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Simulation II

Code: 106117
Credits: 3
2026/2027
Degree programme Type Course
Nursing OB 4

Contact lecturer

Name :
Rebeca Gomez Ibañez
Email :
rebeca.gomez@uab.cat

Group languages

You can consult this information at the end of the document.

Prerequisites

Have completed the Simulation I course.

Objectives

Simulation is an innovative teaching methodology that allows advanced clinical skills to be practiced in a simulated environment close to reality.

The objectives of the subject are for students to be able to:

• Demonstrate technical and non-technical skills to apply the most common basic nursing care following hospital and primary care protocols.
• Establish effective communication with patients, healthcare team and family members in a simulated environment.
• Act, plan and prioritize the action in accordance with the situation of the case.
• Demonstrate the use of critical reasoning when making decisions and resolving cases.
• Demonstrate teamwork skills to achieve a common goal.
• Apply the main action protocols in people with critical and complex affectations.

Learning outcomes

  • CM10 (Perform health promotion and education actions with individuals, their families and the community.) Perform health promotion and education actions with individuals, their families and the community.
  • CM12 (Apply the nursing process in health and social environments with quality, safety and continuity to guarantee the well-being of people, their families and the community.) Apply the nursing process in health and social environments with quality, safety and continuity to guarantee the well-being of people, their families and the community.
  • CM13 (Apply the principles that underpin comprehensive nursing care in healthcare and social settings.) Apply the principles that underpin comprehensive nursing care in healthcare and social settings.
  • CM15 (Apply nursing interventions in healthcare and social settings to establish a therapeutic relationship with adults and their families.) Apply nursing interventions in healthcare and social settings to establish a therapeutic relationship with adults and their families.
  • CM16 (Apply nursing interventions in healthcare and social settings to people with chronic diseases or health problems at different stages of complexity and levels of care.) Apply nursing interventions in healthcare and social settings to people with chronic diseases or health problems at different stages of complexity and levels of care.
  • CM17 (Apply nursing interventions in healthcare and social settings to people at different stages of frailty.) Apply nursing interventions in healthcare and social settings to people at different stages of frailty.
  • CM20 (Provide comprehensive nursing care in health and social settings to individuals or groups with mental health problems.) Provide comprehensive nursing care in health and social settings to individuals or groups with mental health problems.
  • CM21 (Apply palliative measures and health technologies in the final stage of life of people in home, healthcare and social settings.) Apply palliative measures and health technologies in the final stage of life of people in home, healthcare and social settings.
  • CM22 (Provide nursing care in health and social settings, guaranteeing the right to the dignity, privacy, intimacy, confidentiality and decision-making capacity of individuals and their families.) Provide nursing care in health and social settings, guaranteeing the right to the dignity, privacy, intimacy, confidentiality and decision-making capacity of individuals and their families.
  • CM23 (Provide people with individualised care in health and social settings based on their gender, age, group or community within their social and multicultural context.) Provide people with individualised care in health and social settings based on their gender, age, group or community within their social and multicultural context.
  • CM24 (Apply the necessary primary and community care methods and procedures to identify the most important public health problems.) Apply the necessary primary and community care methods and procedures to identify the most important public health problems.
  • CM26 (Establish respectful, assertive and effective communication with people, their families and teams of health professionals.) Establish respectful, assertive and effective communication with people, their families and teams of health professionals.
  • CM27 (Work in health and social settings in collaboration with other professionals, forming multidisciplinary and interdisciplinary teams to improve the health and care of individuals, groups or the community.) Work in health and social settings in collaboration with other professionals, forming multidisciplinary and interdisciplinary teams to improve the health and care of individuals, groups or the community.
  • SM24 (Analyse the data collected in the assessment of adults with diseases or health problems to identify their care needs.) Analyse the data collected in the assessment of adults with diseases or health problems to identify their care needs.
  • SM25 (Apply techniques and procedures related to nursing care to adults with diseases or health problems, based on the available scientific evidence and following criteria of patient safety and professional ethics.) Apply techniques and procedures related to nursing care to adults with diseases or health problems, based on the available scientific evidence and following criteria of patient safety and professional ethics.

Contents

Simulation encompasses a variety of educational techniques in which students have the opportunity to practice an active learning process in an environment that imitates the clinical field and experience experiences similar to the real ones but without putting danger to the patient's safety.


In the simulation we can find different types of simulators. The ones we will use in the subject will be: Part Task Trainers, static mannequins that do not interact with but imitate different parts of a patient's body; the Human Patient Simulators which are computer-controlled mannequins that interact with students to imitate care for a patient in their corresponding clinical environment; and finally, use will be made of standardized patients represented by trained actors who seek to behave in a pre-established manner.



- Low fidelity simulation (PHCA)

Simulation experiences that include role-playing or case studies, that are usually focused on practicing a specific skill, and that usually involve the use of simple static mannequins or part task trainers.



- Medium fidelitysimulation (PHCA)

Experiences in simulation in which learning systems are used, generally self-directed by screen, or the use of medium-fidelity dummies, which may have physiological sounds or other characteristics that allow little interaction with oneself; however, this simulation is usually aimed at making decisions, perfecting a skill or working on problem solving.



- High fidelity simulation (PSCA)

Experiences that include the use of standardized patients or extremely realistic integrated mannequins, Human Patients Simulators, and that guarantee students the possibility to interact. This simulation, given the realistic reproduction and the use of advanced technology to represent situations with real patients, tends to focus on decision making, contextualized problem solving, learning to prioritize, etc.


Taking all this into account, the contents of the subject are distributed in different blocks of work with different practices, which include low, medium and high fidelity in different cases to work on:


- Assessment and measurement of vital signs. Application of measurement scales.


- Performing venipuncture, managing peripheral catheters, blood cultures, and arterial blood gas analysis.


- Central line management.


- Administration of oxygen therapy and respiratory physical therapy.


- Administration of medications via various routes.


- Identification and management of different types of isolation.


- Basic/advanced CPR protocol.


- Management of critical care devices, such as ventilators, infusion systems, ECG, etc.


- PVC monitoring.


- ABCDE assessment.

Learning activities and methodology

Title Hours ECTS Learning outcomes
Advanced Clinical Simulation Practices (PSCA) 16 0.64
Advanced Clinical Skills Practices in Humans (PHCA) 9 0.36 CM13, CM15, CM16, CM17, CM21, CM24, SM25
SELF-STUDY / READING ARTICLES / REPORTS OF INTEREST 39 1.56 CM20, CM22, SM24
Theory 8 0.32 CM10, CM12, CM13, CM15, CM16, CM17, CM20, CM21, CM22, CM23, CM24, CM26, CM27, SM24, SM25

The main objective of the Advanced Human Clinical Skills Practice (PHCA) and Practice of Advanced Clinical Simulation (PSCA) is to acquire clinical skills, more or less complex, through the simulated manipulation of techniques and procedures. The two types of practice will be carried out in small groups with the presence of teachers who will supervise, guide and lead the training activity.

To be able to carry out these practices and prior to the PHCA and PSCA sessions, the students must work on the theoretical content of each procedure, for this reason a THEORETICAL content will be taught where the main protocols to be worked on will be exposed and developed. This content will require independent work outside the classroom to finish reasoning the knowledge received theoretically.

The PSCA will require the video recording to be able to perform the dynamics of the simulation, so the students will have to authorize this recording to be able to carry out the activity. At the end of the sessions, the recordings are deleted.

The content of the subject will be done in 3 large blocks, each block will contain a theoretical session (2-3h), a PHCA session (3h) and a PSCA session (4h), with the exception of the last block that will contain two sessions of PSCA instead of one, one of which will be evaluative.

Therefore, different teaching-learning activities will be carried out:

• Resolution of practical clinical cases.

• Group critical reflection of the case carried out.

• Master theoretical classes.

The sessions are based on interactive work between the teacher and the students. Their active participation in the proposed activities is considered essential.


Annotation: within the schedule set by the centre or degree programme, 15 minutes of one class will be reserved for students to evaluate their lecturers and their courses or modules through questionnaires.

Assessment

Continuous assessment activities

Title Weight Hours ECTS Learning outcomes
Written evaluation using objective tests: multiple response items. 15 0.5 0.02 CM20, CM22, CM23, SM24
Active participation and assessment of practical types: objective and structured assessment 40% 1.5 0.06 CM10, CM12, CM13, CM15, CM16, CM17, CM21, CM24, CM26, CM27, SM25
Written evaluation using objective tests: multiple response items. 45 1 0.04 CM20, CM22, CM23, SM24

1. Written assessment through objective tests (60% final mark):

Its objective is to evaluate the acquisition of knowledge of the subject worked through the different training activities (skills practice, high-fidelity simulated practice and theoretical content).

There will be a test at the end of the first block (with a value of 15% of the final grade) and another test once the teaching of the subject has been completed (with a value of 45% of the final grade). They can be presented in various formats. One option: quiz-type questions with 4 answer options. Errors are subtracted according to the following formula: x = hits (errors / n-1), where n is the number of answer options. Another option: questions with dichotomous answers (yes / no). Or, the option of short questions.

They can be done through the MOODLE platform or in person in the classroom.

The two tests account for 60% of the final grade.

2. Practical assessment: objective and structured assessment (40% final mark):

The objective is to assess the active participation in class in all phases of the simulation session (either during the development of the cases or during the reflection carried out after the practice) and the resolution of the practical individual or group clinical case of PSCA.

This assessment part accounts for 40% of the final grade.

This subject does not provide for the single assessment system.

Relevant aspects to obtain the score:

• A minimum score of 5 points out of 10 is required to pass the subject, in all assessment tests.

  • PUNCTUAL AND JUSTIFIED use of Artificial Intelligence (AI) technologies is allowed exclusively in: support tasks, conceptual research and text translation. The student must clearly identify which parts have been generated with this technology, specify the tools used and include a critical reflection on how these have influenced the process and the final result of the activity (attach this information to the final part of the written work). The text generated by IA can never be more than 10% of the total text of the formal delivery of the activity. The non-transparency of the use of the AI in this assessable activity will be considered a lack of academic honesty and may result in a total penalty in the grade of the activity, or higher penalties in serious cases, according to the criteria of the professor.

• Attendance at PHCA / PSCA and compliance with the timetable are two mandatory aspects. Attendance at the THEORY sessions will not be compulsory but highly recommended.

• List will be passed before each PHCA/PSCA session.

• Given the characteristics of this teaching typology, its recovery is notcontemplated.

• Students who fail to attend more than one PHCA or PSCA session will not be assessed and will not be able to take the final exam. Only 1 absence is allowed for all sessions throughout the course. Failure to attend the session will result in a penalty of 2 points in the final grade. The last session of PSCA is mandatory.

• Students who attend PHCA/PSCA sessions 15 minutes late (or more) will be penalized by one point in the final grade.

• Students who attend the PHCA/PSCA sessions without wearing the correct uniform (complete practice pyjamas, clogs) will have a penalty of half a point in the final grade.

• Individual changes will NOT be allowed in assigned groups. If any change is made, it must be the student himself who is responsible for finding a person who wants to make the group change. These changes must be reported to the coordinator's email at least 48 hours before the face-to-face session (PHCA/PSCA). Any change not communicated before 48 hours will not be effective and the session will be considered not completed. Requests made less than 48 hours before the session will not be taken into account.

• If there isan urgent time incompatibility when doing the sessions, you must write an email to the coordinator and you must ALWAYS attach the official proof that validates the incompatibility and that requires a change of schedule. In no case does this justify the non-performance of the session, but the need to change the schedule.

• Timetables for all sessions will be available from the beginning of the course. Therefore, labor issues with an accredited contract will never be a reason for urgency to request an urgent schedule change. These circumstances will not be considered \"emergencies\".


Obtaining the final grade:

The final grade of the subject is the sum of the grades of the proposed assessment activities.

The requirement to be able to perform this sum is to have obtained the minimum score required in each part.

Failure to pass any or all of these parts implies failure to pass the subject.

It will be understood as non-evaluable and will be scored with a zero for that student who has not attended any or all of the assessment activities.

The evaluation of special and particular situations will be studied by an evaluation committee set up for this purpose, in order to design, if necessary, a final recovery test.

Students who have not passed the subject will be able to sit a final exam or a final make-up test. To be entitled to the final make-up test, you must have sat all the assessment tests. Students have the right to review the assessment tests. For this purpose, the date will be specified on the Virtual Campus.

According to agreement 4.4 of the Governing Council 17/11/2010 of the evaluation regulations, the grades will be:

• From 0 to 4.9 = Suspension

• From 5.0 to 6.9 = Passed

• From 7.0 to 8.9 = Notable

• From 9.0 to 10 = Excellent

According to point 9 of Article 266 of the UAB Academic Regulations, when it is determined that the student has not been able to provide sufficient evidence for assessment, this course must be graded as not evaluable. Similarly, if a student does not attend any of the planned assessment activities, they will receive a “not evaluable” grade and will be scored zero.

Bibliography

Minji Mun, Minsung Kim, Kyungmi Woo. 2025. Advancements in simulation-based nursing education: Insights from a bibliometric analysis of temporal trends. Volume 151, 106719. https://doi.org/10.1016/j.nedt.2025.106719


Meakim C, Boese T, Decker S, Franklin AE, Gloe D, Lioce L, et al. Standards of Best Practice: Simulation Standard I: Terminology. Clin Simul Nurs [Internet]. 2013 Jun 6 [cited 2015 Mar 24];9(6):S3-11. Available from:

http://www.nursingsimulation.org/article/S1876139913000716/fulltext


Raurell-Torredà M, Gómez-Ibáñez, R. High-fidelity simulation: Who has the most impressive laboratory? Enferm Intensiva. 2018;29:143-410.1016/j.enfi.2017.09.003


National League for Nursing Simulation Innovation Resource Center (NLN-SIRC). SIRC Glossary [Internet]. 2013 [cited 2018 Jun 4]. Available from: https://sirc.nln.org/mod/glossary/view.php


Watson C, Bernabeu-Tamayo MD. La implementación de la simulación clínica de alta fidelidad en el grado de enfermeria: un estudio mixto sobre las experiencias de los estudiantes [Internet]. Universitat Autònoma de Barcelona; 2019. Available from: https://dialnet.unirioja.es/servlet/tesis?codigo=270844


Paige JB, Morin KH. Simulation Fidelity and Cueing: A Systematic Review of the Literature. Clin Simul Nurs [Internet]. 2013 Nov 1 [cited 2019 May 10];9(11):e481-9. Available from: https://www-sciencedirect-com.are.uab.cat/science/article/pii/S1876139913000030#fig3

Software

No software is required to complete the course.

Course groups and languages

The information provided is provisional until November 30. After this date, you will be able to consult the language of each group through this link. To access the information, you will need to enter the course CODE

Type of teaching Group Language Semester Shift
(TE) Theory 301 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 301 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 301 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 302 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 302 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 303 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 303 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 304 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 304 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 305 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 305 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 306 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 306 Catalan annual morning-mixed
(TE) Theory 501 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 501 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 501 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 502 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 502 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 503 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 503 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 504 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 504 Catalan annual morning-mixed
(TE) Theory 601 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 661 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 662 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 663 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 664 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 665 Catalan annual morning-mixed
(PSCA) Pràctica de simulació clínica avançada (en humans) 666 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 681 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 682 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 683 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 684 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 685 Catalan annual morning-mixed
(PHCA) Pràctica d’habilitats clíniques avançades (en humans) 686 Catalan annual morning-mixed