Nursing research summary

Interprofessional Simulation Learning With Nursing and Pharmacy Students: A Qualitative Study

A small qualitative study found nursing and pharmacy students valued interprofessional simulation and shed stereotypes about each other.

Quality Advancement in Nursing Education Published 2014 4 min read DOI 10.17483/2368-6669.1011

In brief

A small qualitative study found nursing and pharmacy students valued interprofessional simulation and shed stereotypes about each other.

What this article is about

Quick Answer

A small qualitative study found nursing and pharmacy students valued interprofessional simulation and shed stereotypes about each other.

Student takeaways

Key Takeaways

  • Undergraduate nursing (n = 5) and pharmacy (n = 4) students described the interprofessional simulation learning activities as a positive learning experience.
  • Students learned how their professional cultures connected, gaining insight into how nursing and pharmacy roles fit together in patient care.
  • The activities contributed to students feeling pride in their chosen profession.
  • Many stereotypical perceptions that students held about the other profession dissipated after learning together.
  • The authors conclude that these positive outcomes have significant implications for curriculum content development and program delivery.

Student summary

Why This Research Matters

Health science students increasingly practice their skills in simulated situations, but usually they do so only within their own discipline. Learning together across professions in simulation, called interprofessional simulation learning, or ISL, happens less often and has rarely been studied. This qualitative study, published in Quality Advancement in Nursing Education in 2014, explored what a small group of undergraduate nursing and pharmacy students thought about learning together in simulation. Because good patient care so often depends on different professions working as a team, understanding how students learn to collaborate is an important educational question.

The study included nine students: five nursing students and four pharmacy students. The researchers wanted to understand three things about their experience. First, how did ISL contribute to discipline-specific learning, meaning what students learned about their own profession's knowledge and skills. Second, how did it help them learn about the other profession. Third, how did it contribute to the development of interprofessional skills, the abilities needed to communicate and work effectively across professional lines. The students took part in three ISL activities, and the researchers gathered data in several ways: by observing the simulation sessions, conducting individual interviews, and keeping field notes. This use of multiple data sources is a strength in qualitative research because it allows a fuller picture. The data were then examined using content analysis, a method for systematically identifying themes and patterns in what people say and do.

The findings were consistently positive. Students described the ISL activities as a positive learning experience overall. A notable theme was that students learned how their professional cultures connected, gaining insight into how nursing and pharmacy each contribute to patient care and how their roles fit together. The students also reported that the activities contributed to feeling pride in their chosen profession, suggesting that learning alongside another discipline can strengthen, rather than threaten, a student's own professional identity. Perhaps most striking, many stereotypical perceptions about the other profession dissipated. In other words, assumptions or misconceptions that nursing students held about pharmacy, and that pharmacy students held about nursing, tended to fade after working together in simulation.

The authors conclude that these positive outcomes have significant implications for curriculum content development and program delivery. If learning together can build mutual understanding, professional pride, and reduced stereotyping, then educators have good reason to design more interprofessional simulation into health science programs. This connects to a broader movement in health education toward interprofessional education, which is built on the idea that professionals who learn together are better prepared to work together and, ultimately, to serve patients well.

For students and educators, several lessons stand out. First, simulation is not only a place to rehearse technical skills; it can also be a space to build teamwork and understanding across professions. Second, direct contact and shared tasks appear to be powerful ways to break down stereotypes, a finding that resonates with wider evidence on how working together reduces bias. Third, interprofessional learning can reinforce a student's own identity while opening their eyes to what colleagues contribute. These insights are valuable in any field where teams share responsibility for care.

It is essential to read this study with its limits clearly in mind. The sample was very small, just nine students in total, and the study captured their perceptions rather than measuring changes in behavior or patient outcomes. Qualitative studies like this one are designed to explore experiences in depth, not to prove that ISL causes specific results or to show how common these views are among all students. The findings come from one program at one point in time and reflect the particular activities the students experienced. Because of this, the results are best understood as encouraging, transferable insights that can inform teaching and inspire further research, rather than as definitive proof. Even so, the study makes a thoughtful contribution to a topic that was rarely investigated at the time, and its themes, that students value learning together, connect their professional cultures, feel pride, and let go of stereotypes, offer practical direction for anyone designing collaborative health education today.

Source abstract

Study Overview

Health science students are increasingly learning in simulated situations within their own disciplines, but interprofessional simulation learning (ISL) does not occur as often and is rarely investigated. This research explored perceptions of undergraduate nursing (n = 5) and pharmacy (n = 4) students with respect to how ISL contributed to discipline-specific learning, to learning about the other profession, and to the development of interprofessional skills. The students were exposed to three ISL activities with data gathered from observation of the simulation sessions, individual interviews, and field notes. Content analysis was conducted. Student participants described the ISL activities as a positive learning experience. They learned how their professional cultures connected and found the activities contributed to feeling pride in their chosen profession. Many stereotypical perceptions about the other profession were dissipated. The positive outcomes resulting from the ISL activities have significant implications for curriculum content development and program delivery.

Study type: Peer-reviewed article

Evidence appraisal

Main Findings

  • Undergraduate nursing (n = 5) and pharmacy (n = 4) students described the interprofessional simulation learning activities as a positive learning experience.
  • Students learned how their professional cultures connected, gaining insight into how nursing and pharmacy roles fit together in patient care.
  • The activities contributed to students feeling pride in their chosen profession.
  • Many stereotypical perceptions that students held about the other profession dissipated after learning together.
  • The authors conclude that these positive outcomes have significant implications for curriculum content development and program delivery.

Practice transfer

Clinical Relevance

  • Interprofessional simulation may help future nurses and pharmacists understand each other's roles, which can support safer, more coordinated patient care.
  • Shared, hands-on learning appears to reduce stereotypes between professions, suggesting educators should build structured contact into curricula.
  • Learning alongside another discipline can strengthen, rather than weaken, a student's own professional identity and pride.
  • Educators can use these findings to justify adding interprofessional simulation to program content and delivery, while evaluating outcomes locally.
  • Because this is a small qualitative study of perceptions, its promising themes should guide curriculum design and further study rather than serve as proof of improved teamwork or patient outcomes.

Faculty notes

Educational Relevance

This 2014 study is a useful teaching resource for interprofessional education, simulation pedagogy, and qualitative methods. Use it to introduce interprofessional simulation learning (ISL) and the rationale that professionals who learn together are better prepared to work together. Methodologically, it models a small qualitative design with triangulated data collection, observation of simulation sessions, individual interviews, and field notes, analyzed with content analysis; this is a good springboard for teaching how multiple data sources strengthen credibility. The four themes, that students found ISL a positive learning experience, saw how their professional cultures connected, felt pride in their chosen profession, and had many stereotypes about the other profession dissipate, give students concrete outcomes to discuss and map onto interprofessional competency frameworks. Ask learners to design an ISL activity for nursing and another discipline and predict which stereotypes it might address. The very small sample (five nursing and four pharmacy students) is an excellent prompt for teaching the appropriate use and limits of qualitative research: it explores perceptions in depth but cannot establish prevalence, behavior change, or patient outcomes. Note that the record's broad topic tags do not reflect a mental-health focus; the study is about interprofessional simulation, so use it to teach collaboration skills that underpin safe care in any specialty, including mental health, rather than as mental-health content. Close by connecting the curriculum implications to program-level planning.

Critical appraisal

Limitations

  • The sample was very small, only five nursing and four pharmacy students, which limits how far the findings can be generalized.
  • As a qualitative study, it captures student perceptions rather than measuring behavior change, teamwork performance, or patient outcomes.
  • Findings come from one program and a specific set of three simulation activities at one point in time.

Classroom use

Discussion Questions

  • What is interprofessional simulation learning, and why might it be valuable for nursing and pharmacy students?
  • Why does the study suggest that stereotypes about another profession might fade after learning together?
  • How can learning about another profession actually increase a student's pride in their own?
  • Why did the researchers gather data through observation, interviews, and field notes rather than just one method?
  • What can content analysis reveal, and what are its limits, in a study like this?
  • How does a sample of only nine students affect the way we should interpret the findings?
  • What is the difference between a positive perception of learning and an actual improvement in teamwork or patient care?
  • How might understanding how professional cultures connect improve day-to-day collaboration on a care team?
  • What specific interprofessional simulation activity would you design, and which misconceptions would you hope it addresses?
  • How could a program measure whether adding interprofessional simulation improves later collaborative practice?

Knowledge check

Quiz

1. How many students took part in this study?

  1. Five nursing and four pharmacy students
  2. Fifty-two nurses
  3. Twenty-one registered nurses
  4. One hundred seven nurses
Answer: Five nursing and four pharmacy students
Rationale: The study included undergraduate nursing (n = 5) and pharmacy (n = 4) students.

2. What does ISL stand for in this study?

  1. Interprofessional simulation learning
  2. Integrated skills laboratory
  3. Independent study learning
  4. Intensive simulation lab
Answer: Interprofessional simulation learning
Rationale: ISL refers to interprofessional simulation learning, students from different professions learning together in simulation.

3. How did students describe the ISL activities overall?

  1. As a positive learning experience
  2. As a waste of time
  3. As too easy to be useful
  4. As irrelevant to their careers
Answer: As a positive learning experience
Rationale: Student participants described the ISL activities as a positive learning experience.

4. What happened to many stereotypical perceptions about the other profession?

  1. They dissipated
  2. They grew stronger
  3. They stayed exactly the same
  4. They were never discussed
Answer: They dissipated
Rationale: Many stereotypical perceptions about the other profession dissipated after the activities.

5. How many ISL activities did the students take part in?

  1. Three
  2. One
  3. Five
  4. Ten
Answer: Three
Rationale: The students were exposed to three ISL activities.

6. Which data collection methods were used?

  1. Observation, individual interviews, and field notes
  2. Blood tests and vital signs
  3. A randomized controlled trial
  4. Only a written exam
Answer: Observation, individual interviews, and field notes
Rationale: Data were gathered from observation of the simulation sessions, individual interviews, and field notes.

7. Which analytic method was used?

  1. Content analysis
  2. Ordered logistic regression
  3. Protocol analysis
  4. Meta-analysis
Answer: Content analysis
Rationale: The researchers used content analysis to examine the data.

8. What effect did the activities have on students' feelings about their own profession?

  1. They contributed to pride in their chosen profession
  2. They caused regret about their choice
  3. They had no effect at all
  4. They made students want to switch professions
Answer: They contributed to pride in their chosen profession
Rationale: The activities contributed to students feeling pride in their chosen profession.

9. What did students learn about the two disciplines?

  1. How their professional cultures connected
  2. That the professions never overlap
  3. That one profession is superior
  4. That collaboration is impossible
Answer: How their professional cultures connected
Rationale: Students learned how their professional cultures connected.

10. What did the authors say the positive outcomes imply?

  1. Significant implications for curriculum content development and program delivery
  2. That simulation should be abandoned
  3. That interviews are unreliable
  4. That only nursing students benefit
Answer: Significant implications for curriculum content development and program delivery
Rationale: The authors note significant implications for curriculum content development and program delivery.

Study cards

Flashcards

What is interprofessional simulation learning (ISL)?

Students from different professions learning together in simulated clinical situations.

Which two professions were studied?

Undergraduate nursing and pharmacy students.

How many students participated?

Nine total: five nursing and four pharmacy students.

How many ISL activities did students complete?

Three.

What three learning areas did the study explore?

Discipline-specific learning, learning about the other profession, and developing interprofessional skills.

What data collection methods were used?

Observation of simulation sessions, individual interviews, and field notes.

What analysis method was used?

Content analysis.

How did students describe the ISL activities?

As a positive learning experience.

What did students learn about the two disciplines?

How their professional cultures connected.

What happened to stereotypes about the other profession?

Many stereotypical perceptions dissipated.

How did ISL affect students' own professional identity?

It contributed to feeling pride in their chosen profession.

What did the authors say the findings imply?

Significant implications for curriculum content development and program delivery.

In which journal was this published?

Quality Advancement in Nursing Education (QANE).

Why is triangulating data sources a strength?

Using observation, interviews, and field notes gives a fuller, more credible picture.

What is the main limitation of the sample?

It was very small, only nine students, limiting generalizability.

Does the study measure patient outcomes?

No; it explores student perceptions, not behavior change or patient outcomes.

Why is interprofessional education valued?

Professionals who learn together are thought to be better prepared to work together for patients.

How can contact between professions reduce stereotypes?

Working together on shared tasks challenges assumptions and builds mutual understanding.

What kind of study design is this?

A small qualitative study using content analysis of triangulated data.

Can these findings prove ISL improves teamwork?

No; they are encouraging perceptions that should guide design and further research.

Search-ready answers

Frequently asked questions

What did this study investigate?

How undergraduate nursing and pharmacy students perceived learning together in interprofessional simulation activities.

How many students took part?

Nine: five nursing students and four pharmacy students.

What did the students do?

They took part in three interprofessional simulation activities, with data gathered through observation, interviews, and field notes.

What were the main findings?

Students found ISL a positive experience, learned how their professional cultures connected, felt pride in their profession, and let go of many stereotypes about the other profession.

Why does reducing stereotypes matter?

Fewer misconceptions between professions can support better communication and teamwork, which underpins safe patient care.

What are the implications for education?

The authors suggest significant implications for curriculum content development and program delivery, supporting more interprofessional simulation.

What is the biggest limitation?

The sample was very small (nine students) and the study measured perceptions, not behavior change or patient outcomes.

Is this study about mental health?

No. Despite broad topic tags, the study focuses on interprofessional simulation; its collaboration lessons apply across specialties, including mental health.

Can these results be generalized to all students?

No. Qualitative findings from one small program offer transferable insight, not proof that applies everywhere.

Why is this study still useful today?

It offers early, practical evidence on a rarely investigated topic and can guide the design of collaborative health education.