A peer leadership course provided undergraduate nursing students an opportunity to develop nursing skills while growing in areas of professional socialization, communication, collaboration, organization, and leadership. Junior and senior students served as peer leaders while observing, coaching, and reinforcing the learning of sophomore students in a fundamentals of nursing laboratory course. The authors describe the benefits of the peer leadership course.

Simulation is prevalent in nursing education yet is rarely used for evaluation. The authors describe the use of simulation as a high-stakes evaluation of senior baccalaureate nursing student achievement of end-of-program competencies and assist with student remediation. The results of a high-stakes evaluation led to positive changes in student learning as well as curriculum reform for a Midwestern university.

Multiple-patient simulations may be used to promote the development of leadership skills as well as patient care management. Multiple-patient simulations create opportunities that mimic real interactions encountered in clinical practice. In addition to promoting the development of these essential skills among students, these simulations also meet the needs of new graduate nurses. The purpose of this article is to provide educators with guidelines on how to create and implement a multiple-patient simulation and examples for application.