Date of Award


Document Type



College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Carrie Miller


Kristen Swanson


Purpose: This program evaluation project aims were to review the current state of simulation experiences in pre-licensure undergraduate nursing programs in Washington State and determine policy recommendations related to the future use of simulation experiences in clinical nursing education. The evaluation compared student outcomes of NCLEX pass rates associated with clinical simulation versus traditional clinical nursing experiences. Programs were evaluated for compliance with INACSL Simulation Standards of Best Practice.

Conceptual Framework: The NLN/Jeffries Theory provided the framework for an analysis of program evaluation data regarding using the INASCL Simulation Standards of Best Practice.

Design/Method: The study design was a descriptive mixed method using a compilation of survey questions from the National Council State Boards of Nursing (NCSBN) Survey of Simulation Use in Pre-licensure Nursing Program Changes and Advancements and the Program Assessment Survey for Simulation (PASS). Ten completed surveys provided data for qualitative and quantitative analysis.

Results: Variation exists between nursing programs related to clinical hours per course. All programs offer a variety of simulation experiences as part of their pedagogy. Variation was also noted in program use of simulation activities substituted for traditional clinical hours, with 1:1 ratio being used when hours were substituted. All programs were aware of the INACSL Standards and were in varying stages of full implementation of those best practices. All programs met and most programs exceeded the minimum passing standard for NCLEX.

Conclusions: The simulation experience of the past year of Covid 19 supports the role of simulation in substitution for traditional clinical hours at both 1:1 and 2:1 ratio.

Included in

Nursing Commons