Abstract
Objective: Investigating in the literature how a metacognition has been explored by national and international studies on clinical simulation. Methods: An integrative review, qualitative study, following the structuring of the PRISMA standard. The PCC mnemonic combination was defined (P: Population - Scientific Production; C: Concept - Metacognition; C: Context - Clinical Simulation). As a guiding question: How has metacognition been explored by national and international studies on clinical simulation? Results: Found 143 articles that after reading the titles, abstracts and full text obtained the final sample of 19 articles. From these emerged the following categories: a) Metacognitive processes present in simulation, b) Debriefing as a metacognitive instrument and c) Indirect references to metacognition through cognitive theories and processes and their links with a simulation. Final consideration: Metacognition is explored within the simulation in the presentation of how metacognitive knowledge, skills and experiences are applied in this field, proposing theories and methods that help the student to achieve it and place the debriefing moment as a potential instrument for activation of metacognition.