Nursing Students From China and the United States: Learning Together Through Virtual Simulation.

Journal Article (Journal Article)


The purpose of this project was to connect nursing students from schools of nursing in China and the United States for colearning using virtual simulations.


With technology and international partnerships, nursing programs can offer global education without students traveling to other countries.


Virtual simulations were produced by each school for the project. Students completed them in two synchronous 1.5-hour virtual sessions, one month apart. At the end of each session, students completed the Simulation Effectiveness Tool-Modified and the Nurses Clinical Reasoning Scale.


Scores on the Simulation Effectiveness Tool-Modified ranged from 75.0 percent to 100 percent on Simulation 1 (video vignettes focused on prioritization) and 88.9 percent to 100 percent on Simulation 2 (computer-based obstetrics case). Most students strongly agreed or agreed that the simulation improved their clinical reasoning skills.


Virtual simulations allowed students to learn together and develop an awareness of differences in nursing practices across countries.

Full Text

Duke Authors

Cited Authors

  • Molloy, MA; Zhao, Y; Leonard, C; Chen, Y; Cadavero, AA; Xing, W; Vaughn, J; Lin, Y; Min, H; Oermann, MH; Yan, H

Published Date

  • May 2022

Published In

Volume / Issue

  • 43 / 3

Start / End Page

  • 171 - 174

PubMed ID

  • 35170576

Pubmed Central ID

  • PMC9050818

International Standard Serial Number (ISSN)

  • 1536-5026

Digital Object Identifier (DOI)

  • 10.1097/01.nep.0000000000000929


  • eng