“…Although much information about the use of simulation activities is available in the nursing literature, research on the effectiveness of simulation on actual preparation for practice is lacking. Studies suggest improvement in assessment skills (Walshe, O'Brien, Murphy, & Hartigan, 2013), confidence (Burns, O'Donnell, & Artman, 2010;Hicks, Coke, & Li, 2009;Jeffries & Rizzolo, 2006;Laschinger et al, 2008;Smith & Roehrs, 2009), knowledge (Burns et al, 2010;Lindsey & Jenkins, 2013;Sharpnack, Goliat, & Rogers, 2013;Shinnick, Woo, & Evangelista, 2012), critical thinking (Schlairet & Pollock, 2010), and patient safety practices (Ironside, Jeffries, & Martin, 2009). In an integrative review, Weaver (2011) reported conflicting results of simulation studies, especially related to critical thinking.…”