Educational Initiative Using Simulation Training for the Evolving Landscape of Hybrid Warfare and Its Devastating Impacts: A Scoping Review
References
- Alderson, D. L., Darken, R. P., Eisenberg, D. A., & Seager, T. P. (2022). Surprise is inevitable: How do we train and prepare to make our critical infrastructure more resilient? International Journal of Disaster Risk Reduction, 72,
Article 102800 . 10.1016/j.ijdrr.2022.102800 - Andreassen, N., Elvegård, R., Villanger, R., & Johnsen, B. H. (2025). Enhancing cognitive motivation: An evaluation model for emergency preparedness exercises. The Learning Organization, 32(7), 35–52. 10.1108/TLO-06-2023-0100
- Aridi, R. (2020). For scientists studying ‘disaster fatigue,’ this has been a year like no other. Science Magazine. 10.1126/science.abf8667
- Aronsson, S., Artman, H., Brynielsson, J., Lindquist, S., & Ramberg, R. (2021). Design of simulator training: A comparative study of Swedish dynamic decision-making training facilities. Cognition, Technology & Work, 23, 117–130. 10.1007/s10111-019-00605-z
- Astafieva, M., Bodnenko, D., Lytvyn, O., Proshkin, V., & Skladannyi, P. (2023). Formation of high school students’ resistance to destructive information influences. Cybersecurity Providing in Information and Telecommunication Systems, 3421, 87–96.
- Baker, M. S., Baker, J., & Burkle, F. M.,
Jr . (2023). Russia’s HW in Ukraine threatens both healthcare & health protections provided by international law. Annals of Global Health, 89(1), Article 3. 10.5334/aogh.4022 - Bakken, B. T., Hærem, T., & Lund-Kordahl, I. (2024). Training and exercising hybrid command. In Preparing for hybrid threats to security: Collaborative preparedness and response (pp. 234–251). 10.4324/9781032617916-19
- Boddy, C. R. (2016). Psychopathy screening for public leadership. International Journal of Public Leadership, 12(4), 254–274. 10.1108/IJPL-08-2015-0023
- Brăgea, C. (2025). Shaping a shared future through scientific cooperation: 25 years of the Euro-Atlantic Conflict Studies Working Group. Connections: The Quarterly Journal, 24(1), 47–58. 10.11610/Connections.24.1.04
- Briggs, C., Danyk, Y., & Maliarchuk, T. (2021). Security aspects of hybrid war, COVID-19 pandemic and cyber-social vulnerabilities. Power, 4, 13–18. 10.11610/Connections.20.3-4.03
- Budić, I., Pavlović, S., Stević, M., Petrov, I., Perić, V., Jović, M., & Simić, D. (2018). Medical simulation: Moral and ethical issues. Acta Medica Medianae, 57(1), 64–69. 10.5633/amm.2018.0110
- Burkle, F. M.,
Jr . (2016). Antisocial personality disorder and pathological narcissism in prolonged conflicts and wars of the 21st century. Disaster Medicine and Public Health Preparedness, 10(1), 118–128. 10.1017/dmp.2015.113 - Burkle, F. M.,
Jr . (2019). Character disorders among autocratic world leaders and the impact on health security, human rights, and humanitarian care. Prehospital and Disaster Medicine, 34(1), 2–7. 10.1017/S1049023X18001280 - Burkle, F. M., Goniewicz, K., & Khorram-Manesh, A. (2022). Bastardizing peacekeeping and the birth of HW. Prehospital and Disaster Medicine, 37(2), 147–149. 10.1017/S1049023X22000425
- Cambria, A., Marchisio, M., & Spinello, E. (2023). Higher education training activities in international environments for developing skills of civil-military cooperation. In The 20th international conference on Cognition and Exploratory Learning in the Digital Age (CELDA 2023) (pp. 402–406).
IADIS Press . - Cohen, D., Sevdalis, N., Taylor, D., Kerr, K., Heys, M., Willett, K., Batrick, N., & Darzi, A. (2013). Emergency preparedness in the 21st century: Training and preparation modules in virtual environments. Resuscitation, 84(1), 78–84. 10.1016/j.resuscitation.2012.05.014
- Costigan, S. S. (2025). When it is dark enough, you can see the stars: A 25th anniversary reflection. Connections: The Quarterly Journal, 24(1), 11–16. 10.11610/Connections.24.1.01
- Daniel, J., & Eberle, J. (2021). Speaking of HW: Multiple narratives and differing expertise in the ‘HW’ debate in Czechia. Cooperation and Conflict, 56(4), 432–453. 10.1177/00108367211000799
- Daponte, B. O. (2008).
Why estimate direct and indirect casualties from war? The rule of proportionality and casualty estimates . In Statistical methods for human rights (pp. 51–63). Springer. 10.1007/978-0-387-72837-7_3 - De Blaaij, C. (2004). Grey literature from invisibility to visibility. Publishing Research Quarterly, 20, 70–76. DOI: 10.1007/BF02910862
- European Center for Security Studies. (2025). Resident courses. Available from:
https://www.marshallcenter.org/en/academics/college-courses - European Security and Defence College. (2024). Hybrid threats and intercultural strategic communication [Training course]. April 9–11.
- Experiential Learning Institute. (2025). What is experiential learning?
https://experientiallearninginstitute.org/what-is-experiential-learning/ - Fitz-Gerald, A., & Hennebry, J. (2025). Protecting civilians in a data-driven and digitalized battlespace: Toward a baseline humanitarian technology infrastructure. Frontiers in Human Dynamics, 6,
Article 1465594 . 10.3389/fhumd.2024.1465594 - Gregg, H. S. (2024).
Teaching hybrid threats and HW . War Room. U.S. Army War College.https://warroom.armywarcollege.edu/articles/competencies-5/ - Hansen, F. S. (2024). The Russian approach to peacekeeping. International Affairs, 100(3), 1023–1042. 10.1093/ia/iiae072
- Hoffman, F. G. (2014).
HW and challenges . In Strategic studies (pp. 329–337). Routledge. - Hybrid CoE. (2024). Western Balkans in focus at countering disinformation wargame and conference in Vienna.
https://www.hybridcoe.fi/news/western-balkans-in-focus-at-countering-disinformation-wargame-and-conference-in-vienna/ - Janičatová, S., & Mlejnková, P. (2021). The ambiguity of HW: A qualitative content analysis of the United Kingdom’s political–military discourse on Russia’s hostile activities. Contemporary Security Policy, 42(3), 312–344. 10.1080/13523260.2021.1885921
- Jia, C., Lee, A. Y., Moore, R. C., Decatur, C. H. S., Liu, S. X., & Hancock, J. T. (2024). Collaboration, crowdsourcing, and misinformation. PNAS Nexus, 3(10), Article
434 . 10.1093/pnasnexus/pgae434 - Jung, S. C., & Tan, E. W. (2024). Middle powers and minilateralism against hybrid threats in the Indo-Pacific: South Korea, Singapore, and Taiwan. Australian Journal of International Affairs, 78(6), 889–910. 10.1080/10357718.2024.2399339
- Kaminskaitė, A. (2019). Congruence between acquired and requested leader competencies in asymmetric warfare: Analyses of leadership curriculum at military academy. In The ISMS Conference 2019: Building military science for the benefit of society (pp. 17–18).
- Kesler, S., James, E., Scheller, A., Gray, S., Kne, L., & Hendel-Paterson, B. (2023). Simulation as a teaching method: Evaluation of the University of Minnesota humanitarian crisis simulation. Disaster Medicine and Public Health Preparedness, 17, Article
e121 . 10.1017/dmp.2022.28 - Khmyrov, I., Khriapynskyi, A., Aliieva, P., Kopotun, I., & Svoboda, I. (2024). International experience of advanced countries in state management of countering hybrid threats. Revista Jurídica Portucalense, 36, 359–380. 10.34625/issn.2183-2705(36)2024.ic-16
- Khorram-Manesh, A. (2025). Advocating for health in a politically complex world: Integrating situational awareness and disaster mindset into multilevel advocacy resilience framework (MARF). Disaster Medicine and Public Health Preparedness, 19, Article
e315 . 10.1017/dmp.2025.10247 - Khorram-Manesh, A., Berlin, J., & Carlström, E. (2016). Two validated ways of improving the ability of decision-making in emergencies: Results from a literature review. Bulletin of Emergency & Trauma, 4(4), 186–194.
- Khorram-Manesh, A., & Burkle, F. M. (2023a). Civilian population victimization: A systematic review comparing humanitarian and health outcomes in conventional and HW. Disaster Medicine and Public Health Preparedness, 17, Article e192. 10.1017/dmp.2022.96
- Khorram-Manesh, A., & Burkle, F. M.,
Jr . (2023b). Narcissistic sociopathy in global autocratic leaders: Arrested development, obsessive demand for power, and the emergence of unlawful hybrid wars. Disaster Medicine and Public Health Preparedness, 17, Articlee263 . 10.1017/dmp.2022.213 - Khorram-Manesh, A., Burkle, F. M., Goniewicz, K., & Robinson, Y. (2021). Estimating the number of civilian casualties in modern armed conflicts: A systematic review. Frontiers in Public Health, 9,
Article 765261 . 10.3389/fpubh.2021.765261 - Khorram-Manesh, A., Eskici, G. T., & Gray, L. (2025a). Enhancing global disaster preparedness: A scoping review of the current integration of situational awareness and disaster mindset in healthcare education. AIMS Public Health, 12(3), 735–766. 10.3934/publichealth.2025038
- Khorram-Manesh, A., Goniewicz, K., Burkle, F. M., & Robinson, Y. (2022). Review of military casualties in modern conflicts: The re-emergence of casualties from armored warfare. Military Medicine, 187(3–4), e313–e321. 10.1093/milmed/usab108
- Khorram-Manesh, A., Johannessen, M. R., Nielsen, L. R., Carlström, E., Berntzen, L., Sandberg, L., & Sørensen, J. L. (2025b). Cultivating disaster preparedness: Scoping review of technology’s contribution to situational awareness and disaster mindset in disaster medicine. Online Journal of Public Health Informatics, 17, Article
e75404 . 10.2196/75404 - Kleinheksel, A. J., Rockich-Winston, N., Tawfik, H., & Wyatt, T. R. (2020). Demystifying content analysis. American Journal of Pharmaceutical Education, 84(1), Article
7113 . 10.5688/ajpe7113 - Kowalski, E., & Prescott, J. M. (2019). Hybrid conflict and effective leadership training. U.S. Army.
https://www.armyupress.army.mil/Journals/Journal-of-Military-Learning/Journal-of-Military-Learning-Archives/October-2019/Kowalski-hybrid-conflict/ - Krasnodemska, I., Kalinichenko, V., Marchenko, S., Ostapchuk, O., & Sonechko, O. (2024). History as a weapon: Narratives and propaganda in the Russo-Ukrainian war. Amazonia Investiga, 13(81), 98–107. 10.34069/AI/2024.81.09.7
- Libiseller, C. (2023). ‘HW’ as an academic fashion. Journal of Strategic Studies, 46(4), 858–880. 10.1080/01402390.2023.2177987
- Ljungkvist, K. (2024). The military-strategic rationality of hybrid warfare: Everyday total defence under strategic non-peace in the case of Sweden. European Journal of International Security, 9(4), 533–552. 10.1017/eis.2024.18
- Makhachashvili, R., & Semenist, I. (2023). Transdisciplinary transformation of digital education: Emergency, sustainability and universality. In Proceedings of the International Multi-Conference on Society, Cybernetics and Informatics, IMSCI (Vol. 1, pp. 171–177).
International Institute of Informatics and Systemics . 10.54808/IMSCI2023.01.171 - Makhachashvili, R., Semenist, I., Vinnikova, N., & Tupakhina, O. (2024). Interdisciplinary and interoperable leadership skills for digital educational communication. In Proceedings of the International Multi-Conference on Society, Cybernetics and Informatics, IMSCI (Vol. 1, pp. 115–122).
International Institute of Informatics and Systemics . 10.54808/IMSCI2024.01.115 - Marchisio Conte, M., Roman, F., Sacchet, M., Spinello, E., Molnár, A., Attias, S., Cambria, A., & Dolan, A. (2024). Students’ perception of international collaboration and cultural understanding in digitally driven education. In 18th International Conference e-Learning and Digital Learning, ELDL 2024 (pp. 145–153).
IADIS . - Markov, A. (2016). Clinical Variability of Civilians Maladaptive States on The Information-Psychological War. Psychiatry, Neurology and Medical Psychology, 32(6), 99–106.
https://periodicals.karazin.ua/pnmp/article/view/8335 - Markowitz, S. (2023). Crowddoing and crowdfunding democracy: Innovative strategies for countering foreign disinformation in Central and Eastern Europe. New Perspectives, 31(4), 294–313. 10.1177/2336825X231206718
- Martyniuk, I., Fedosenko, K., Shchyhelska, H., Burlaka, A., & Voropayeva, T. (2023). Trends and vectors of development of information educational resources in the context of military aggression. Journal of Higher Education Theory and Practice, 23(5), 202–209. 10.33423/jhetp.v23i5.5945
- Matonytė, I., Gajauskaitė, I., & Jasinavičius, M. (2024). Hybrid threats in Lithuania: Awareness of the concept and recognition of their forms of realization among young people. Public Policy and Administration, 23(3), 356–368. 10.5755/j01.ppaa.23.3.35169
- McClelland, A. G., Jordan, R., Parzniewski, S., Shaw, D., O’Grady, N., & Powell, D. (2022). Post-COVID recovery and renewal through whole-of-society resilience in cities. Journal of Safety Science and Resilience, 3(3), 222–228. 10.1016/j.jnlssr.2022.03.003
- McLeod, S. (2025). Kolb’s learning style and experiential learning cycle. Simply Psychology.
https://www.simplypsychology.org/learning-kolb.html - Muñiz-Velázquez, J. A. (2023). (Dis)information literacy: A democratic right and duty of all citizens. Media and Communication, 11(2), 1–4. 10.17645/mac.v11i2.7029
- Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18,
Article 143 . 10.1186/s12874-018-0611-x - National Initiative for Cybersecurity Careers and Studies. (2024). Gray zone conflict and HW strategies training.
https://niccs.cisa.gov/education-training/catalog/tonex-inc/gray-zone-conflict-and-hybrid-warfare-strategies-training - NATO. (2024). Countering hybrid threats.
https://www.nato.int/cps/en/natohq/topics_156338.htm - NATO & Partnership for Peace Consortium. (2025). New HW reference curriculum released by NATO and PfP Consortium.
https://www.pfp-consortium.org/news/new-hybrid-warfare-reference-curriculum-released-nato-and-pfpc - Nussipova, A., Khussainova, G., Kabilova, R., Aliyarov, E., & Nuralina, B. (2024). Information security communications strategy as a prerequisite to counteracting HW: World experience. Revista Latina de Comunicación Social.
https://nuevaepoca.revistalatinacs.org/index.php/revista/article/view/2134 . 10.4185/rlcs-2024-2134 - Ortenzi, F., Marten, R., Valentine, N. B., Kwamie, A., & Rasanathan, K. (2022). Whole of government and whole of society approaches: Call for further research to improve population health and health equity. BMJ Global Health, 7(7), Article e009972. 10.1136/bmjgh-2022-009972
- Petrie, G., Angus, K., & O’Donnell, R. (2024). A scoping review of academic and grey literature on migrant health research conducted in Scotland. BMC Public Health, 24,
Article 1156 . 10.1186/s12889-024-18628-1 - Prokopenko, O., & Sapinski, A. (2024). Using virtual reality in education: Ethical and social dimensions. E-Learning Innovations Journal, 2(1), 41–62. 10.57125/ELIJ.2024.03.25.03
- Putter, D. (2024). Navigating the interplay of cognitive warfare and counterintelligence in African security strategies: Insights and case studies. Journal of Policing, Intelligence and Counter Terrorism, 1–20. 10.1080/18335330.2024.2440873
- Quenby, M., Van Eerd, D., & Irvin, E. (2014). Searching for grey literature for systematic reviews: Challenges and benefits. Research Synthesis Methods, 5(3), 221–234. 10.1002/jrsm.1106
- Ruggiero, A., Piotrowicz, W. D., & John, L. (2024). Enhancing societal resilience through the whole-of-society approach to crisis preparedness: Complex adaptive systems perspective—The case of Finland. International Journal of Disaster Risk Reduction, 114,
Article 104944 . 10.1016/j.ijdrr.2024.104944 - Savchenko, S., & Kurylo, V. (2018). Patriotic education in the process of youth socialization in conditions of HW. The Journal of Social Sciences Research (Special Issue 5), 1121–1125. 10.32861/jssr.spi5.1121.1125
- Schweitzer, D., & Fulton, S. (2010). A hybrid approach to teaching information warfare. International Conference on Information Warfare and Security, 299–X.
https://www.proquest.com/docview/869617317/abstract/50C47F9FE5441F2PQ/ - Seager, T. P., & Elran, M. (2019).
Organizational resilience and C2 . In Resilience and hybrid threats (pp. 154–162). IOS Press. 10.3233/NICSP190029 - Šimanauskienė, V., & Smaliukienė, R. (2019). Assessing leadership capabilities of military and first responders for crisis and emergency situations. In The ISMS Conference 2019: Building military science for the benefit of society.
- Stirling, K., Smith, G., & Hogg, G. (2012). The benefits of a ward simulation exercise as a learning experience. British Journal of Nursing, 21(2), 116–122. 10.12968/bjon.2012.21.2.116
- Sultan, M. A. S., Carlström, E., Sørensen, J. L., Alruwaili, A. S., & Khorram-Manesh, A. (2023a). Incorporating simulation exercises using collaborative tools into disaster and emergency medicine curriculum: A pilot survey among Saudi Arabian professionals. Journal of Contingencies and Crisis Management, 31(4), 905–912. 10.1111/1468-5973.12491
- Sultan, M. A. S., Khorram-Manesh, A., Sørensen, J. L., Berlin, J., & Carlström, E. (2023b). Disaster collaborative exercises for healthcare teamwork in a Saudi context. International Journal of Disaster Risk Science, 14(2), 183–193. 10.1007/s13753-023-00484-z
- Swedish Defence University. (2022). International operational law on HW and terrorism [Course syllabus].
https://www.fhs.se/en/student-web/syllabus.html?query=2OJ009 - Taylor, K. (2013). Simulations inside and outside the IR classroom: A comparative analysis. International Studies Perspectives, 14(2), 134–149. 10.1111/j.1528-3585.2012.00477.x
- Tin, D., Barten, D. G., Granholm, F., Kovtonyuk, P., Burkle, F. M., & Ciottone, G. R. (2023). HW and counter-terrorism medicine. European Journal of Trauma and Emergency Surgery, 49(2), 589–593. 10.1007/s00068-023-02230-y
- TONEX. (2025). Introduction to HW [Training course].
https://www.tonex.com/training-courses/introduction-to-hybrid-warfare/ - Tsvetkova, N., Antonova, A., & Hristova, P. (2017).
Developing a pedagogical framework for simulated practice learning: How to improve simulated training of social workers who interact with vulnerable people . In Handbook of research on innovative pedagogies and technologies for online learning in higher education (pp. 127–150). IGI Global. 10.4018/978-1-5225-1851-8.ch007 - Tudorache, P., Bârsan, G., Jobbágy, Z., Cîrdei, A., & Gligorea, I. (2023). An innovative conceptual model for education and training on HW. Management & Marketing, 18(3), 234–250. 10.2478/mmcks-2023-0013
- Turkelson, C., Cooper, D., Creech, C., Schellenberg, K., & Behnke, L. (2021). Using simulation to enhance nurse practitioner students’ cultural sensitivity, communication, and empathy with vulnerable populations. Clinical Simulation in Nursing, 56, 108–116. 10.1016/j.ecns.2021.04.011
- Vassileva, B., & Zwilling, M. (2018). Hybrid warfare simulation-based learning: Challenges and opportunities. Information & Security: An International Journal, 39(3), 220–234. 10.11610/isij.3919
- Verbytska, L., Babii, I., Botvyn, T., Konivitska, T., & Khlypavka, H. (2023). The language education and the language component as an element of countering hybrid threats in Ukraine. Multidisciplinary Science Journal, Article
e2023ss0504 . 10.31893/multiscience.2023ss0504 - Wesslau, F. (2024). Russia’s hybrid war against Moldova. Stockholm Centre for Eastern European Studies.
https://www.ui.se/globalassets/ui.se-eng/publications/sceeus/2024-publications/russias-hybrid-war-against-moldova.pdf - Zsigmond, Z. J. E. (2024). HW reference curriculum. Volume II. Elective seminars. Ludovika, University Press Budapest.
https://www.hybridwarfare.eu/pluginfile.php/2092/mod_page/content/15/Volume%20II%20-%20Elective%20Seminars%204.4_ed_GZs.pdf
DOI: https://doi.org/10.31374/sjms.439 | Journal eISSN: 2596-3856
Language: English
Page range: 29 - 46
Submitted on: May 20, 2025
Accepted on: Jan 9, 2026
Published on: Jan 23, 2026
Published by: Scandinavian Military Studies
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
Keywords:
© 2026 Amir Khorram-Manesh, Jarle Løwe Sørensen, Lene Sandberg, Marius Rohde Johannessen, Lasse Berntzen, Laurits Rauer Nielsen, Eric Carlström, published by Scandinavian Military Studies
This work is licensed under the Creative Commons Attribution 4.0 License.