Using Simulation to Teach About Poverty in Nursing Education: A Review of Available Tools

•Poverty is one of the most influential determinants of health•Effective poverty-related teaching strategies are vital to student nurses' development•A variety of poverty simulation tools have been developed and are available to nurse educators•Little empirical evidence evaluating effectiveness of existing poverty simulation tools•Including the element of poverty would strengthen existing simulations in curricula

Poverty is one of the most significant social determinants of health, and as such, it is imperative that nurses have an understanding of the impact that living in poverty has upon one's life and health. A lack of such understanding will impede nurses from providing care that is patient centered, treats all patients fairly, and advocates for social justice. It is essential that nursing educators assure that poverty-related content and effective teaching strategies are used in nursing curricula in order to help students develop this understanding. Several poverty-simulation tools are available and may be able to assist with development of accurate knowledge, skills, and attitudes. Unfortunately, little evidence exists to evaluate most poverty simulation tools. This article will provide an introduction to several poverty-related simulation tools, discuss any related research that evaluates their effectiveness, and make recommendations for integration of such simulation tools into nursing curricula.