{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:28:45Z","timestamp":1768433325872,"version":"3.49.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:00:00Z","timestamp":1732147200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:00:00Z","timestamp":1732147200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia, I.P","award":["CINTESIS, R&D Unit (reference UIDB\/4255\/2020 and reference UIDP\/4255\/2020)"],"award-info":[{"award-number":["CINTESIS, R&D Unit (reference UIDB\/4255\/2020 and reference UIDP\/4255\/2020)"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Simulation &amp; Gaming"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The use of virtual patients in nursing education has emerged as a valuable tool for developing clinical decision-making skills. However, little is known about the outcomes of incorporating virtual patients into nursing education curricula. The Nursing School of Porto has dedicated efforts to developing clinical scenarios and integrating virtual patient simulation into its nursing degree curriculum. This study aims to evaluate the outcomes of integrating virtual patient simulation into the nursing degree curriculum, specifically focusing on physical nursing examination, nursing diagnosis, nursing treatment, and overall nursing decision-making scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>An observational, retrospective, and descriptive study was conducted using a non-probabilistic convenience sample of 521 second-year nursing degree students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>The results<\/jats:title>\n                    <jats:p>On average, students completed 31 virtual patient simulation training sessions. Students obtained an overall score of 82.5% (SD=8.52) for nursing decision-making, a physical examination score of 85.6%, a diagnostic activity score of 72.1%, and a implemented treatment score of 82.8%. Positive relationships were observed between the number of completed scenarios, the overall average evaluation score, and final marks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The integration of virtual patients yielded a positive impact on nursing education. However, further evidence is necessary to determine the impact of virtual patient simulation on the clinical competencies of nursing degree students.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10468781241300237","type":"journal-article","created":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T15:26:11Z","timestamp":1732202771000},"page":"178-191","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The integration of virtual patients into nursing education"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6631-776X","authenticated-orcid":false,"given":"Jos\u00e9 Miguel","family":"Padilha","sequence":"first","affiliation":[{"name":"Nursing School of Porto"},{"name":"CINTESIS@RISE"},{"name":"Faculty of Medicine-University of Porto"}]},{"given":"Patr\u00edcio","family":"Costa","sequence":"additional","affiliation":[{"name":"University of Porto"},{"name":"University of Minho"},{"name":"ICVS\/3B\u2019s - PT Government Associate Laboratory"}]},{"given":"Paulino","family":"Sousa","sequence":"additional","affiliation":[{"name":"Nursing School of Porto"},{"name":"CINTESIS@RISE"}]},{"given":"Ana","family":"Ferreira","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE"},{"name":"Faculty of Medicine-University of Porto"}]}],"member":"179","published-online":{"date-parts":[[2024,11,21]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cptl.2017.05.012"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000001146"},{"key":"e_1_3_5_4_1","first-page":"1","article-title":"Integrating Virtual Simulation into Nursing Simulation Roadmap","author":"Brown K. 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