Buy this Article for $10.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.


  1. Lee, Corinne DNP, RN-BC, ACNS-BC
  2. Mowry, Jole L. MS, RN
  3. Maycock, Susan E. DNP, RN-BC, CNS-BC
  4. Colaianne-Wolfer, Marie E. MSN, RN-BC, CCRN
  5. Knight, Suzanne W. DNP, RN
  6. Wyse, Diane M. MSN, RN-BC


Preparing nurses to recognize the signs and symptoms of a deteriorating patient and to provide appropriate initial interventions is essential. Hospital-based in situ simulation education is an effective evidence-based method that supports adult learning in a safe environment. The purpose of this article is to discuss the development, implementation, and evaluation of an in situ simulation program and the positive impact on nurses' confidence level in the recognition and initiation of interventions for a deteriorating patient.