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  1. Norris, Heather DNP, RN
  2. New, Keri DNP, RN
  3. Miller, Bethany PhD
  4. Kramer, Margaret MSN, RN, NPD-BC
  5. Fultz, Julia MSN, RN, NPD-BC
  6. Arthur, Charity MSN, RN
  7. Smoot, Brittany MSN, RN
  8. Rogers, Allison MSN, RN, CEN, NPD-BC


A patient deterioration educational program was offered to new graduate nurses. Pre and post self-confidence scores were compared, and competency performance was evaluated during a simulation. The results indicate that most of the participants successfully demonstrated simulation competencies, and there was a statistically significant improvement in self-confidence scores. Based on these findings, education on identifying and managing patient deterioration that includes a simulation experience may be beneficial.