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    Prelicensure nursing students are ready for peer-assisted learning and simulation to prepare for national exams. This approach enhances readiness for programmatic exit and licensure examinations, despite student anxiety.

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    Area of Science:

    • Nursing Education
    • Health Professions Education
    • Simulation-Based Learning

    Background:

    • Prelicensure nursing students require effective preparation strategies for programmatic exit and national licensure examinations.
    • Anxiety is a common concern for nursing students facing high-stakes assessments.
    • Integrating innovative teaching methods is crucial for enhancing student readiness.

    Purpose of the Study:

    • To explore prelicensure baccalaureate nursing students' perceptions of peer-assisted learning combined with simulation-based education.
    • To assess the impact of these combined strategies on readiness for programmatic exit and national examinations.
    • To identify opportunities for integrating peer learning and simulation in transition-to-practice programs.

    Main Methods:

    • Convergent parallel mixed-methods study design.
    • Involved a nonprobability convenience purposive sample of 17 prelicensure baccalaureate nursing students.
    • Data collected on student perceptions and readiness for examinations.

    Main Results:

    • Prelicensure nursing students demonstrated readiness to engage in peer-assisted learning strategies.
    • Simulation-based education combined with peer learning effectively enhanced preparation for programmatic and licensure examinations.
    • Varied levels of anxiety were reported by students but did not impede engagement.

    Conclusions:

    • Peer-assisted learning integrated with simulation-based education is a viable strategy for preparing nursing students for licensure.
    • Healthcare educators can leverage findings on anxiety and teaching preferences to optimize transition-to-practice programs.
    • This approach offers a valuable model for enhancing nursing student preparedness in the current healthcare landscape.