“…This level of rigor enables the authors to statistically estimate skill performance, in order either to compare group performance (see Arnold et al, 2009, andWhyte et al, 2010) or to determine changes over time as a result of the simulation experience (see Shephard, McCunnis, Brown, & Hair, 2009) and is more typical of health professional and medical or graduate nursing education than of undergraduate nursing education. Some authors used secondary analysis of the video recordings to determine needed curriculum improvements, particularly for nursing and medical staff and/or medical resident and nursing students (Anderson et al, 2006;Daniels et al, 2008).…”