Self-Learning Methodology in Simulated Environments (MAES©): Pedagogical Support Document — Simulated Clinical Practice

Authors

Isaura Serra
University of Évora, S. João de Deus Higher School of Nursing
https://orcid.org/0000-0002-1225-6631
Dulce Cruz
Comprehensive Health Research Center (CHRC)
https://orcid.org/0000-0002-0949-3425
Keywords: Keywords: Clinical Simulation, Nursing Education, Self-Directed Learning, Clinical Competence

Synopsis

This publication “Self‑Learning Methodology in Simulated Environments (MAES©)” constitutes a pedagogical support document for simulated clinical practice, designed to operationalise a structured teaching–learning methodology across health‑care training environments, with specific relevance for nursing education. The manual describes MAES© as an innovative, student‑centred pedagogical approach, oriented towards the autonomous, collaborative and reflective construction of knowledge in simulation‑based settings.

The methodology is organised into sequential stages that include developing teams and building group identity, the selection of clinical situations or topics, the identification of baseline competencies and learning outcomes to be developed, the design of the simulation scenario, the simulated clinical experience, the debriefing process, and the synthesis of learning outcomes. Throughout this process, students assume an active role in defining objectives, planning, constructing and engaging with the scenarios, while the faculty member/facilitator acts as a guide, mentor and promoter of a safe learning environment.

MAES© integrates principles of active learning, inquiry‑based learning, teamwork, problem‑based learning, peer education, evidence‑based practice and critical reflection. The work also provides guidance for organising simulation sessions, a facilitator checklist, bibliographic references, a clinical simulation glossary and appendices supporting the pedagogical implementation of the methodology.

Author Biographies

Isaura Serra, University of Évora, S. João de Deus Higher School of Nursing

Professor at the University of Évora, S. João de Deus Higher School of Nursing; Specialist in teaching in the field of Nursing, under Decree-Law No. 206/2009; Master's degree in Socio-Organizational Intervention in Health, specializing in Management Policies and Administration of Health Services; Specialist Nurse in Community and Public Health Nursing; Graduated in Nursing.

Member of the Comprehensive Health Research Center (CHRC).

Dulce Cruz, Comprehensive Health Research Center (CHRC)

Professor at the University of Évora, S. João de Deus Higher School of Nursing; PhD in Health Sciences - Nursing Branch; Master's in Sociology - Family and Population; Specialist Nurse in Child and Pediatric Health Nursing; Graduated in Nursing.

References

Cruz, D., Serra, I. (2025). Advances in simulation: Challenges for nursing education curricula. In E. Editor & F. Editor (Eds.), Technological approaches to medical and pharmaceutical education (pp. 253–272). IGI Global. https://doi.org/10.4018/979-8-3373-1127-2.ch002

Díaz-Agea, J. L., Leal, C., García, J. A., Hernández, E., Adánez, M. G., & Sáez, A. (2016, July). Self-learning methodology in simulated environments (MAES©): Elements and characteristics. Clinical Simulation in Nursing, 12(7), 268–274. https://doi.org/10.1016/j.ecns.2016.02.011

Fenzi, G., Alemán-Jiménez, C., Cayuela-Fuentes, P. S., Segura-López, G., Leal-Costa, C., & Díaz-Agea, J. L. (2025). The expository phase of debriefing in clinical simulation: A qualitative study. BMC Nursing, 24(1), 476. https://doi.org/10.1186/s12912-025-03067-z

Rodríguez-Herrera, M. Á., García-Méndez, J. A., Díaz-Agea, J. L., & Leal-Costa, C. (2023). Propuesta de estándares para la mejor práctica de simulación en ciencias de la salud con metodología de autoaprendizaje en entornos simulados (MAES©): Una lista de chequeo para facilitadores. Revista Latinoamericana de Simulación Clínica, 5(2), 75–80. https://doi.org/10.35366/112735

Metodologia de Autoaprendizagem em Ambientes Simulados (MAES©)
Published
June 18, 2026

Details about this monograph

Co-publisher's ISBN-13 (24)
978-972-778-544-5