“…Twelve studies focused their inquiry on the effect of virtual simulation in the participants' affective domains of learning. The areas that were examined by these studies include satisfaction with learning experiences 15 , level of confidence 13,17 , affective knowledge 18 , technology use and satisfaction 27,28,29,15,10 , and perceived effectiveness 27,21,15,12,30 . All the studies included have overwhelming positive findings with regard to virtual simulation and affective outcome.…”