Evaluation of Simulation in Undergraduate Nurse Education: An Integrative Review

BackgroundAlthough nearly two decades have passed since the introduction of simulation in nurse education, many nurse educators continue to struggle with how to evaluate the effectiveness of simulations. The aim of this review was to synthesize the research findings regarding evaluation of simulation in undergraduate nurse education.MethodsOne hundred and one articles were reviewed.ResultsSynthesis of research revealed the following five themes: confidence/self-efficacy, satisfaction, anxiety/stress, skills/knowledge, and interdisciplinary experiences. Evidence regarding minimal level of fidelity needed to produce significant learning outcomes was inconclusive. Recommendations and future directions are provided.ConclusionMore robust educational research in simulation is warranted.