Date of Award

Fall 12-16-2017

Document Type


Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

Leslie C. Moore, PhD, RN, CNE, MBA

Second Advisor

Debbie Greene, PhD, RN, CNE

Third Advisor

Joan S. Cranford, EdD, RN


Background: Due to large class sizes and limited resources, students participating in high-fidelity simulation experiences may be assigned to an observer role as opposed to an active, nursing role. It is important for educators to determine if anxiety levels and student learning outcomes are comparable regardless of role.

Methods: A quasi-experimental correlational study composed of 132 prelicensure baccalaureate students was conducted.

Results: There were no significant differences between simulation roles for anxiety levels and perceived outcomes for satisfaction, self-confidence in learning, clinical ability, problem solving, confidence in clinical practice, and collaboration.

Conclusions: These findings suggest that either role is an appropriate assignment during simulation.

Included in

Nursing Commons