Student Theses, Dissertations and Capstones

Document Type


Degree Name

Doctor of Philosophy (PhD) in Nursing Education

Copyright Statement

All rights reserved. This publication is intended for use solely by faculty, students, and staff of Nova Southeastern University. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, now known or later developed, including but not limited to photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author or the publisher.


College of Nursing

First Advisor

Julia Aucoin

Date of original Performance / Presentation


Publication Date / Copyright Date



Nova Southeastern University


As technology has grown, many healthcare professions’ programs, including nursing, have incorporated simulation into their curricula. Overwhelmingly, research has highlighted the last phase of simulation, debriefing, as the most important component influencing learning outcomes, with limited focus on prebriefing. The purpose of this study was to describe the influence the prebriefing phase during simulation has on undergraduate nursing students’ perceptions of overall simulation effectiveness, learning, and self-confidence. Situated learning theory was selected to guide the research design due to its unique view that learning is a social process that is enhanced within the authentic environment. The quasi-experimental design study compared outcomes among 4 groups: (a) no prebriefing, (b) prebriefing learning-engagement and orientation activities, (c) prebriefing orientation activities only, and (d) prebriefing learning-engagement activities only. Findings of the study indicated that undergraduate nursing students’ perceptions of overall simulation effectiveness (p = .000), learning (p = .000), and self-confidence (p = .000) were significantly higher with the use of prebriefing compared to no prebriefing; however, there was no significant distinction (p >.05) among which activity in prebriefing (learning-engagement activities or orientation tasks) was most valued by students. Observations made during the study support the need for both learning-engagement and orientation activities during prebriefing to enhance overall simulation effectiveness.





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Nursing Commons