Revisions made to modify the SET to current standards of simulation practice have resulted in the SET-M, which has been shown to be a valid and reliable method of evaluating students' perceptions of the effectiveness of learning in the simulation environment.

The project purpose was to determine whether measures of critical thinking show differences between three groups (simulator, non-simulator, control) of baccalaureate nursing students. The second purpose was to determine the moderating effect of students' preferred learning style. All groups experienced a moderate to large effect size in critical thinking scores. The corrected model for the total scale gain score was statistically significant but not significant for learning style or group.

The purpose of this study was to review quantitative studies related to computer-based simulation and healthcare education and determine the effect of simulation on education and learning. A total of 513 references were retrieved, but only 9 quantitative studies met the inclusion criteria. To synthesize the data, the mean scores and standard deviations of the studies were used to determine the effect size, the index, and the direction of the effect. This review indicates that 75% of the studies showed positive effects of simulation on skill and/or knowledge acquisition. The potential of computer-based simulation as an education augmentation is enormous, but research is needed to determine effective and successful uses of high-fidelity simulations for nursing education.