“…The rationale for this decision includes the need for more rigorous evidence to validate simulation in replacement of clinical time. Researchers examining the use of simulation in APN education found increases in student satisfaction, confidence, and knowledge ( Nye, 2021;Pittman, 2012;Rutherford-Hemming, Nye, & Coram, 2016;Warren, Luctkar-Flude, Godfrey, & Lukewich, 2016 ). In addition, simulation enhanced communication skills ( Bays et al, 2014 ;Curtis et al, 2013 ;Koo et al, 2014 ;Phillips, Lie, Encinas, Ahearn, & Tiso, 2011 ;Yuasa et al, 2013 ), and clinical performance ( Bays et al, 2014 ;Curtis et al, 2013;Fleming et al, 2009;Gasko et al, 2012;Paige et al, 2014 ;Rutherford-Hemming, 2012 ).…”