“…The educators highlighted one of the essential steps for an effective simulation the pre-simulation orientation to guide students through the process of applying previous knowledge and skills to simulation, which is in line with other study [18]. An orientation session should be held before the simulation to familiarize students with learning objectives, ground rules, role assignments, equipment and simulation modality to be used [19,20], because orientation also assist students to promote self-confidence and provide a calm environment to practice [18]. Therefore, the INACSL Standards Committee recommended a checklist for educators to use as a guideline for preparing students for orientation to the simulation.…”