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Updated: Mar 30, 2026

Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
The National League for Nursing Project to Explore the Use of Simulation for High-Stakes Assessment: Process,
Aim:
This project was designed to explore the feasibility of using simulation for high-stakes assessment in pre-licensure RN programs.
Method:
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.
Results:
Essential elements of simulation design, implementation, evaluation tools, and processes were found.
Conclusion:
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.
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Reliability and Validity
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...