The National League for Nursing Project to Explore the Use of Simulation for High-Stakes Assessment: Process, Outcomes, and Recommendations.

Journal Article (Journal Article)


This project was designed to explore the feasibility of using simulation for high-stakes assessment in pre-licensure RN programs.


A think tank of experts recommended simulation scenarios suitable for assessing students at the end of their program. Two teams were formed: one to design the simulations, the other to develop the evaluation plan. Scenarios were piloted and refined, then sent to schools across the country. Student performances on video recordings were scored by raters.


Essential elements of simulation design, implementation, evaluation tools, and processes were found.


Well-designed and facilitated scenarios, delivered in the controlled environment of the simulation center, can be a reliable and valid tool for evaluating the clinical skills of students.

Full Text

Duke Authors

Cited Authors

  • Rizzolo, MA; Kardong-Edgren, S; Oermann, MH; Jeffries, PR

Published Date

  • September 2015

Published In

Volume / Issue

  • 36 / 5

Start / End Page

  • 299 - 303

PubMed ID

  • 26521498

International Standard Serial Number (ISSN)

  • 1536-5026

Digital Object Identifier (DOI)

  • 10.5480/15-1639


  • eng