Professional Code of Ethics and Conduct


INACSL Mission, Vision, Values

INACSL’s mission is to advance the science of healthcare simulation. Our vision is to become a global leader in transforming practice to improve patient safety through excellence in healthcare simulation.  Our work is guided by our core values which are to share, inspire, discover, and transform: 

  • SHARE — Our community creates earnest and intelligent conversations through networking, collaborating, evidence-based teaching, learning, practice, and diversity of thought.
  • INSPIRE — Our community fosters creativity, excellence, leadership, and the knowledge to influence the agenda in simulation.
  • DISCOVER — Our community cultivates curiosity and promotes the co-creation and dissemination of new knowledge and the translation of research into practice.
  • TRANSFORM — Our community strives to revolutionize healthcare through simulation

These core values inform our Code of Ethics.


Our work, the work of our employees and our members, and our conduct while performing this work,  is and should always be guided by the following Healthcare Simulationist Code of Ethics and the principles contained therein, as adopted by INACSL, the Society for Simulation in Healthcare (SSH), the Association of Standardized Patient Educations (ASPE) and other organizations in the field of healthcare simulation: 


  • Healthcare Simulationists shall maintain the highest standards of integrity including honesty, truthfulness, fairness, and judgment in all matters affecting their duties. They shall:
    • Respect and cultivate an ethical organizational environment.
    • Provide, as appropriate, disclosure of simulation activity design assumptions, limitations, alterations, and problems.
    • Be explicit and unequivocal about the applicability of specific simulation activities and methods according to the available evidence.
    • Work to eliminate unnecessary harm to humans, animals, and the environment.
    • Honor the privacy rights of individuals and organizations and uphold the confidentiality of data and outcomes as appropriate.
    • Respect and acknowledge all intellectual and property rights and give due credit where appropriate.


  • Healthcare Simulationists shall perform all healthcare simulation activities in a manner that promotes transparency and clarity in the design, communication, and decision- making processes. They shall:
    • Adhere to accepted standards in the documentation, analysis, design, development, implementation, and evaluation of simulation activities.
    • Disclose any activities that may involve real or perceived conflicts of interest.
    • Be explicit about the nature and purpose of the simulation activity, including research activities.
    • Restrict simulation activities involving deception, ensuring that deception is minimized to the extent possible and does not involve the concealment of risk or intent to harm or punish.

Mutual Respect

  • Healthcare Simulationists shall respect the rights, dignity, and worth of all. They shall practice empathy and compassion to support beneficence and non-maleficence towards all involved in simulation activities. They shall:
    • Honor the knowledge, skills, values, and vulnerability of learners and colleagues.
    • Listen to others’ points of view, seeking to understand them.
    • Exhibit humane behavior, honor diversity, and foster inclusion, avoiding prejudicial treatment.
    • Maximize safety and minimize physical and psychological risks.


  • Healthcare Simulationists shall conduct themselves in a manner that upholds the professional standards inherent in healthcare simulation. They shall:
    • Demonstrate professional competence and attitudes.
    • Exhibit continuous personal and professional development.
    • Encourage and develop colleagues and new entrants to the healthcare simulation profession.
    • Cultivate opportunities for the advancement of the healthcare simulation profession.


  • Healthcare Simulationists shall be accountable for their decisions and actions in fulfilling their duties and responsibilities. They shall:
    • Continuously seek, reflect on, and incorporate feedback.
    • Submit themselves to professional review as required.
    • Be role models of ethical behavior.
    • Exhibit professional conduct that is a credit to the healthcare simulation community, employer, and self.
    • Identify and notify relevant parties of unsafe, unethical, or unprofessional behaviors.
    • Design and use simulations in a way that wisely uses available resources.
    • Maintain vigilance regarding not only desired outcomes, but also potential unintended consequences of the simulation activity.

Results Orientation

  • Healthcare Simulationists shall serve to support activities that enhance the quality of the profession and healthcare systems. Outcomes are inclusive of all parts of the process of healthcare simulation and are not exclusive to a final product. They shall:
    • Assure the reliable and credible use of healthcare simulation, in line with acknowledged standards of practice.
    • Engage in continuous quality improvement.
    • Create and measure impact across the range of achievable outcomes, including the practice of simulation, human performance, systems improvement, and direct patient results.
    • Incorporate and embed the Code of Ethics throughout healthcare simulation and organizational culture.
    • Use the Code of Ethics to inform ethical practices in relevant fields.
    • Advance public knowledge about healthcare simulation by promoting access and sharing knowledge and experience.


The fact that we hold ourselves and each other accountable means that when a member is alleged to have engaged in conduct inconsistent with our code of ethics, we will entertain complaints that allege such violations.  Examples of alleged violations of our code of ethics include, but are not limited to the following examples:

  • Alleged criminal behavior
  • Convictions related to criminal behavior
  • Nursing or another related professional licensure subject to revocation
  • Accusations of misrepresentation of data in order to manipulate research outcomes
  • Alleged IRB violations
  • Unprofessional treatment of individuals involved in our work to the extent that such treatment is extreme and violates accepted norms of interaction and involves the risk of psychological or physical risk or other inhumane or degrading behavior.

To the extent any allegations or complaints allege violations of our code of ethics by the INACSL staff team, such allegations will be forwarded to SmithBucklin for investigation and resolution.