“…Specifi cally, in Ontario, Canada, the Ministry of Health and Long-Term Care invested more than $2 million (Canadian) toward the use of this technology in programs of nursing. In late 2009, at the time when faculty and students were in the early stages of exploring this teaching-learning methodology, a province-wide evaluation of clinical simulation was conducted (Akhtar-Danesh, Baxter, Akhtar-Danesh, Landeen, & Norman, 2012;). In the ensuing years, nursing programs developed faculty expertise and pedagogical knowledge for the effective integration of high-fi delity simulation learning in nursing curricula.…”