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AI-Powered Simulation: Leveraging Technology to Advance Nursing Communication Skills with AI SimBot

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Title: AI-Powered Simulation: Leveraging Technology to Advance Nursing Communication Skills with AI SimBot
Language: English
Authors: Tiffany Kim, Yash Gopalji Pankhania
Source: Journal of Teaching and Learning with Technology. 2025 14:122-145.
Availability: Indiana University. 107 South Indiana Avenue, Bryan Hall 203B, Bloomington, IN 47405. Tel: 317-274-5647; Fax: 317-278-2360; e-mail: josotl@iu.edu; Web site: https://scholarworks.iu.edu/journals/index.php/jotlt
Peer Reviewed: Y
Page Count: 24
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Tests/Questionnaires
Education Level: Higher Education
Postsecondary Education
Descriptors: Artificial Intelligence, Communication Skills, Computer Simulation, Nursing Students, Nursing Education, Student Attitudes, Adolescents, Substance Abuse, Patients, Authentic Learning, Technology Uses in Education, Universities, Public Health, Skill Development
Geographic Terms: Massachusetts (Boston)
ISSN: 2165-2554
Abstract: Nursing students need opportunities to practice patient communication skills in academic settings before clinical practice. Standardized-patient simulations are effective but limited by high costs and logistical barriers. These constraints reduce the frequency and diversity of simulation experiences. This study evaluated the feasibility of AI SimBot, a generative artificial intelligence (GenAI) virtual patient simulation. Guided by Bandura's social cognitive theory, we examined whether AI SimBot enhanced students' confidence and readiness to engage in sensitive communication with adolescents. AI SimBot was implemented in a prelicensure public/community health nursing course. Ninety-eight students practiced administering the CRAFFT screening tool with a virtual adolescent patient, "Jordan," received rubric-based feedback, and submitted reflections. A qualitative descriptive design was used. Analyses focused on two reflection prompts (confidence and authenticity), with three coders independently coding and reaching consensus on themes. Students initially described nervousness but reported marked increases in confidence following the simulation. Themes highlighted the CRAFFT tool as a useful guide, the importance of nonjudgmental approaches, and challenges in adolescent communication. Students found Jordan realistic, citing adolescent language and gradual disclosure, but noted limitations such as absent nonverbal cues, an unrealistically cooperative patient, and occasional technical latency. AI SimBot enhanced nursing students' perceived confidence and was experienced as an authentic and educationally valuable simulation. GenAI-based virtual patients offer a scalable, cost-effective supplement to standardized-patient encounters, contributing to competency-based education by providing repeated, feedback-rich practice in sensitive, high-stakes communication.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1494931
Database: ERIC
FullText Text:
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  Data: AI-Powered Simulation: Leveraging Technology to Advance Nursing Communication Skills with AI SimBot
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  Data: <searchLink fieldCode="AR" term="%22Tiffany+Kim%22">Tiffany Kim</searchLink><br /><searchLink fieldCode="AR" term="%22Yash+Gopalji+Pankhania%22">Yash Gopalji Pankhania</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Teaching+and+Learning+with+Technology%22"><i>Journal of Teaching and Learning with Technology</i></searchLink>. 2025 14:122-145.
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  Data: Indiana University. 107 South Indiana Avenue, Bryan Hall 203B, Bloomington, IN 47405. Tel: 317-274-5647; Fax: 317-278-2360; e-mail: josotl@iu.edu; Web site: https://scholarworks.iu.edu/journals/index.php/jotlt
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  Data: 2165-2554
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  Label: Abstract
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  Data: Nursing students need opportunities to practice patient communication skills in academic settings before clinical practice. Standardized-patient simulations are effective but limited by high costs and logistical barriers. These constraints reduce the frequency and diversity of simulation experiences. This study evaluated the feasibility of AI SimBot, a generative artificial intelligence (GenAI) virtual patient simulation. Guided by Bandura's social cognitive theory, we examined whether AI SimBot enhanced students' confidence and readiness to engage in sensitive communication with adolescents. AI SimBot was implemented in a prelicensure public/community health nursing course. Ninety-eight students practiced administering the CRAFFT screening tool with a virtual adolescent patient, "Jordan," received rubric-based feedback, and submitted reflections. A qualitative descriptive design was used. Analyses focused on two reflection prompts (confidence and authenticity), with three coders independently coding and reaching consensus on themes. Students initially described nervousness but reported marked increases in confidence following the simulation. Themes highlighted the CRAFFT tool as a useful guide, the importance of nonjudgmental approaches, and challenges in adolescent communication. Students found Jordan realistic, citing adolescent language and gradual disclosure, but noted limitations such as absent nonverbal cues, an unrealistically cooperative patient, and occasional technical latency. AI SimBot enhanced nursing students' perceived confidence and was experienced as an authentic and educationally valuable simulation. GenAI-based virtual patients offer a scalable, cost-effective supplement to standardized-patient encounters, contributing to competency-based education by providing repeated, feedback-rich practice in sensitive, high-stakes communication.
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  Data: EJ1494931
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      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 24
        StartPage: 122
    Subjects:
      – SubjectFull: Artificial Intelligence
        Type: general
      – SubjectFull: Communication Skills
        Type: general
      – SubjectFull: Computer Simulation
        Type: general
      – SubjectFull: Nursing Students
        Type: general
      – SubjectFull: Nursing Education
        Type: general
      – SubjectFull: Student Attitudes
        Type: general
      – SubjectFull: Adolescents
        Type: general
      – SubjectFull: Substance Abuse
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Authentic Learning
        Type: general
      – SubjectFull: Technology Uses in Education
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      – SubjectFull: Universities
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      – SubjectFull: Skill Development
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      – SubjectFull: Massachusetts (Boston)
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    Titles:
      – TitleFull: AI-Powered Simulation: Leveraging Technology to Advance Nursing Communication Skills with AI SimBot
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            NameFull: Yash Gopalji Pankhania
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              Y: 2025
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