Current state of simulation in advanced practice nursing programs: A survey in French-speaking countries

Background: In the French-speaking world, the role of advanced practice nurse (APN) has been evolving, with the establishment of numerous training programs. Simulation-based education plays a key role in APN training, yet no survey has assessed the specifics of its current use. This study aims to investigate the current state of simulation use in APN education in three French-speaking countries and compare these results with North American standards. Methods: A descriptive survey was conducted, using a 32-item questionnaire, across APN programs in three French-speaking countries: Belgium, France and Canada. The survey covered general information, use of simulation, factors influencing simulation use and evaluation of simulation programs. The survey was distributed to APN training institutions via email. Results: Responses were collected from 36 APN training centers across the three different French-speaking countries, with 93% of programs found to be incorporating simulation. Barriers included financial constraints and staffing shortages. Similarities and differences between French-speaking countries and North America were outlined. Conclusions: This study highlights the integration of simulation in APN programs across three French-speaking countries, despite challenges such as limited resources. Telesimulation and interdisciplinarity simulation offer potential for future research. Comparisons with U.S. programs reveal similarities, indicating a global need to improve training for APN.