Date of Award


Document Type


Degree Name

Doctor of Nursing Practice (DNP)

Committee Chair

Marsha Miller


The use of simulation has increased in the academic setting. The placement for nursing students for clinical sites has become increasingly difficult. In order to meet the demands of clinical sites, State Boards of Nursing have created standards where simulation can replace clinical rotation. Most State Board of Nursing require the school of nursing to meet the International Association for Clinical Simulation and Learning (INACSL) Standards of Best Practice: SimulationSM, use a theory for debriefing, and show proof of current simulation education for the educators. The Simulation Design project implemented the National League for Nursing (NLN) Jeffries Simulation Theory, the INACSL Standards of Best Practice: Simulation Design, and Debriefing with Good Judgment to a cohort of 43 pre-licensure nursing students in a medical-surgical laboratory course. The project was implemented in a private university in the southeastern part of the United States. The Simulation Design project consisted of educational sessions for the facilitators, three pilot sessions, and three new and revised simulation-based experiences. The NLN Simulation Design Scale was a five point Likert-type design scale with one being strongly disagree with statement and five strongly agree with statement. The participants completed the survey after each simulation-based experience. The analysis revealed there were no significant differences between the simulations except in the category of fidelity (realism). The project administrator believed this was due to using participants as the client's parent, spouse or as a lab technician. The Simulation Design project will continue to be implemented throughout all courses in the pre-licensure School of Nursing program in order to meet State Board of Nursing requirements and INACSL standards.

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Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.