Prelicensure Nursing Student Perceptions of Replacing Traditional Clinical Hours With Simulation

The National Council of State Boards of Nursing recommends that high-quality simulation can replace up to 50% of traditional clinical hours; yet, little is known about nursing students' perceptions of this guideline.

This study explored student perceptions of replacing traditional clinical hours with simulation to inform curriculum planning and clinical education.

A descriptive cross-sectional survey examined students' understanding and perceptions of simulation as a replacement for traditional clinical hours. Quantitative findings and qualitative responses were considered together to identify patterns in students' perceptions.

Most students supported limited to moderate replacement of traditional clinical hours with simulation. Reported advantages included improved clinical judgment and reflection, efficiency, a controlled learning environment, and targeted skill development. Disadvantages included a lack of authenticity, limited professional identity development, and performance anxiety.

Student perceptions suggest that simulation and traditional clinical experiences each contribute unique learning opportunities, supporting the integration of both throughout the nursing curriculum.