Creating and Implementing an Unfolding, Multisetting Simulation in a Postbaccalaureate Nursing Program

In an effort to better prepare students for practice in a complex health care environment, a unique, unfolding, multisetting simulation was implemented in a postbaccalaureate nursing program. Through a collaborative process, instructors with varied expertise in medical-surgical, community health, and mental health nursing created scenarios that followed a single patient over time as he received community health services, hospitalization, and discharge for home care. Students were able to view the patient from the perspective of multiple nursing roles. Opportunities to address acute, chronic, and mental health care needs were key features of the simulation. This article describes the process of creating, implementing, and evaluating the unfolding, multisetting simulation.