Short Communication| Volume 60, P64-68, November 2021

Hyflex Simulation: A Case Study of a Creative Approach to Unprecedented Circumstances

Published:August 22, 2021DOI:


      • Hyflex simulation supports student participation and learning during quarantine.
      • Students prefer Hyflex simulation to computerized clinical experiences.
      • Students perceive critical thinking to be comparable to traditional simulation.


      This study evaluates student's perceived effectiveness of the Hyflex Simulation model to address student participation in team simulation experiences amidst a global pandemic. This model utilized Zoom teleconferencing to allow students who were quarantined to remotely participate with their peers. In an undergraduate nursing program within a University in the Midwest United States, 24 students completed Hyflex simulation. Teams of two to three students participated in simulation with one team member participating remotely via Zoom. Using a quasi-experimental study, data was collected on student perceptions of Hyflex simulation influences on critical thinking, clinical judgment, clinical skills, and communication. There was not a significant difference in student perception of critical thinking or clinical decision making in Hyflex simulation compared with traditional simulation. There was a significant difference in student perception of clinical skills and communication in Hyflex simulation versus traditional simulation. The results of this pilot study suggest that Hyflex simulation could be an effective tool to support gains in critical thinking and clinical judgment observed from the use of high-fidelity simulation.


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