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

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.

Included in

Nursing Commons

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