“…It is already an established opinion that students achieve high scores in self‐confidence and satisfaction (Cant & Cooper, ; D'Souza, Arjunan, & Venkatesaperumal, ; Lapkin, Levett‐Jones, Bellchambers, & Fernandez, ). While students report that they are generally satisfied with and achieve self‐confidence from simulation experiences (Foronda et al, ; Haddeland et al, ; Merriman et al, ; Skrable & Fitzsimons, ; Tosterud, Hedelin, & Hall‐Lord, ; Tosterud, Petzall, Hedelin, & Hall‐Lord, ), researchers have paid comparatively little attention to identifying the elements in simulation that are associated with these positive outcomes. To our knowledge, only two studies have examined the associations between elements in scenario‐based simulation and students' self‐confidence and satisfaction as outcome measures (Smith & Barry, ; Smith & Roehrs, ).…”