Date
4-29-2026
Department
School of Nursing
Degree
Doctor of Philosophy in Nursing (PhD)
Chair
Theresa M Pape
Keywords
Hyper-realistic simulation, nursing education, nursing confidence, mass casualty, satisfaction
Disciplines
Nursing
Recommended Citation
Nutter, Melodie Ann, "The Effect of a Mass Casualty Incident Adult Hyper-Realistic Simulation on Nurse Confidence Levels and Satisfaction of Nurses: A Quasi-Experimental Study" (2026). Doctoral Dissertations and Projects. 8221.
https://digitalcommons.liberty.edu/doctoral/8221
Abstract
The purpose of this quantitative quasi-experimental study was to examine registered nurses (RNs) satisfaction and confidence levels after experiencing hyper-realistic simulations using a mass casualty incident (MCI) simulation method. With the world seeing a rise in MCI events, nurses often become one of the first professional medical providers to interact with the affected individuals. To fill this gap in education, the introduction of intensive hyper-realistic simulation training plays a vital role and provides an advanced perspective on the ever-increasing MCIs in today’s healthcare environment. This quasi-experimental study, using the Wilcoxon rank test and paired, assessed the satisfaction and confidence levels of RNs before and after participating in hyper-realistic simulations utilizing an MCI education method. The study used the National League of Nursing (NLN) Student Satisfaction and Self-Confidence in Learning instrument to assess participants' satisfaction with a simulated activity and their self-confidence in learning. Participant demographics were collected using a standard form. The study was rooted in Knowles adult learning theory and employed a research design with varying exposure lengths to the MCI education program. A baseline educational assessment was conducted before the MCI education and again after completing 12 hours of hyper-realistic simulation education. The data were derived from a minimum sample size of 27 participants, as determined by G* power analysis.
