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Date of Award


Degree Type

Restricted Thesis

Degree Name

Master of Science in Nursing (MSN)

First Advisor

Nola A. Schmidt


Nursing simulation is an innovative learning method that was introduced to nursing education to enhance and strengthen students’ experiences during patient-encounters. The nursing simulation involves briefing, simulation experience, and debriefing. However, this arrangement is not fixed and it could be modified for the teaching process. The purpose of this study was to explore the effect of repeated simulation experience post debriefing on the students’ self-confidence. This study was guided by Albert Bandura self-efficacy theory. A quasi-experimental one-group repeated measures design was used, and the independent variable of the study was a repeated simulation experience following debriefing with a dependent variable of student’s self-confidence. The study was conducted at the College of Nursing and Health Professions (CONHP) at Valparaiso University. A convenience sample involving junior and senior students (N = 127), who were enrolled during Nursing Care for Child bearing Family and Nursing Care for Child rearing Family course in fall 2016, was recruited. A self-reported modified General Self–efficacy Scale was used to measure student’s confidence by using Likert scale. The survey included two parts: (a) demographic form, and (b) the self-efficacy form. Students completed the self-efficacy survey three times: (a) at the beginning of the simulation, (b) following the first simulation experience and before debriefing, and (c) at the end of the repeated simulation. Findings showed a significant difference on the students’ self-confidence following repeated simulation experience. This finding could encourage nursing faculty to adopt or modify the repeated simulation experience as a perfect delivery method in nursing education.


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