Biosecurity Learning through a Didactic Strategy with Simulation in Professional Nursing Education

Authors

DOI:

https://doi.org/10.65598/rps.6074

Keywords:

Clinical simulation, Biosecurity, Nursing education, Patient safety, Experiential learning

Abstract

This study designed a didactic strategy based on clinical simulation to strengthen biosecurity learning among nursing students. The proposal included three progressively complex scenarios (venipuncture, wound care, and safe medication administration), structured with scripts, checklists, and rubrics validated by experts. Content validity indices (I‑CVI and S‑CVI/Ave) exceeded 0.95 in most instruments, ensuring clarity and relevance. In a pilot test with 20 students, satisfactory performance was achieved in adherence to personal protective equipment (86), waste segregation (88), hand hygiene (82), and safe communication (84). However, greater variability was observed in hand hygiene and communication, a finding consistent with international literature that highlights the difficulty of automating routine practices and verbalizing clinical decisions in simulated environments. It is concluded that clinical simulation is an effective pedagogical tool to integrate theory and practice in biosecurity. Moreover, it contributes to educational equity by providing controlled and accessible environments for the acquisition of critical competencies, thereby reinforcing patient safety and professional preparedness in nursing education.criteria. Additionally, critical errors were identified, and guided reflection was promoted through structured debriefing, reinforcing decision-making in biological risk contexts. It is concluded that clinical simulation is an effective pedagogical tool to enhance training in biosecurity, bridging the gap between theory and practice within controlled and safe learning environments.

Downloads

Download data is not yet available.

References

Barranco Barroso, R., & Bretones Peregrina, E. (2025). La participación educativa como herramienta para la reducción de desigualdades. Revista Prisma Social, 50, 79–101. https://revistaprismasocial.es/ps/article/view/5837

Brazil, V., Eller, S., & Bajaj, K. (2025). Reimagining simulation for quality and safety in healthcare: Connecting paradigms, methods, and communities. Advances in Simulation, 10(1), 1–12. https://link.springer.com/article/10.1186/s41077-025-00397-5 https://doi.org/10.1186/s41077-025-00123

Carrasco-Guirao, J., García-Sánchez, M., & López-Medina, A. (2024). Exploring how evidence-based practice, communication, and clinical simulation outcomes interact in nursing education. Nurse Education Today, 126, 105789. https://pubmed.ncbi.nlm.nih.gov/38535719/ https://doi.org/10.1016/j.nedt.2024.105789

Dalawi, I., Isa, M. R., Chen, X. W., Azhar, Z. I., & Aimran, N. (2023). Development of the Malay Language of understanding, attitude, practice and health literacy questionnaire on COVID-19 (MUAPHQ C-19): Content validity & face validity analysis. BMC Public Health, 23(1), 1131. https://pubmed.ncbi.nlm.nih.gov/37312175/

Del Pozo Serrano, F. J., & Polo Amashta, G. P. (2025). Desigualdad y exclusión sociolaboral: Buenas prácticas socioeducativas para la inclusión. Revista Prisma Social, 50, 32–53. https://revistaprismasocial.es/ps/article/view/5828

Dodson, T., Smith, R., & Kim, H. (2023). Exploring undergraduate nursing students’ ineffective communication behaviors in simulation: A thematic analysis. Clinical Simulation in Nursing, 72, 45–53. https://www.sciencedirect.com/science/article/abs/pii/S155730872300135X https://doi.org/10.1016/j.ecns.2023.05.004

Harder, N. (2024). Best practices in clinical simulation for nursing education: Enhancing patient safety outcomes. Clinical Simulation in Nursing, 78, 12–20. https://www.scielo.br/j/ape/a/snwSCdqwQLr4M4Nz75MJMZP/?format=html&lang=pt https://doi.org/10.1016/j.ecns.2024.01.002

Harrington, D. W., & Simon, L. V. (2025). Designing a Simulation Scenario. In StatPearls. StatPearls Publishing. https://pubmed.ncbi.nlm.nih.gov/31613450/ https://doi.org/10.1186/s12889-023-16044-5

INACSL Standards Committee, Watts, P. I., McDermott, D. S., Alinier, G., Charnetski, M., & Nawathe, P. A. (2021, September). Healthcare Simulation Standards of Best Practice™ Simulation Design. Clinical Simulation in Nursing, 58, 14–21. https://www.inacsl.org/healthcare-simulation-standards

INACSL Standards Committee. (2021). Healthcare simulation standards of best practice. Clinical Simulation in Nursing, 58, 1–50. https://www.nursingsimulation.org/article/S1876-1399(21)00096-7/fulltext https://doi.org/10.1016/j.ecns.2021.08.009

ISA Publisher. (2025). Advancing global nursing education through simulation-based learning. International Journal of Nursing Education, 17(2), 55–63. https://isapublisher.com/wp-content/uploads/2025/06/Advancing-Global-Nursing-Education-through-Simulation-Based-Learning-Strengthening-Clinical-Competence-and-Ensuring-Patient-Safety.pdf

Khatun, S. (2024). Simulation-based learning in nursing education: Strengthening clinical competence and patient safety. Journal of Nursing Education and Practice, 14(3), 22–30. https://www.researchgate.net/profile/Fathima-Sihnas/publication/384611001_The_effectiveness_of_simulation-based_learning_in_nursing_education_-_A_review/links/

Lee, M. H., & Noh, E. Y. (2023). Effectiveness of Simulation-Based Education for Caring Patients with COVID-19. Journal of Korean Academy of Nursing, 53(4), 397-411. https://www.koreascience.or.kr/article/JAKO202325843226442.pub?lang=en https://doi.org/10.4040/jkan.22151

Livshiz-Riven, I., Cohen, R., & Shapira, Y. (2024). Nursing students led simulations to improve healthcare workers’ hand hygiene compliance. BMC Nursing, 23(1), 112. https://pubmed.ncbi.nlm.nih.gov/38470983/

Nursing Clinics of North America. (2024). Use of simulation for improving quality and patient safety. Nursing Clinics of North America, 59(4), 567–582. https://www.nursing.theclinics.com/article/S0029-6465(24)00006-9/abstract https://doi.org/10.1016/j.cnur.2024.07.002

Nursing Clinics of North America. (2024). Using simulation to improve communication skills. Nursing Clinics of North America, 59(4), 583–595. https://doi.org/10.1016/j.cnur.2024.07.003

Park, J., Lee, H., & Noh, J. (2023). Virtual simulation in nursing education: Effects on critical thinking, confidence, and compassion. Nurse Education in Practice, 68, 103592. https://pubmed.ncbi.nlm.nih.gov/32028447/ https://doi.org/10.1016/j.nepr.2023.103592

Park, O., Jeon, M., Kim, M., Kim, B., & Jeong, H. (2023). The effects of a simulation‑based patient safety education program on compliance with patient safety, perception of patient safety culture, and educational satisfaction of operating room nurses. Healthcare, 11(21), 2824. https://pubmed.ncbi.nlm.nih.gov/37957969/ DOI: 10.3390/healthcare11212824

Pastuña-Doicela, M., et al. (2023). Teaching biosecurity in nursing education: Bridging theory and practice. Revista Latinoamericana de Educación en Salud, 11(2), 45–56. https://www.redalyc.org/journal/3497/349778737006/html/

Pastuña‑Doicela, R., Segovia‑Hernández, R., Alvarado‑Alvarado, A. L., & Núñez‑Garces, A. (2023). Simulación clínica virtual en enfermería en tiempos de pandemia: Percepción de estudiantes. Investigación en Educación Médica, 12(48), 52–63. https://www.scielo.org.mx/pdf/iem/v12n48/2007-5057-iem-12-48-52.pdf https://doi.org/10.22201/fm.20075057e.2023.48.23521

Ratish, R. (2025). Simulation in nursing education: A systematic review of effectiveness and outcomes. Journal of Advanced Nursing, 81(5), 1120–1135. https://www.nursingjournal.net/article/view/464/8-1-34 DOI: https://doi.org/10.33545/nursing.2025.v8.i1.C.464

Rocha, P., Moyo, T., & Banda, L. (2024). Simulation-based education to improve hand hygiene practices: A pilot study in Sub-Saharan Africa. International Journal of Infection Control, 20(2), 77–85. https://www.mdpi.com/2673-947X/5/3/35 https://www.semanticscholar.org/paper/Simulation-Based-Education-to-Improve-Hand-Hygiene-Rocha-Andriamiharisoa/9e4299bf196561f12a24e2af125a590b8b5db2c5

Vallejo, J. A., & Analuisa, E. I. (2021). Percepción del profesional de enfermería sobre los cuidados aplicados al paciente en posición de decúbito prono asociado al COVID-19. Enfermería Investiga, 6(2), 36. https://www.mendeley.com/catalogue/45614d15-5f1d-3ca2-9b03-235553a43e06/ DOI: 10.31243/ei.uta.v6i2.986.20211

Yánez, Á. C., Toapanta, M., Valle, M., Velecela, L., & Jimbo, D. (2021). Perspectivas de formación profesional de enfermería en el Ecuador, en el marco de la pandemia SARS-CoV2. Horizonte de Enfermería, 32(2), 129–139. https://puceinvestiga.puce.edu.ec/es/publications/perspectivas-de-formaci%C3%B3n-profesional-de-enfermer%C3%ADa-en-el-ecuador/ https://doi.org/10.7764/Horiz_Enferm.32.2.129-139

Published

2026-04-30

How to Cite

León Avilés, H. M., & Valcárcel Izquierdo, N. (2026). Biosecurity Learning through a Didactic Strategy with Simulation in Professional Nursing Education. Prisma Social Journal, (53), 209–220. https://doi.org/10.65598/rps.6074

Issue

Section

Sección abierta