Competence Acquisition Using Simulated Learning Experiences: A Concept Analysis

AIM To report the findings of an analysis of the concept of competence acquisition when determined using simulated learning experiences. BACKGROUND Competence of nursing students prior to entry into practice has been stressed by the Institute of Medicine. Competence can be evaluated via simulation; however, evaluation practices vary among schools of nursing. The link between competence acquisition in simulation and clinical competence has not been determined. METHOD Employing the methodology of Walker and Avant (2011), articles included in this analysis were published in English in peer-reviewed journals from 2002 to 2012 and contained information on simulation outcomes related to competence. Thirty-five articles and one text were included in the final analysis. RESULTS Essential elements of competence acquisition identified included authentic environment, demonstration, and evaluation. CONCLUSION Use of a consistent language and framework to evaluate competence acquisition in simulation is recommended, as is future research to test the constructs.