Experiences of Healthcare Professionals Regarding Simulation Based Training Approach During COVID 19 – a descriptive qualitative study from a Low Middle-Income Country, Pakistan.

Background The significance of continuing education has always been emphasized since the beginning of the nursing profession, and during the COVID-19 pandemic, the need for simulation-based- training in managing the global crisis increased considerably. However, experiences regarding simulation-based-training have yet to be explored in low-middle countries like Pakistan. This study aimed to explore the experiences of simulation-based training during the COVID-19 pandemic and identified the challenges and barriers with this learning approach. Methods Using a descriptive, qualitative, semi-structured design, interviews were conducted with 17 healthcare professionals who had worked in the COVID areas. The data were collected from April to June 2022 through purposive sampling. Interviews were stopped upon data saturation. The Consolidated-Criteria-for-Reporting-Qualitative-Research (COREQ) guidelines were used, and a thematic analysis was conducted. Results Three main themes were identified: (1) simulation-based-learning experience, (2) factors affecting simulation-based-training during COVID-19, and (3) recommendations for improvement. Participants reported that simulation-based learning enhanced self-efficacy and provided innovative learning opportunities through technology, with many perceiving that it contributed to better patient outcomes. However, challenges such as organizational constraints, insufficient facilitator training, and logistical and resource limitations were also noted. These insights informed recommendations centered on optimizing resource allocation and strengthening capacity building for future training initiatives. Conclusion Simulation-based-training has proven to be vitally important during the COVID-19 Pandemic. However, strategies must be developed for improving facilitator competencies as well as addressing human and logistic factors to achieve a better learning experience.