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Comparison of Clinical Options: High-Fidelity Manikin-Based and Virtual Simulation
Desiree A Díaz1, Mindi Anderson, Peggy P Hill
1Author Affiliations: Assistant Professor (Dr Díaz), Associate Professor (Drs Anderson and Quelly), Instructor (Ms Hill), and Research Assistant (Ms Lynn), Department of Nursing Practice, University of Central Florida, Orlando; and PhD Candidate (Ms Clark), School of Nursing, Community Health Systems, University of California, San Francisco.
Background:
Minimal evidence compares nursing student outcomes when replacing clinical hours with manikin-based high-fidelity patient simulation (HFPS) or virtual simulation.
Purpose:
The study aims were to compare differences in outcomes: (1) between 2 intervention groups (HFPS or virtual simulation) when replacing 25% of pediatric/obstetrics clinical hours and (2) pass/fail for clinical practice between the intervention groups and a face-to-face clinical group (control).
Methods:
A quasi-experimental study was conducted to determine differences in knowledge between intervention groups participating in 6 pediatric/obstetrics simulation scenarios.
Results:
No differences in composite knowledge were found between simulation groups (P = .319). There also was no difference in clinical practice pass/fail among the groups.
Conclusions:
HFPS and virtual simulation were equally effective in achieving learning goals.

