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daphn\u00e9","family":"Michelet","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesia CHU of Reims H\u00f4pital Maison Blanche Reims France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Guerrier","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris, AP\u2010HP, Cochin Hospital Anaesthesiology Department Ilumens, Simulation Center Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Tesniere","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris, AP\u2010HP, Cochin Hospital Anaesthesiology Department Ilumens, Simulation Center Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan\u2010Joost","family":"Rethans","sequence":"additional","affiliation":[{"name":"Skillslab, Faculty of Health Medicine & Life Sciences, Maastricht University Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Falissard","sequence":"additional","affiliation":[{"name":"Public Health Department School of Medicine University Paris Saclay, INSERM 1018, CESP Villejuif, Ile\u2010de\u2010France France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,11]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Adams M. &Albright G.(2018).Utilizing a simulation with virtual humans to prepare Emergency Department personnel to conduct substance use and mental health screening and brief interventions. 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