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The conceptual bridge between Simulation-Based Education and Transformative Simulation

The conceptual bridge between Simulation-Based Education and Transformative Simulation

Weldon, Sharon Marie ORCID logoORCID: https://orcid.org/0000-0001-5487-5265, Nestel, Debra, Buttery, Andy G., Armijo-Rivera, Soledad, Cartaxo-Cintra, Pedro F., Mainey, Lydia, Sa-Couto, Carla, Dall Jensen, Rune, Spearpoint, Ken, Gurnett, Phillip and Essex, Ryan ORCID logoORCID: https://orcid.org/0000-0003-3497-3137 (2026) The conceptual bridge between Simulation-Based Education and Transformative Simulation. Journal of Healthcare Simulation. pp. 1-12. ISSN 2977‑697X (Online) (doi:10.54531/CMYQ9770)

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Abstract

Simulation in healthcare has evolved from a focus on individual skills training to a broader set of applications spanning education and cultural and systems-level change. Yet conceptual clarity remains lacking, particularly in how Simulation-Based Education (SBE) and Transformative Simulation (TfS) relate, given that they stem from different philosophical orientations and theories. This essay proposes a conceptual bridge between these two purposes of simulation, grounded in the meta-theory of transformative pedagogy. While SBE draws on diverse theories and concepts to support learning, TfS emphasizes collaboration, systems thinking and user engagement to drive collective understanding, insight and change. We use a metaphor of a bridge to illustrate the passage for a bi-directional model showing how SBE can lead to transformation and how TfS insights can be educationally embedded. This offers a cohesive structure positioning simulation as a tool for individual, interprofessional and cultural and systems-level development and reform.

Item Type: Article
Uncontrolled Keywords: Simulation theory, q1uality and safety, health professions education, healthcare practice, healthcare systems, Transformative Simulation, patient safety, theory
Subjects: L Education > LB Theory and practice of education
L Education > LC Special aspects of education > LC5201 Education extension. Adult education. Continuing education
R Medicine > R Medicine (General)
Faculty / School / Research Centre / Research Group: Faculty of Education, Health & Human Sciences
Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development
Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Professional Workforce Development
Faculty of Education, Health & Human Sciences > School of Health Sciences (HEA)
Last Modified: 03 Jun 2026 17:08
URI: https://gala.gre.ac.uk/id/eprint/53681

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