Kaddoura (2010

To investigate the effects of simulation on the clinical decision making of new graduate nurses during hospital orientation

n = 10


Simulation helped the new nurses to solidify cognitive and psychomotor skills, sharpen their critical-thinking and leadership skills, and manage stress in critical situations.

Maneval et al. (2012)

to measure clinical decision making at the beginning and again at the conclusion of the 10-week orientation.

n = 26

a quasi-experimental study

Although scores for both groups improved from pre-test to post-test, no significant differences were found between the groups on either measure

Smith and Roehrs (2009)

To explore the effects of a high-fidelity clinical simulation experience with junior level baccalaureate nursing students enrolled in a medical/surgical course

n = 68

correlational study

Nursing students were satisfied and self-confident following their participation in the clinical simulation experience.

Prescott and Garside (2009)

to evaluate simulation strategies used to educate second-year diploma nursing students

n = 73

a mixed method approach

students noted that they felt more competent and confident in their skill level

Tawalbeh & Tubaishat (2013)

To examine the effect of simulation on nursing students’ knowledge of advanced cardiac life support (ACLS), knowledge retention, and confidence in applying ACLS skills.

n = 82

randomized controlled design study

The experimental group showed higher knowledge of ACLS and higher confidence in applying ACLS, compared with the control group.

Omer (2016)

to explore the perception of nursing students on their satisfaction and self-confidence after clinical simulation experience

n = 117

Correlational study

Participants indicated that they have high level of confidence in their abilities to conduct, appropriate health assessments, perform effective intervention, participate as an effective team member and recognize patient deterioration events.

Lubbers & Rossman (2016)

to determine the effects of a Pediatric community simulation experience on the self-confidence of nursing students in a private, liberal arts college in the Midwestern United States

n = 44

a quasi-experimental study

The results revealed that students who took the Pediatric Community Based Simulation course reported higher self-confidence after the course than before the course.

Sapyta & Eiger (2017)

to evaluate the impact of simulation on nurses’ knowledge, confidence, and accuracy of code documentation

n = 48

quasi-experimental design

There was a statistically significant increase in confidence following participation in the simulation session (p <0.001)

Saied (2017

to evaluate the effect of using a simulation based scenarios on the pediatricnursing students’ knowledge, self-efficacy, satisfaction, and confidence

n = 158

quasi-experimental design

Students were satisfied with the simulation experience and their self-confident scores were higher after the simulation session.