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violence is present at various moments in the undergraduate Nursing course and can negatively impact the quality of training in the area. to identify the available evidence regarding stress levels experienced by participants in education based on a realistic simulation. systematic review that included randomized clinic trials on electronic databases Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Latin-American and Caribbean Literature in Health Sciences, LIVIVO, PubMed, Scopus, and Web of Science. The addit