Clinical simulation of child emergency in the context of nursing professional training: integrative review

Gabrieli Patricio Rissi, Bianca Machado Cruz Shibukawa, Muriel Fernanda de Lima, Ieda Harumi Higarashi


The objective of this study was to analyze the scientific production about the application of clinical simulation in children's emergency services in the nursing undergraduate scenario. For this, an integrative review was developed, through a bibliographic survey carried out between January and April 2017, in the CINAHL, SCOPUS, WEB OF SCIENCE and PUBMED databases, from 2012 to 2016. The descriptors used were: Education Nursing, Emergencies, Patient Simulation, Pediatrics and Teaching. The final sample of the review was composed of three articles, all of them descriptive. 2014 was the year with the highest number of article publications, two publications, most of which were developed in the United States, with the prevalence of the English language. The results suggest that the simulation is able to rescue the operative reasoning in the students during the action, develop critical-reflective thinking about competence and, above all, promotes satisfaction. It is concluded that the strategy enables the development of the competence of evaluation and assistance to the pediatric client in the dimensions of knowledge, doing and wanting to act.


Patient Simulation; Emergencies; Pediatrics; Education Nursing; Teaching.


Austin, E. N., Hannafin, N. M., Nelson, H. W. (2013). Pediatric Disaster Simulation in Graduate and Undergraduate Nursing Education. Journal Of Pediatric Nursing, 28(4):393-399. DOI:

Bannister, S. L., Dolson, M. S., Lingard, L., Keegan, D. A. (2018). Not just trust: factors influencing learners’ attempts to perform technical skills on real patients. Medical Education, 52(6):605–619. DOI:

Barreto, D. G., Silva, K. G. N., Moreira, S. S. C. R., Silva, T. S., Magro, S. C. S. (2014). Simulação realística como estratégia de ensino para o curso de graduação em enfermagem: revisão integrativa. Revista Baiana de Enfermagem, 28(2): 208-214.

Brasil. (2018). Ministério da Saúde. Departamento de Informática do Sistema Único de Saúde (DATASUS). Sistema de Informação de Mortalidade (SIM). Acesso em 05 maio 2020 em

Camanho, G. L. (2009). Níveis de evidências [editorial]. Acta Paulista de Enfermagem. Acesso em 05 maio 2020, em S0102-36162009000600001

Costa, R. R. O., Medeiros, S. M., Martins, J. C. A., Cossi, M. S., Araújo, M. S. (2017). Perception of undergraduate nursing students on realistic simulation. Revista Cuidarte, 8(3):1799-1808. DOI:

Dubovi, I. (2018). Designing for online computer-based clinical simulations: Evaluation of instructional approaches. Nurse Education Today, 69: 67–73. DOI:

Friedman, N., Sagi, D., Ziv, A., Shavit, I. (2018). Pediatric residents’ simulation-based training in patient safety during sedation. European Journal of Pediatrics, 177(12):1863-1867. DOI:

Kaneko, R. M. U., Couto, T. B., Coelho, M. M., Taneno, A. K., Barduzzi, N. V., Barreto, J. K. S. et al. (2015). In Situ Simulation, a Multidisciplinary Training Method to Identify Opportunities to Improve Patient Safety Improvement in a High Risk Unit. Revista Brasileira de Educação Médica, 39(2): 286–293.

Lehmann, R., Seitz, A., Meyburg, J., Hoppe, B., Hofmann, G. F., Tönshof, B., et al. (2019). Pediatric in-hospital emergencies: real life experiences, previous training and the need for training among physicians and nurses. BMC Research Notes, 12(19). DOI:

Linn, A. C., Caregnato, R. C. A., Souza, E. N. (2019). Clinical simulation in nursing education in intensive therapy: an integrative review. Revista Brasileira de Enfermagem, 72(4):1061-1070. DOI:

May, O. W., Cole, L. G. (2014). Peds Cup: An Innovative Simulation Competition to Improve Learning. Clinical Simulation In Nursing, 10(10):503-506. DOI: j.ecns.2014.05.009

Mehra, B., Gupta, S. (2017). Common Pediatric Medical Emergencies in Office Practice. The Indian Journal of Pediatrics, 85(1):35-43. DOI:

Moura-Júnior, L. G., Ramos, A., Campos, J. M., Ferraz, A. A., Rocha, H. A. L., Costa, G. O. (2017). Teaching model for evaluation of the ability and competence progress in endosuture in surgical skill laboratory. Arquivos Brasileiros de Cirurgia Digestiva, 30(4):256-259. DOI:

Mwandri, M. B., Hardcastle, T. C. (2018). Burden, Characteristics and Process of Care Among the Pediatric and Adult Trauma Patients in Botswana’s Main Hospitals. World Journal of Surgery, 42(8):2321-2328. DOI:

O’Leary, F., McGarvey, K., Christoff, A., Major, J., Chayen, G., Vassiliadis, J., et al. (2014). Identifying incidents of suboptimal care during paediatric emergencies–an observational study utilising in situ and simulation centre scenarios. Resuscitation, 85(3):431-436. DOI:

Rohrs, R. M. S., Santos, C. F., Barbosa, R. S., Schulz, R. S., Carvalho, M. S. (2017). Impact of the realistic simulation methodology in nursing undergraduate course. Revista de Enfermagem da UFPE, 11(12):5269-5274. DOI: 12a23005p5269-5274-2017

Soares, P. R. (2018). O conforto da criança hospitalizada em uma unidade de terapia intensiva pediátrica: perspectiva da família e dos profissionais de enfermagem. Dissertação de mestrado, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.

Stellflug, S. M., Lowe, N. K. (2018). The Effect of High Fidelity Simulators on Knowledge Retention and Skill Self Efficacy in Pediatric Advanced Life Support Courses in a Rural State. Journal of Pediatric Nursing, 39:21-26. DOI: 2017.12.006



  • There are currently no refbacks.

Base de Dados e Indexadores: Base, Diadorim,, DOI Crossref, Dialnet, Scholar Google, Redib, Doaj, Latindex, Portal de Periódicos CAPES

Research, Society and Development - ISSN 2525-3409

Licença Creative Commons
Este obra está licenciado com uma Licença Creative Commons Atribuição 4.0 Internacional

Rua Irmã Ivone Drumond, 200 - Distrito Industrial II, Itabira - MG, 35903-087 (Brasil)