Substitution of Clinical Experience with Simulation in Prelicensure Nursing Programs: A National Survey in the United States
Background: Some states allow simulation substitution of supervised clinical instruction. However, a review of the literature found that a standard substitution ratio for simulation hours to supervised clinical hours does not exist among prelicensure nursing programs.
Method: A descriptive survey was sent to more than 1,400 prelicensure schools of nursing.
Results: Schools of nursing reported various substitution ratios demonstrating ambiguity between institutions.
Conclusion: This study provided an initial view of current practices related to simulation as a substitution for supervised clinical experiences.
Breymier, Tonya L.; Rutherford-Hemming, Tonya; Horsley, Trisha Leann; Atz, Teresa; Smith, Lisa G.; Badowski, Donna; and Connor, Kelley. (2015). "Substitution of Clinical Experience with Simulation in Prelicensure Nursing Programs: A National Survey in the United States". Clinical Simulation in Nursing, 11(11), 472-478. https://doi.org/10.1016/j.ecns.2015.09.004