Evaluation of simulation in undergraduate nurse education: An integrative review

Cynthia Foronda, Siwei Liu, Eric B. Bauman

Research output: Contribution to journalReview articlepeer-review

108 Scopus citations


Background: Although 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. Methods: One hundred and one articles were reviewed. Results: Synthesis 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. Conclusion: More robust educational research in simulation is warranted.

Original languageEnglish (US)
Pages (from-to)e409-e416
JournalClinical Simulation in Nursing
Issue number10
StatePublished - Oct 2013
Externally publishedYes


  • Evaluation
  • Integrative review
  • Literature review
  • Nursing
  • Simulation
  • Students
  • Undergraduate

ASJC Scopus subject areas

  • Modeling and Simulation
  • Education
  • Nursing (miscellaneous)


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