Document Type


Article Version


Publication Date



BACKGROUND: Amidst the COVID-19 pandemic, university instruction was transitioned online, including an undergraduate nursing clinical course. Charged with developing and executing virtual simulations, an online clinical course was conceived.

METHOD: Simulated clinical experiences were crafted using a combination of student preassignments and video-conferencing facilitated by faculty. Each experience included the collective review of a case study and student-developed care plans before viewing and debriefing a series of videos. Students summarized their experience in a weekly written reflection.

RESULTS: Student feedback was examined through their reflections and verbal responses. The videos served as catalysts for robust discussion. Feedback was overwhelmingly positive related to an interactive experience, a heightened sense of teamwork, and enhanced comprehension by sharing differing perspectives of common experiences.

CONCLUSION: This educational innovation was successful in creating an engaging environment that facilitated student learning and a sense of togetherness during a global pandemic. The use of technology enabled the continuity of a productive teaching–learning experience.


Copyright 2020 SLACK Incorporated. All rights reserved.

The post-print has been archived here with permission from the copyright holder.

Publication Title

The Journal of Nursing Education

Published Citation

Esposito, Christa Palancia, and Kelly Sullivan. “Maintaining Clinical Continuity Through Virtual Simulation During the COVID-19 Pandemic.” The Journal of Nursing Education 59, no. 9 (2020): 522–25.



Peer Reviewed