Psychological Safety in Nursing Simulation

Sook Jung Kang, Hae Young Min

Research output: Contribution to journalReview articlepeer-review

49 Scopus citations


Background Although nursing students enjoy and learn from simulation practice, some experience negative feelings that may hamper their learning outcomes. Purpose The purpose of this study was to understand nursing students' perceptions of psychological safety in simulation practice to provide a foundation for a safe and effective simulation learning environment. Methods A convenient sample of 15 undergraduate nursing students was included in this study. Focus group interviews and inductive content analysis were used for this study. Results Four themes extracted from the study included feeling unready, anxious about having students' mistakes exposed, worry about damaging teamwork, and fear of evaluation. Conclusions Findings indicated that providing prebriefing and considering students' level of simulation experience in sharing their recorded video may help ensure a psychologically safe environment. An instrument measuring psychological safety and evidence-based guidelines to ensure a safe learning environment needs to be developed.

Original languageEnglish
Pages (from-to)E6-E9
JournalNurse Educator
Issue number2
StatePublished - 1 Mar 2019

Bibliographical note

Publisher Copyright:
© 2018 Wolters Kluwer Health, Inc. All rights reserved.


  • nursing education
  • nursing students
  • psychological safety
  • simulation training


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