Author Affiliations: Postgraduate Program in Clinical Care in Nursing and Health (Dr Girão), Graduate Nursing Course and Postgraduate Program in Clinical Care in Nursing and Health (Drs Chaves, de Oliveira, and de Carvalho), State University of Ceará (Ms dos Santos), Fortaleza; and Postgraduate Program in Nursing, Regional University of Cariri (Dr Gomes), Crato, Ceará, Brazil.

The study is part of the project entitled “Construction of a web-based virtual simulation technology for teaching semiology and semiotics to adults” and obtained funding through approval in the MCTI/CNPQ universal notice no. 01/2016 of the National Council of Scientific and Technological Development (CNPq).

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Ana Lívia Araújo Girão, PhD, 1700, Dr Sillas Munguba Ave, Fortaleza, Ceará, Brazil ([email protected]).