title: Evaluating Simulation Methodologies to Determine Best Strategies to Maximize Student Learning.
abstract: Limited evidence exists as to the most effective ways to provide simulation experiences to maximize student learning. This quasi-experimental study investigated 2 different strategies repeated versus 1 exposure and participation versus observation on student outcomes following exposure to a high-fidelity acute asthma exacerbation of asthma scenario. Immediate repeated exposure resulted in significantly higher scores on knowledge, student satisfaction and self-confidence, and clinical performance measures than a single exposure. Significant intergroup differences were found on participants' satisfaction and self-confidence as compared with observers. Implications for nurse educators include expanding the observer role when designing repeated exposure to simulations and integrating technical, cognitive, and behavioral outcomes as a way for faculty to evaluate students' clinical performance.
authors.affiliation: Associate Professor, School of Nursing, University at Buffalo, State University of New York, Buffalo, NY, 14214-8010. Electronic address: yscherer@buffalo.edu.
authors.forename: Yvonne K
authors.initials: YK
authors.lastname: Scherer
authors.affiliation: Clinical Lab Coordinator, School of Nursing, State University of New York, Buffalo, NY, 14214-8010.. Electronic address: Foltz-Ramos@buffalo.edu.
authors.forename: Kelly
authors.initials: K
authors.lastname: Foltz-Ramos
authors.affiliation: Clinical Associate Professor, School of Nursing, State University of New York, Buffalo, NY, 14214-8010.. Electronic address: fabry@buffalo.edu.
authors.forename: Donna
authors.initials: D
authors.lastname: Fabry
authors.affiliation: Clinical Assistant Professor, Rutgers, the State University of New Jersey, School of Nursing, Ackerson Hall, Newark, NJ 07102. Electronic address: yc737@scarletmail.rutgers.edu.
authors.forename: Ying-Yu
authors.initials: YY
authors.lastname: Chao
mesh_terms: D004508:Education, Nursing, Baccalaureate; D004521:Educational Measurement / Q000379:methods*; D005181:Faculty, Nursing; D005260:Female; D000070856:High Fidelity Simulation Training; D006801:Humans; D007858:Learning; D008297:Male; D013338:Students, Nursing / Q000523:psychology*; D055815:Young Adult
keywords: High-fidelity simulation; Index words; Learning outcomes; Nursing education; Simulation design