A Scoping Review of the Priority of Diversity, Inclusion, and Equity in Health Care Simulation

Benjamin Smallheer, Duke University
Tiffani Chidume, Auburn University School of Nursing
M'lyn K.H. Spinks, Kennesaw State University
Denise Dawkins, San Jose State University


Background: Diversity, equity, and inclusion (DEI) in health care are recognized as valuable factors affecting health outcomes for historically underrepresented populations such as racial, ethnic, cultural, and gender minorities. Approaching diverse minority groups with cultural humility requires awareness and sensitivity. The level to which cultural competencies that address these factors have been integrated into nursing educational systems is unknown. Method: This scoping review examines previous and current literature of simulation in nursing education that includes factors of diversity, equity, and inclusion. Results: Previous literature addressed the need for diversification of the educational environment with little discussion of health care simulation. Recent literature demonstrates an increasing use and incorporation of strategies for application of cultural humility to increase DEI in health care simulation. Conclusions: The incorporation of DEI into simulation design, environments, and equipment provides an opportunity for health care educators and providers to create an environment capable of promoting and supporting cultural humility