A Discussion of High-Stakes Testing: An Extension of a 2009 INACSL Conference Roundtable

This article was prompted by an extended discussion in 2009, on the International Nursing Association for Clinical Simulation and Learning (INACSL) Listserv, about the use of simulation for high-stakes testing. That discussion led to a roundtable at the 2009 INACSL conference in St. Louis. This article comes from notes taken at that roundtable and further-developed thoughts of the lead discussants. Many of their conclusions were echoed in the recent Carnegie report on nursing education.