Clinical simulation in advanced nursing care for critically ill patient: a scoping review protocol

Introduction: Clinical simulation has emerged as an essential resource in nursing, providing a safe environment for the development of technical and non-technical competencies. In the context of advanced nursing practice, simulation is recognised as a strategy to support decisionmaking, critical thinking, leadership, and the implementation of evidence-based practices. However, evidence on how clinical simulation contributes to advanced nursing practice in the care of critically ill patients remains fragmented and conceptually heterogeneous.Objectives: To map the available scientific evidence on the role of clinical simulation in the development of competencies associated with advanced nursing practice in the care of critically ill patients.Methodology: Scoping review protocol that will follow the Joanna Briggs Institute guidelines and is based on the question: What is the role of clinical simulation in the development of advanced nursing practice in the care of critically ill patients? The search strategy will be conducted in the following databases: Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, CINAHL Complete, MedicLatina and Nursing & Allied Health Collection: Comprehensive (via EBSCOhost), as well as PubMed (via National Library of Medicine) and Scopus. Grey literatute will also be searched through OpenGrey and the Portuguese Open Access Scientific Repository. The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta Analyses Extension for Scoping Reviews will be adopted for the article selection.Conclusion: The proposed scoping review will map existing evidence, clarify how advanced nursing practice is conceptualised across different contexts,