Cleaver, KarenEssex, RyanMalamateniou, ChristinaNarramore, NaomiShekede, HeatherVargo, ElisabethWeldon, Sharon Marie2021-02-232021-02-232021-02-16Cleaver, K., Essex, R., Malamateniou, C., Narramore, N., Shekede, H., Vargo, E., & Weldon, S. M. (2021) A systematic scoping review and textual narrative synthesis of undergraduate pediatric nursing simulations: What, why, and how? Clinical Simulation in Nursing, 53(C), 10-31. https://doi.org/ 10.1016/j.ecns.2020.11.008.1876-139910.1016/j.ecns.2020.11.008http://hdl.handle.net/2436/623950This is an accepted manuscript of an article published by Elsevier in Clinical Simulation in Nursing on 16/02/2021, available online: https://doi.org/10.1016/j.ecns.2020.11.008 The accepted version of the publication may differ from the final published version.Background Simulation is increasingly being used to train health care professionals; however, there is limited knowledge on how pediatric simulation is being used to train undergraduate nurses. This article systematically scopes the literature on the types of undergraduate pediatric nursing simulations taking place, their value, the research methods used, and areas of research focused on. Methods A systematic scoping literature review, combined descriptive synthesis, and textual narrative synthesis were conducted. Results A total of 139 articles were identified by the search strategy. Of these, 32 articles were included for appraisal and synthesis. Seventeen articles were quantitative, five articles were qualitative, and eight articles were mixed-methods. The research took place in six different geographical locations. The total participant sample was 2,039. Articles were categorized according to their aims and objectives and simulation types. Conclusions This review revealed the heterogeneity of studies on this subject. Ultimately, studies were small and confined to single institutions or geographical locations. Studies that described or explored simulation as an intervention provided more interesting insights than those that evaluated or tested effectiveness. The variety of simulation types was wide, and the fidelity of the simulations being described was frequently noted; however, no reference was made as to how this was determined. Future studies would benefit from detailing the low, medium, or high technological, psychological, or environmental aspects of simulation.application/pdfenpediatric nursingbaccalaureate nursingchildren's nursingundergraduatepre-registrationsimulationscoping reviewsystematic reviewtextual narrative synthesisJournal articleClinical Simulation in Nursing