{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T03:41:43Z","timestamp":1782445303758,"version":"3.54.5"},"reference-count":51,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2022,2,15]],"date-time":"2022-02-15T00:00:00Z","timestamp":1644883200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Simulation-based learning (SBL) in nursing education is an innovative pedagogical approach that has significantly improved nursing education. Adopting SBL provides a controlled environment for meeting educational objectives without the risk of harm to real patients. Given that social distancing is required during the coronavirus disease (COVID-19) pandemic, SBL is a suitable alternative to clinical training for nursing students to learn and acquire the required clinical competencies. The study aimed to describe the effectiveness of SBL as a complete substitute for clinical experience from the perspective of students. This cross-sectional descriptive survey investigated students\u2019 perceptions regarding the description of the effectiveness of SBL in four nursing colleges at four different universities across the Kingdom of Saudi Arabia. Settings: Four nursing colleges at four different universities across the Kingdom of Saudi Arabia. Participants included nursing students who attended simulation sessions. Data were collected by distributing a self-administrated online questionnaire, the Modified Simulation Effectiveness Tool (SET-M), which is a 19-item. Results: Approximately two-thirds of the participants were in their third (30.4%) and fourth (44.5%) academic year. The highest student presentation was for Site 1 (39.5%) and Site 2 (32.5%). Significant differences existed in all domains according to sex and university (p \u2264 0.001). There was a significant difference in relation to the level of agreement for pre-briefing, scenario, and debriefing domains (&lt;0.001). Conclusions: SBL is a valuable teaching strategy that enhances nursing students\u2019 self-awareness, self-confidence, clinical performance, and efficiency in performing procedures with considerable gender variation. Female students had more positive perceptions toward simulation effectiveness.<\/jats:p>","DOI":"10.3390\/ijerph19042180","type":"journal-article","created":{"date-parts":[[2022,2,15]],"date-time":"2022-02-15T22:43:22Z","timestamp":1644965002000},"page":"2180","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Maintaining Clinical Training Continuity during COVID-19 Pandemic: Nursing Students\u2019 Perceptions about Simulation-Based Learning"],"prefix":"10.3390","volume":"19","author":[{"given":"Sitah","family":"Alshutwi","sequence":"first","affiliation":[{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11481, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center (KAIMRC), Riyadh 14611, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4695-346X","authenticated-orcid":false,"given":"Fatmah","family":"Alsharif","sequence":"additional","affiliation":[{"name":"Medical Surgical Nursing Department, King Abdulaziz University, Jeddah 21589, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faygah","family":"Shibily","sequence":"additional","affiliation":[{"name":"Critical Care Nursing Department, King Abdulaziz University, Jeddah 21589, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8702-2725","authenticated-orcid":false,"given":"Almutairi","family":"Wedad M.","sequence":"additional","affiliation":[{"name":"Maternity and Pediatric Nursing Department, King Abdulaziz University, Jeddah 21589, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9770-6744","authenticated-orcid":false,"given":"Monir M.","family":"Almotairy","sequence":"additional","affiliation":[{"name":"Nursing Administration and Education Department, College of Nursing, King Saud University, Riyadh 12372, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maram","family":"Algabbashi","sequence":"additional","affiliation":[{"name":"Nursing Sciences and Research Department, College of Nursing, Umm Alqura University, Makkah 24232, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.nedt.2017.04.004","article-title":"Simulation-based training for nurses: Systematic review and meta-analysis","volume":"54","author":"Hegland","year":"2017","journal-title":"Nurse Educ. 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