Simulation in RN education in a North Dakota: Potential for increasing program capacities while decreasing clinical...

Capacity of nursing programs is constrained by the availability of clinical sites and number of qualified faculty, especially in rural states. Evidence demonstrates up to 50% of clinical hours via simulation has the same student outcomes. It is unknown whether registered nursing (RN) programs in North Dakota (ND) are maximizing simulation use.

To determine the extent of simulation use in ND RN programs; identify barriers programs may have to increasing simulation use; ascertain whether programs are using simulation hours to replace clinical hours; and evaluate whether this substitution is primarily due to lack of clinical placement sites.

A descriptive study was conducted utilizing a survey instrument distributed to all fourteen nursing schools in ND.

Eleven schools responded, representing nineteen RN programs. Simulation hours increased by 354% in five years, while RN graduations have grown 29%. A shortage of clinical sites was the main impetus behind an increase in simulation. Expansion of simulation is constrained by limited faculty, insufficient equipment, and inadequate funding.

Potential for increased enrollment in RN programs across ND exists with proper funding, equipment, and trained faculty to expand simulation programs.