Innovations in Simulation| Volume 77, P30-33, April 2023

Applying Diversity Principles and Patient-Centered, Cultural Curriculum Through Simulation and Standardized Patient Actors

Published:March 01, 2023DOI:


      • Diversity curriculum allows students to apply cultural principles.
      • Nursing students identify culturally influenced behaviors as a challenge to care.
      • Students need clinical experiences to engage in culturally appropriate nursing care.
      • Simulation allows students to safely and routinely apply/evaluate care.


      As the U.S. population is becoming more diverse, nursing students need enhanced clinical experiences to become proficient in patient-centered, culturally appropriate nursing care. The addition of cultural care simulation curriculum utilizing a live standardized patient aims to enhance student understanding of cultural care by applying care in a safe, controlled setting. Incorporating the curricular principles of diversity, equity, and inclusion into simulation allows nursing students to apply their understanding of cultures and cultural behaviors in clinical environments. By using a standardized patient and simulation scenario of a patient with cultural needs, students are provided the opportunity to assess, plan, implement, and evaluate culturally appropriate care.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Clinical Simulation In Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


      1. American Association of Colleges of Nursing. (2021, April 6). The Essentials: Core Competencies for Nursing Education. Retrieved from.

      2. Arizona Department of Health Services (ADHS) (2016). Data documentation: Sources and field descriptions (to accompany primary care area (pcs) or special area statistical profiles). Retrieved from. Accessed November 12, 2021.

      3. Arizona Department of Health Services (ADHS) (2022). Primary care area statistical profiles. Retrieved from Accessed June 8, 2022.

        • Buchanan D.T.
        • O'Connor M.R
        Integrating diversity, equity, and inclusion into a simulation program.
        Clinical Simulation in Nursing. 2020; 49: 58-65
        • Cruz A.
        • Estacio A.N.
        • J C.
        • Alotaibi A.
        • Arguvanli S.
        • Cayaban A.R.R.
        • Sebaeng J
        A Multicounty perspective on cultural competence among baccalaureate nursing students: Cultural competence of nursing standards.
        Journal of Nursing Scholarship. 2018; 50: 92-101
        • Fontenot J.
        • McMurray P.
        Decolonizing entry to practice: Reconceptualizing methods to facilitate diversity in nursing programs.
        Teaching and Learning in Nursing. 2020; 15: 272-279
        • Nimmo C.
        • Behnke L.
        • Creech C.
        • Schellenberg K.
        • Turkelson C.
        • Cooper D.
        Using simulation to educate rural NP students about cultural congruence.
        Journal for Nurse Practitioners. 2021; 17: 476-480
        • Oh Jeon K.D.
        • Koh M.S
        The effects of simulation-based learning using standardized patients in nursing students: A meta-analysis.
        Nurse Education Today. 2015; 35: e6-e15
        • Pardilla M.
        • Prasad D.
        • Suratkar S.
        • Gittelsohn J.
        High levels of household food insecurity on the Navajo Nation.
        Public Health Nutrition. 2015; 17: 58-65
        • Pool N.M.
        • Stauber L.S.
        Tangled pasts, healthier futures: Nursing strategies to improve American Indian/Alaska Native health equity.
        Nursing Inquiry. 2020; 27: e12367
      4. Sanderson, K., Williamson, H.J. & Eaves, E. (2017). Advancing wellbeing in northern Arizona: A regional health equity assessment. Retrieved from Accessed November 12, 2021.

        • Sjogren Forss K.
        • Persson K.
        • Borglin G.
        Nursing students’ experiences of caring for ethnically and culturally diverse patients. A scoping review.
        Nurse Education in Practice. 2019; 37: 97-104