Transformative Simulation
Transformative Simulation (TfS) Resources
These resources have been developed to support simulation practitioners, educators, researcher’s and leaders in intentionally designing simulation for systemic and cultural change.
Why We Built the Framework
Overview of the Framework
TfS in Practice: Process and Application
Deep Dives into the SBIs: Theories, Models & Practice
Real-World Impact: TfS in Action Across Health & Care
Why Design is The Missing Skill in Simulation
Safety Through A Non Healthcare Lens
The Five Foundational Pillars: What Determines What Future We Simulate?
The Involvement SBI: Rebalancing The Dynamics of Care
Improvement & Identification: A Conceptual Distinction
Infographics for Download
SBI Associated Theories & Models; Data & Debrief
TfS Dispatch Newsletters
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, Human Factors, and Debriefing Special Interest Groups. https://aspih.org.uk
Publications
Hatton C. (2026). Transformative Simulation in Healthcare Quality & Safety. BMJ Quality & safety. https://blogs.bmj.com/qualitysafety/2026/03/16/transformative-simulation-in-helathcare-quality-safety/
Weldon SM, Mardon J, Tallentire V, et al From escalation to emergence: NHS Forth Valley and the quiet power of Transformative Simulation BMJ Leader Published Online First: 31 January 2026. doi: 10.1136/leader-2025-001408
Mitchell A. Transformative simulation. In: Mitchell A, Hill B, editors. Transformative nursing education. 1st ed. Wiley; 2026. p. 86-101
Weldon, S. (2026). Transformative simulation. Journal of Healthcare Simulation. from 10.54531/RGSR2310.
Mitchell A. (2026). Editorial: Welcome to Simulation in Healthcare Education. Simulation in Healthcare Education. 1(1) doi:10.12968/sihe.2026.0001
Brown C, Savage D. Simulation demystified and reimagined-using simulation to transform clinical practices. Journal of the Royal College of Physicians of Edinburgh. 2025;55(3):224-227. doi:10.1177/14782715251365452
Clipperton, S., McIntosh, L. & Janssens, S. Optimisation of systems, safety and efficiency using simulation: a qualitative exploration of the value proposition for healthcare leaders.Adv Simul 10, 50 (2025). https://doi.org/10.1186/s41077-025-00378-8
Hayes, T. (2025). ‘Moulin Rouge’ – Emergency Preparedness, Resilience & Response (EPRR) and Simulation: A Case Study Assessing the Impact of a Transformational SimulationJournal of Healthcare Simulation.5.(Supplement 1). from 10.54531/OVVF3000.
Poultney, S., & Wedgbury, K. (2025). Walking in someone else’s shoes – can a transformative simulation help student nurses comprehend sensory overload?Journal of Healthcare Simulation. from 10.54531/KFCD4381.
Cole, O., Duncan, K., & Edwards, R. (2025). Simulating Change: Co-Produced Multi-Disciplinary Team Simulations for Transformation in a Newly Built Maternity DepartmentJournal of Healthcare Simulation.5.(Supplement 1). from 10.54531/BBBA8145.
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.
Ashton, J., Ogden, S., Paweletz, A., Hutchinson, R., Forshaw, J., & Nimmo, S. (2024). Transformative Simulation: Stress Testing a New Neonatal Major Haemorrhage ProtocolJournal of Healthcare Simulation.4.(Supplement 1). from 10.54531/CYCD7535.
La simulación y su contribución al sistema de salud. (2024). Revista De Simulación En Ciencias De La Salud FM UNAM, 2. https://doi.org/10.22201/fm.30617243e.2024.2.37
Traynor, J., Donaghy, S., & Gatenby, R. ( 2024). Primary care emergency simulation: Helping our trainees with quality improvement in a fun and “simulating” way. Journal of Healthcare Simulation.4.(Supplement 1). from 10.54531/COSH1282.
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.
Torres F, Roca M, Rubina S, Gangas N. (2024). ¿La simulación transforma? Reflexión sobre el modelo de las siete “Ies” desde la perspectiva estudiantil. REVISTA DE SIMULACIÓN EN CIENCIAS DE LA SALUD, 3. https://doi.org/10.22201/fm.30617243e.2024.3.102
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.
Weldon SM, Korkiakangas T, Kneebone R. How simulation techniques and approaches can be used to compare, contrast and improve care: an immersive simulation of a three-Michelin star restaurant and a day surgery unit. BMJ Simul Technol Enhanc Learn. 2020 Mar 2;6(2):65-66. doi: 10.1136/bmjstel-2018-000433
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.
Kneebone R, Weldon SM, Bello F. Engaging patients and clinicians through simulation: rebalancing the dynamics of care. Adv Simul (Lond). 2016 Jun 15;1:19. doi: 10.1186/s41077-016-0019-9.
