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This study introduces a competency-based education (CBE) simulation curriculum for nursing students. The tiered simulation approach significantly improved student competency in essential nursing skills.

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Area of Science:

  • Nursing Education
  • Competency-Based Education
  • Simulation-Based Learning

Background:

  • Experiential learning is key to competency-based education (CBE).
  • Limited guidance exists for nurse educators transitioning to CBE.
  • Structured curricula are needed to operationalize CBE in nursing programs.

Purpose of the Study:

  • To describe a semester-long CBE simulation curriculum for third-year nursing students.
  • Utilized the SimZone (Zone 0-3) framework for structured learning progression.
  • Aimed to provide a practical model for implementing CBE in nursing education.

Main Methods:

  • Zone 0: Foundational knowledge acquisition.
  • Zones 1 & 2: Objective Structured Clinical Examination (OSCE) preparation labs for deliberate skill practice and small group simulation.
  • Zone 3: Summative OSCE for evaluation.

Main Results:

  • Student performance assessed on patient safety, clinical judgment, assessment, and communication (n=107).
  • Initial competency reached by 64% of students, increasing to 92% after practice, and 100% after further iteration.
  • Students engaged in self-reflection through OSCE recording review and written assignments.

Conclusions:

  • The described leveled simulation curriculum can serve as a model for nursing programs.
  • Iterative learning and simulation are effective for implementing competency-based curricula.
  • This approach enhances student readiness and competency in nursing practice.