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Nurse educators are incorporating computerized patient simulators into curricula with increasing frequency. Although several studies have focused on implementation and a framework for designing simulation using patient simulation, discussion of pre-training planning for simulation is limited. This article highlights some of the seminal literature from the science of training and discusses principles most applicable to nursing education. A key principle that is critical to successful training is the pre-training analysis. A framework and checklist were derived from the training literature review and are proposed to assist nurse educators in performing a pre-training analysis when planning simulation activities. This analysis will help educators define the knowledge, skills, and attitudes appropriate for the simulation experience. The tools are intended to complement existing strategies for planning simulations to provide a more comprehensive approach to simulation, resulting in a targeted and effective use of the teaching strategy.

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Nurse educators are uniquely positioned to improve obesity-related attitudes and beliefs among prelicensure nursing students. A bariatric sensitivity intervention using 6 trigger films with facilitated debriefing was designed and delivered to 70 first-semester baccalaureate nursing students. Attitudes and beliefs significantly improved immediately after the intervention on 3 of the 5 attitude measures and on the belief measure. Improvements in beliefs/attitudes were sustained 30 days after the intervention but may require content reinforcement throughout the curriculum for long-term effects.