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integrative learning, medical surgical and mental health nursing, nursing students, role playing, self-confidence, simulation



  1. Dunn, Karen S. PhD, RN, FGSA
  2. Riley-Doucet, Cheryl K. PhD, RN, FGSA


Nurse educators use a variety of clinical simulation strategies to promote cognitive, psychomotor, and affective learning. Statistically significant increases in self-confidence levels were found among senior-level nursing students in the assessment and management of medical and psychiatric symptoms after participating in strategically designed, complex, student-led clinical simulations. Having students role play simulation scenarios that are developed from real-life clinical experiences is a cost-effective interactive strategy that enhances their communication and technical skills.