Virtual Poverty Simulation: Effect on Attitudes Toward Poverty in Nursing Students

Background: Simulation has been shown to be an effective teaching strategy for increasing nursing students' knowledge and empathy toward individuals with low income. Virtual simulation is effective in teaching critical thinking, situational awareness, and empathy. Method: This mixed-method study examined three virtual poverty simulation programs. The study sample included senior baccalaureate nursing students (n = 99) in a Community Health course. Results: Fifteen of the 21 items on the Attitudes Toward Poverty-Short Form (ATP-SF) scale showed a statistically significant increase in knowledge and understanding of people living in poverty. Qualitative data analysis revealed four themes: (1) empathy; (2) sacrifice; (3) stress; and (4) moral struggle. Conclusion: Virtual poverty simulation is a teaching strategy for increasing nursing students' empathy, knowledge, and understanding of those living in poverty to provide compassionate, culturally competent care for individuals with low income. The simulation can be implemented in a variety of settings.