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Simulation in nursing education and practice 

Simulation in nursing education and practice
Simulation in nursing education and practice

Joseph S Goode Jr

and John M O’Donnell

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date: 09 May 2021

Although familiarity and use of simulation educational approaches is widespread among nurse educators, questions remain regarding instructor preparedness, optimal curricular integration, substitution of clinical experience with simulation, and the transfer of simulation learning to the bedside. Identifiable barriers to a shared understanding among nursing simulation educators and researchers include: (1) no single theoretical model has been adopted to guide educational and research programmes; and (2) lack of a standardized nomenclature. Nursing student clinical experiences are increasingly difficult to arrange, particularly in higher acuity and specialty settings. Replacing real-world experiences with simulation shows growing support. The 2014 US National Council of State Boards of Nursing study demonstrated the efficacy of carefully considered replacement of clinical experiences with simulation. Results indicated no differences in knowledge outcomes, clinical performances or nursing licensure pass rates. Questions remain regarding the effectiveness of widely adopted replacement and the optimal mix of ‘live’ versus ‘simulated’ clinical experiences.

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