Chinese Journal of Nursing Education ›› 2026, Vol. 23 ›› Issue (5): 560-567.doi: 10.3761/j.issn.1672-9234.2026.05.008
• Curriculum, Teaching Materials, Teaching Methods • Previous Articles Next Articles
ZHANG Si(
), GU Yiwei, JIN Sanli*(
)
Received:2025-09-16
Online:2026-05-15
Published:2026-05-14
Contact:
JIN Sanli,E-mail:Supported by:ZHANG Si, GU Yiwei, JIN Sanli. Effectiveness of screen-based simulation on clinical reasoning ability among nursing undergraduates:a systematic review[J].Chinese Journal of Nursing Education, 2026, 23(5): 560-567.
| [1] |
Huang HM, Huang CY, Lee-Hsieh J, et al. Establishing the competences of clinical reasoning for nursing students in Taiwan:from the nurse educators’ perspectives[J]. Nurse Educ Today, 2018, 66:110-116.
doi: 10.1016/j.nedt.2018.04.007 |
| [2] |
Levett-Jones T, Hoffman K, Dempsey J, et al. The ‘five rights’ of clinical reasoning:an educational model to enhance nursing students’ ability to identify and manage clinically ‘at risk’ patients[J]. Nurse Educ Today, 2010, 30(6):515-520.
doi: 10.1016/j.nedt.2009.10.020 |
| [3] |
Aiken LH, Clarke SP, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality[J]. JAMA, 2003, 290(12):1617-1623.
doi: 10.1001/jama.290.12.1617 pmid: 14506121 |
| [4] | 夏菁, 赵裕香, 孙艳, 等. 不同教学法对护生临床推理能力提升的贝叶斯网状分析[J]. 卫生职业教育, 2024, 42(13):96-100. |
| Xia J, Zhao YX, Sun Y, et al. Bayesian mesh analysis on the improvement of nursing students’ clinical reasoning ability with different teaching methods[J]. Health Vocat Educ, 2024, 42(13):96-100. | |
| [5] |
O’Neill ES. The influence of experience on community health nurses’ use of the similarity heuristic in diagnostic reasoning[J]. Sch Inq Nurs Pract, 1994, 8(3):261-276.
doi: 10.1891/0889-7182.8.3.261 |
| [6] |
Hsieh JY, Lin PC, Sun WN, et al. Effectiveness of immersive virtual reality in nursing education for nursing students and nursing staffs:a systematic review and meta-analysis[J]. Nurse Educ Today, 2025, 151:106725.
doi: 10.1016/j.nedt.2025.106725 |
| [7] | The Society for Simulation in Healthcare. Healthcare simulation dictionary[M]. 2nd ed. Rockville:SSH, 2020. |
| [8] |
Cobbett S, Snelgrove-Clarke E. Virtual versus face-to-face clinical simulation in relation to student knowledge,anxiety,and self-confidence in maternal-newborn nursing:a randomized controlled trial[J]. Nurse Educ Today, 2016, 45:179-184.
doi: 10.1016/j.nedt.2016.08.004 |
| [9] |
Foronda CL, Swoboda SM, Hudson KW, et al. Evaluation of vSIM for nursingTM:a trial of innovation[J]. Clin Simul Nurs, 2016, 12(4):128-131.
doi: 10.1016/j.ecns.2015.12.006 |
| [10] |
Phillips JM, Harper MG, DeVon HA. Virtual reality and screen-based simulation learner outcomes using Kirkpatrick’s evaluation levels:an integrative review[J]. Clin Simul Nurs, 2023, 79:49-60.
doi: 10.1016/j.ecns.2023.02.008 |
| [11] | Aromataris E, Lockwood C, Porritt K, et al. JBI manual for evidence synthesis[EB/OL]. (2024-11-01)[2025-07-01]. https://synthesismanual.jbi.global. |
| [12] | Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement:an updated guideline for reporting systematic reviews[J]. BMJ, 2021,372:n71. |
| [13] | Tufanaru C, Munn Z, Aromataris E, et al. Systematic reviews of effectiveness[M]//JBI manual for evidence synthesis. Adelaide,SA, Australia:JBI, 2020. |
| [14] | Barker TH, Habibi N, Aromataris E, et al. The revised JBI critical appraisal tool for the assessment of risk of bias for quasi-experimental studies[J]. JBI Evid Synth, 2024, 22(3):378-388. |
| [15] | Campbell M, McKenzie JE, Sowden A, et al. Synthesis without meta-analysis(SWiM) in systematic reviews:reporting guideline[J]. BMJ, 2020,368:l6890. |
| [16] | 赵文晓, 刘艳丽. 虚拟病人联合模拟实践教学在护理本科生临床推理能力培养中的应用效果[J]. 护理研究, 2021, 35(19):3511-3513. |
| Zhao WX, Liu YL. Application effect of virtual patient combined with simulated practice teaching in the training of clinical reasoning ability of undergraduate nursing students[J]. Chin Nurs Res, 2021, 35(19):3511-3513. | |
| [17] |
Padilha JM, Machado PP, Ribeiro A, et al. Clinical virtual simulation in nursing education:randomized controlled trial[J]. J Med Internet Res, 2019, 21(3):e11529.
doi: 10.2196/11529 |
| [18] |
Blanié A, Amorim MA, Benhamou D. Comparative value of a simulation by gaming and a traditional teaching method to improve clinical reasoning skills necessary to detect patient deterioration:a randomized study in nursing students[J]. BMC Med Educ, 2020, 20(1):53.
doi: 10.1186/s12909-020-1939-6 |
| [19] |
Han JW, Park J, Lee H. Development and effects of a chatbot education program for self-directed learning in nursing students[J]. BMC Med Educ, 2025, 25(1):825.
doi: 10.1186/s12909-025-07316-2 |
| [20] | 周雯, 晋溶辰, 张艳, 等. 严肃游戏教学法在儿科实习护士临床推理与反思能力培养中的效果评价[J]. 中国实用护理杂志, 2023, 39(9):641-648. |
| Zhou W, Jin RC, Zhang Y, et al. Evaluation of the effect of serious game teaching method in the cultivation of clinical reasoning and reflection ability of pediatric practice nurses[J]. Chin J Pract Nurs, 2023, 39(9):641-648. | |
| [21] |
Dubovi I. Designing for online computer-based clinical simulations:evaluation of instructional approaches[J]. Nurse Educ Today, 2018, 69:67-73.
doi: 10.1016/j.nedt.2018.07.001 |
| [22] |
de Sá Tinôco JD, Santos Cossi M, da Conceição Dias Fernandes MI, et al. Effect of educational intervention on clinical reasoning skills in nursing:a quasi-experimental study[J]. Nurse Educ Today, 2021, 105:105027.
doi: 10.1016/j.nedt.2021.105027 |
| [23] |
Havola S, Haavisto E, Mäkinen H, et al. The effects of computer-based simulation game and virtual reality simulation in nursing students’ self-evaluated clinical reasoning skills[J]. Comput Inform Nurs, 2021, 39(11):725-735.
doi: 10.1097/CIN.0000000000000748 pmid: 33941719 |
| [24] |
Kim SH, Choi Y. Improving clinical reasoning competency and communication skills using virtual simulation-based learning focused on a pathophysiological approach in Korea:a quasi-experimental study[J]. J Korean Biol Nurs Sci, 2024, 26(4):363-372.
doi: 10.7586/jkbns.24.026 |
| [25] |
Altmiller G, Jimenez FA, Wilson C. Screen-based patient simulation:an exemplar for developing and assessing competency[J]. Nurse Educ, 2024, 49(4):179-183.
doi: 10.1097/NNE.0000000000001585 |
| [26] |
Williams R, Helmer B, Elliott A, et al. Navigating the virtual frontier:a virtual patient simulation pilot study in prelicensure baccalaureate nursing education[J]. Clin Simul Nurs, 2024, 94:101589.
doi: 10.1016/j.ecns.2024.101589 |
| [27] |
Bahrami M, Hadadgar A, Fuladvandi M. Optimizing clinical reasoning:unpacking the impact of virtual patient educational duration in cancer care and nursing students’ experiences[J]. Iran J Nurs Midwifery Res, 2025, 30(1):92-96.
doi: 10.4103/ijnmr.ijnmr_259_23 pmid: 40052036 |
| [28] |
Liou SR, Liu HC, Tsai HM, et al. The development and psychometric testing of a theory-based instrument to evaluate nurses’ perception of clinical reasoning competence[J]. J Adv Nurs, 2016, 72(3):707-717.
doi: 10.1111/jan.2016.72.issue-3 |
| [29] | 俞杰, 王佳林, 王明钰, 等. 中文版临床推理与反思自评量表在护理学专业学生中的信效度测试研究[J]. 中华医学教育杂志, 2019, 39(7):539-544. |
| Yu J, Wang JL, Wang MY, et al. Reliability and validity of the Chinese version of Self-Assessment of Clinical Reasoning and Reflection in nursing undergraduates[J]. Chin J Med Educ, 2019, 39(7):539-544. | |
| [30] |
Edelbring S. Research into the use of virtual patients is moving forward by zooming out[J]. Med Educ, 2013, 47(6):544-546.
doi: 10.1111/medu.12206 pmid: 23662870 |
| [31] | Dobber J, Harmsen J, Van Iersel M. Klinisch redeneren en evidence-based practice[M]. 1st ed. Houten,the Netherlands: Bohn Stafleu van Loghum, 2016. |
| [32] |
Sandars J. The use of reflection in medical education:AMEE Guide No. 44[J]. Med Teach, 2009, 31(8):685-695.
doi: 10.1080/01421590903050374 pmid: 19811204 |
| [1] | ZHANG Yunping, FAN Rong, XIA Liping. Effective pathways for cultivating empathy ability among nursing students:a systematic review [J]. Chinese Journal of Nursing Education, 2026, 23(6): 731-739. |
| [2] | BU Yemeng, SHI Tieying, GUO Yufei, CHENG Huiyan, YU Jiamiao, CAI Yingjie. Conceptual analysis of clinical reasoning ability in nursing students [J]. Chinese Journal of Nursing Education, 2026, 23(4): 464-470. |
| [3] | YANG Suzhen, WEI Jinxuan, WANG Ying, LI Ying, ZHONG Weina, ZHANG Xinyu, CUI Yongjun, CHENG Hairong. Systematic review of prediction models for debilitating risk in maintenance hemodialysis patients [J]. Chinese Journal of Nursing Education, 2026, 23(1): 101-109. |
| [4] | WU Fangqin, WU Ying, WANG Yanling, WANG Qiushi, WANG Huiying, MIAO Yiqun, DENG Ying, SHI Lisha. Construction and application of a virtual teaching system with generative scenarios for clinical thinking training [J]. Chinese Journal of Nursing Education, 2025, 22(9): 1029-1035. |
| [5] | BU Haoning, CHANG Qihang, WANG Xue, YU Jiaxin, AN Libin, LI Wentao. The application of artificial intelligence technology in nursing education:a systematic review [J]. Chinese Journal of Nursing Education, 2025, 22(9): 1057-1064. |
| [6] | LIU Ningjing, XU Yahong, YAN Yuran. Factors related to transition shock of nursing interns:systematic review of mixed methods research [J]. Chinese Journal of Nursing Education, 2025, 22(7): 808-815. |
| [7] | YAO Jiaying, ZHAO Mengqin, ZHU Hui, LI Ying, WANG Junhui, SHEN Xinyi, LIU Tingting, PU Limin, CHEN Xiaomin. Systematic review of prevalence and its influencing factors in patients with cancer-related cognitive impairment [J]. Chinese Journal of Nursing Education, 2025, 22(5): 623-629. |
| [8] | ZHANG Saiya, SUN Yize, ZHAO Tianrui, GE Yanhong, LI Ping, ZHANG Lihua. The Chinese version of adult medication literacy assessment tools:a systematic review [J]. Chinese Journal of Nursing Education, 2025, 22(4): 478-485. |
| [9] | YANG Pan, SHEN Aomei, ZHANG Lichuan, LU Qian. Interpretation of guideline for reporting systematic reviews of outcome measurement instruments(OMIs)——PRISMA-COSMIN for OMIs 2024 [J]. Chinese Journal of Nursing Education, 2025, 22(4): 502-506. |
| [10] | ZHANG Haiying, WANG Xuechen, YANG Di, ZHANG Fengwa. Chinese version instruments of measuring fear of falling for the elderly:a systematic review of psychometric properties [J]. Chinese Journal of Nursing Education, 2025, 22(3): 355-362. |
| [11] | SHEN Shujie, LIU Hongxiu, LI Longtian, WEI Siqi. A systematic review of the reproductive concerns assessment tool for women of reproductive age with cancer [J]. Chinese Journal of Nursing Education, 2025, 22(2): 238-246. |
| [12] | GONG Chuanping, HE Songjun, HE Yufang, ZHANG Yujia, LI Yan, ZHAI Jingbo. Digital health literacy assessment tool for older adults based on COSMIN guidelines:a systematic review [J]. Chinese Journal of Nursing Education, 2025, 22(12): 1497-1504. |
| [13] | HU Anqian, ZHANG Chun, CAI Minmin, ZHANG Jieqiong, WANG Lu. A systematic review of symptom clusters in patients with heart failure [J]. Chinese Journal of Nursing Education, 2025, 22(11): 1397-1403. |
| [14] | LI Xiaohua, ZHU Hong, YANG Dan, HAO Yufang, LI Xuejing. The influence of role modeling on nursing students’ professional identity:a meta-synthesis of qualitative studies [J]. Chinese Journal of Nursing Education, 2024, 21(7): 841-848. |
| [15] | LIU Suxiang, ZHANG Huafang, SHI Yajun, LIU Qingqing, ZHANG Ying, YANG Lili. A systematic review of hypoglycemic fear assessment tools in adult diabetic patients [J]. Chinese Journal of Nursing Education, 2024, 21(7): 873-880. |
|
||