Transformative Simulation (TfS) Infographics and Videos
This collection of infographics has been developed to support simulation practitioners, educators, researcher’s and leaders in intentionally designing simulation for systemic and cultural change.
These visual resources illustrate key concepts from the Transformative Simulation (TfS) framework (Weldon et al., 2023) and are intended to be used as practical tools to spark reflection, guide planning, and support conversations around impact. They are free to download and use, but we kindly ask that you reference the work appropriately when citing or sharing publicly.
Suggested citation:
Weldon, S. M. (2025). Transformative Simulation (TfS) Infographics: Designing simulation for systemic and cultural change. Association for Simulated Practice in Healthcare (ASPiH). Developed with input from the ASPiH Transformative Simulation and Debriefing Special Interest Groups. https://aspih.org.uk
Please note that these infographics are illustrative in nature. More detailed explanations, real-world examples, and practical applications will be included in an upcoming book dedicated to Transformative Simulation.
If you’re interested in shaping and expanding this work further, we warmly invite you to join the ASPiH Transformative Simulation Special Interest Group (TfS SIG)—a growing community of practitioners exploring the future of simulation as a tool for meaningful change.
Further resources and information on Transformative Simulation are available on the Specialist Interest Group (SIG) page
Videos to explain the framework
Transformative Simulation – Why We Built the Framework
Overview videos: The Transformative Simulation framework, its foundations, and the Simulation-Based ‘I’s (SBIs)
Start here to understand the core of Transformative Simulation: where it came from, what it stands for, and how it builds on decades of learning across fields like human factors, patient safety science, quality improvement, social sciences and more. These videos offer an accessible foundation for anyone curious about how simulation can be used for real change.
Overview of Transformative simulation as a framework for change.
The Five Foundational Pillars
Overview of the Simulation-Based ‘I’s (SBIs)
TfS in Practice: Process and Application (Coming soon…)
These short videos will explore the four key elements - Design, Delivery, Data, and Debrief - and how they bring intentionality and impact to simulation practice. They’ll help you move from theory into action, one step at a time.
The 4 D s of Transformative Simulation
Deep Dives into the SBIs: Theories, Models & Practice (Coming soon…)
Each of the Simulation-Based ‘I’s will be explored individually - unpacking their theoretical roots, practical implications, and how they shape every stage of simulation. With examples from real-world settings, these videos support deeper design, reflection, and collaboration.
Real-World Impact: TfS in Action Across Health & Care (Coming soon…)
In this final phase, we’ll spotlight how teams across the UK and beyond are using the Transformative Simulation framework to drive meaningful change. These are short, powerful stories from practice - designed to inspire, connect, and ignite change.
Infographics for Download
SBI Associated Tools
Innovation, Improvement, Intervention, Involvement, Identification, Inclusion & Influence.
References
Weldon, S., Buttery, A., Spearpoint, K., & Kneebone, R. (2023). Transformative forms of simulation in health care – the seven simulation-based ‘I’s: a concept taxonomy review of the literature. International Journal of Healthcare Simulation. DOI: 10.54531/tzfd6375.
Gurnett, P., Weldon, S., Buttery, A., & Spearpoint, K. (2024). Transformative simulation: To patient safety and beyond. In: Cox, C, Hughes, H, & Nicholls, J, (eds.) Patient Safety: Emerging Applications of Safety Science. Class Publishing.
Weldon, S., Sa-Couto, C., Alinier, G., Buttery, A., & Laws-Chapman, C. (2024). ASPiH 2024 Conference – transformative simulation. Journal of Healthcare Simulation. doi: 10.54531/UDJA6495.
Weldon, S., Kneebone, R., & Bello, F. (2016). Collaborative healthcare remodelling through sequential simulation: a patient and front-line staff perspective. BMJ Simulation & Technology Enhanced Learning., 2(3), 78–86. doi: 10.1136/bmjstel-2016-000113. PMID: 35519425; PMCID: PMC8936971.