This quality improvement project focused on reducing simulation-related anxiety and stress and building confidence in nursing students. The authors evaluated two methods to provide orientation to simulation on the first simulation day: the traditional faculty-led orientation and interactive orientation led by a high-fidelity simulator. Given the small sample size, there was no statistical difference in student-reported anxiety or stress; there was one significant difference in confidence. Qualitative data provided valuable qualitative feedback about the simulation experience that will be used to enhance future simulations.
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