Maintaining academic integrity is a universal problem and can be especially difficult when implementing a simulation scenario that must take place over several days. It became obvious to faculty that students scheduled in later sessions exceeded realistic expectations in their performances. In response to this, faculty created two scenarios (one psychiatric and one medical-surgical)with flexibility that provided each student a unique and challenging learning experience while guiding the facilitator along various pathways based on the student's actions in the scenario. This allowed the overall learning objectives to be maintained regardless of students sharing information from simulations scheduled on earlier dates. Adapting the scenario based on individual student's responses allowed each student to have a unique learning opportunity in spite of the students being "prepped" by students that had already participated in the simulation. Faculty and student feedback revealed the flexibility of the scenarios was a valuable and meaningful learning experience. This paper discusses how to plan and implement this innovative approach to simulation, which will help to counter the effects of information sharing among students.

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The COVID-19 pandemic created a paradigm shift in the way educators employ active learning strategies. In this chapter, the authors discuss how engaging and innovative learning strategies were developed to teach baccalaureate-level nursing students during the COVID-19 pandemic. The initial focus is on the teaching and learning strategies created for first-semester students who are developing foundational nursing skills and concepts. The discussion transitions to complex strategies developed for fourth-semester students, solidifying critical thinking and clinical judgment skills. Highlighted are active learning strategies used in the classroom, skills lab, and simulated clinical environment. These promote clinical judgment and present practical direction for adapting technology to provide an engaging learning environment. Throughout the chapter, the authors use several strategies to showcase how a nursing program responded to COVID-19 restrictions, including active learning and technology strategies, and how they can be applied across a curriculum using varying levels of technology.

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