“…Researchers examining the use of simulation in APN education found increases in student satisfaction, confidence, and knowledge ( Nye, 2021;Pittman, 2012;Rutherford-Hemming, Nye, & Coram, 2016;Warren, Luctkar-Flude, Godfrey, & Lukewich, 2016 ). In addition, simulation enhanced communication skills ( Bays et al, 2014 ;Curtis et al, 2013 ;Koo et al, 2014 ;Phillips, Lie, Encinas, Ahearn, & Tiso, 2011 ;Yuasa et al, 2013 ), and clinical performance ( Bays et al, 2014 ;Curtis et al, 2013;Fleming et al, 2009;Gasko et al, 2012;Paige et al, 2014 ;Rutherford-Hemming, 2012 ).…”