Where Are We Now? A Follow-up Survey on Regulation of Simulation Use in United States Prelicensure Nursing Programs

Kim Curry-Lourenco, Cynthia Sherraden Bradley, Patti White, Ann Loomis, Reba Moyer Childress, K. T. Waxman

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Background: Approval of simulation in substitution of traditional clinical hours increased in nursing programs during the COVID-19 pandemic, yet these temporary and inconsistent between states. Variability and a return to “pre-pandemic” limits on simulation use amplify questions about consistency of learner outcomes. Methods: Boards of Nursing (BONs) of the United States and District of Columbia (DC) were queried to verify accuracy of simulation regulations posted on the International Nursing Association for Clinical Simulation and Learning (INACSL) regulatory map and to identify factors contributing to regulatory changes. Results: Approximately half of respondents indicated information posted on the INACSL regulatory map is accurate for their state. Almost 30% of respondents indicated information is not accurate. Some states could not confirm accuracy of simulation regulations posted. Conclusions: Many nursing programs expanded the use of simulation during the COVID-19 pandemic. Reverting to “prepandemic” limited simulation use presents a missed opportunity to advance nursing education and align simulation regulation with the growing body of evidence supporting its outcomes.

Original languageEnglish (US)
Pages (from-to)9-14
Number of pages6
JournalClinical Simulation in Nursing
StatePublished - Nov 2022

Bibliographical note

Publisher Copyright:
© 2022


  • clinical education
  • nursing education
  • regulation
  • simulation
  • state boards of nursing

PubMed: MeSH publication types

  • Journal Article


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