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Addressing placement capacity through innovative simulation and digital education technology

King's has been doing virtual placements as a way of expanding placement capacity. Aby Mitchell, Senior Lecturer, and Behnam Jafari Salim, Digital Learning Specialist, have both been recently nominated for a British Journal of Nursing Award 2025 for their work on virtual placements.

A new initiative by King’s to expand placement opportunities

 

Expanding placement opportunities is a key national strategic priority, aligning with the Government's goal to significantly grow the nursing workforce by 2036. Achieving this growth in placement capacity amidst ongoing disruptions to clinical and educational services presents both challenges and opportunities. In response to these national challenges, the Nursing and Midwifery Council (NMC) has revised its standards, allowing Higher Education Institutions (HEIs) to incorporate a portion of practice learning through simulated practice. These standards require HEIs to integrate technology and simulation effectively and proportionately across the curriculum to enhance supervision, learning, and assessment.

As a response, the Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care at King’s has created a bespoke virtual placement. This solution delivers more than 10,000 hours of simulated practice learning to first- and second-year nursing students since its launch in July 2024.

The King’s simulated virtual placement provides students with a valuable opportunity to engage in digital health, offering a learning experience that mirrors the rapidly evolving healthcare landscape. It enables students to develop key skills in telehealth, digital health and virtual care. Aligned with the 2018 NMC Future Nurse Proficiencies and grounded in simulation pedagogy, the placement is supported by academic staff and clinical teachers to ensure compliance with Standards for Student Supervision and Assessment. Aby Mitchell, Senior Lecturer and Behnam Jafari Salim, Digital Learning Specialist, have both been nominated for a British Journal of Nursing Award 2025 for their work on virtual placements.

This bespoke virtual placement offers King's nursing students a dynamic opportunity to engage with a variety of digital simulation modalities. Unlike other virtual placements that rely solely on digital simulation tools, this initiative integrates different patient modalities within a narrative-driven approach, delivering a more dynamic learning experience. Students gain confidence in making referrals to a multi-disciplinary team and utilising an interactive electronic health record system, enhancing their digital and clinical competencies. These modalities provide a personalised learning experience, ensuring that students can acquire the necessary competencies at their own pace and learn and develop through each interaction.

Co-designed with nursing students, clinical teachers, services users and leveraging digital technology, this bespoke digital solution recreates a hypothetical GP surgery on King's Road with a caseload of 24 primary care patients. This solution seamlessly integrates both external and internal simulation tools and strategies, including AI, live one-to-one patient interaction and virtual 360 scenarios amongst other virtual simulation modalities to deliver diverse patient experiences. In the virtual placement, nursing students can engage in a problem-solving approach to patient care, where solutions and intervention methods are not always immediately apparent. This fosters the development of critical thinking skills, encouraging students to continuously monitor patient progress, adapt their approach, and interact dynamically with both virtual patients and the simulated environment.

The virtual placement is a valuable innovation that strengthens placement provision while offering students unique learning experiences beyond traditional practice settings. It deepens their understanding of the integration between primary and secondary care, equipping them with a comprehensive perspective on patient pathways. By utilising digital learning, we can expand capacity, provide diverse clinical insights, and better prepare future healthcare professionals for the complexities of modern healthcare. – Aby Mitchell, Senior Lecturer

The patient scenarios are designed to incorporate all essential elements for active problem-solving, guiding students to work within a structured set of principles while applying their clinical knowledge. Through this process, they refine their decision-making skills and learn to arrive at accurate, evidence-based conclusions.

Since its inception, this project has successfully delivered over 2,300 one-on-one daily appointments with live patients. Each student has participated in at least one joint visit with their practice supervisor, offering valuable hand-on learning experiences, real-time feedback and personalised mentorship. Additionally, these sessions allow supervisors to closely monitor student progress, ensuring continuous growth and development.

These interactions have enhanced King’s student confidence, critical thinking, and understanding of patient care within a community setting, evaluated continually through observation and assessment throughout placement. The virtual placement has demonstrated remarkable scalability, allowing for increased student participation without the constraints of physical placements. Its adaptability ensures it can evolve to meet diverse learning needs, incorporate emerging technologies, and remain inclusive for students from various backgrounds and locations.

While this initiative originates within a healthcare setting, utilising diverse modalities and data enables it to deliver experiential learning effectively across various disciplines, surpassing physical boundaries.– Behnam Jafari Salim

King’s nursing students have fully embraced this learning opportunity and found it to be instrumental in developing their skills in delivering person-centred care and focusing on both long-term and short-term goals. The students find that refining their listening, communication, documentation, and referral skills will enhance the quality of care they are able to provide in the future and recognise the importance of collaborating with patients to ensure that care plans are mutually agreed upon. Our students appreciated the daily debrief discussions with a practice assessor, which allowed them to explore issues related to quality of care with their peers. These discussions help them to gain a broader perspective and identify gaps in their own knowledge.

Since its launch, the virtual placement is in its third iteration and continues to successfully deliver simulated practice learning hours to nursing students. Given its proven effectiveness, we aim to further expand this scalable model, increasing accessibility, innovation, and impact in nursing education. The virtual placement team have been shortlisted as finalists for the British Journal of Nursing, Educator Nurse of the Year award, demonstrating its significant contribution to advancing nursing education through immersive and technology-enhanced learning. This acknowledgment highlights the placements success in preparing future nurses and its potential for wider implementation across healthcare education.

Speaking about the placements, Adult Nursing student Benjamin Hulme said, 'They’re a really valuable balance of practical and theoretical experience. Lectures and seminars can only take you so far in such a practical profession, but there aren’t always opportunities for real-world practice and when there are they can sometimes be intimidating. The virtual placements help bridge this gap by providing an opportunity to apply my learning in realistic cases. I appreciate being able to experiment and make mistakes while having difficult conversations, managing workloads and creating plans and documentations. This makes me less likely to make the same errors in the future and improves my confidence that I can handle similar scenarios.'

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