Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Psychological Safety in Nursing Simulation

Kang, Sook Jung, PhD, FNP-C; Min, Hae Young, PhD, RN

doi: 10.1097/NNE.0000000000000571
Feature Articles

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.

Author affiliations: Assistant Professor (Dr Kang), College of Nursing, Ewha Womans University, Seoul; and Assistant Professor (Dr Min), College of Nursing and Healthcare Sciences, Dong-Eui University, Busan, Korea.

The work was supported by the Ewha Womans University Research Grant of 2014 (grant 1-2014-1995-001-1).

The authors declare no conflicts of interest.

Correspondence: Dr Kang, College of Nursing, Ewha Womans University, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul, Republic of Korea 03760 (

Accepted for publication: May 14, 2018

Published ahead of print: July 26, 2018

Cite this article as: Kang SJ, Min HY. Psychological safety in nursing simulation. Nurse Educ. 2019;44(2):E6-E9. doi: 10.1097/NNE.0000000000000571

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved