“…Currently, research findings are inconsistent in nursing education regarding the use of the HSRT tool to test critical thinking skills (Goodstone et al, 2013;Shinnick & Woo, 2013;Sullivan-Mann, Perron, & Fellner, 2009). In particular, two of the three studies reported no statistical significance of simulation on students' critical thinking skills (Goodstone et al, 2013;Shinnick & Woo, 2013), whereas one study revealed a decrease in students' critical thinking scores (Shinnick & Woo, 2013).…”