Spearheading Simulation in a Middle-Income Country: An International Collaboration

•Faculty in middle- and low-income countries are increasingly seeking to develop their own simulation centers with fewer resources.•As simulation centers begin to proliferate across low- and middle-income countries, therein lies opportunities for international collaborations to improve nursing education.•As a solid body of evidence is lacking, it is critical that simulation research be conducted in low- and middle-income countries to influence policy, improve nursing education, and improve patient outcomes globally.•Collaborations of nurse faculty members from high-income and middle- to low-income countries are recommended to further the science of simulation and facilitate adoption of simulation worldwide.