Outcomes Educating Nursing Students Using an Evolving, Simulated Case Scenario

Jacqueline K. Riley-Baker, Bertha E. Flores, Stacey Young-McCaughan

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background: With patients becoming more complex and presenting with multiple comorbid diagnoses, exposing students to multidimensional care situations in a controlled, simulated environment is one way to better prepare nursing students to enter clinical practice. The National League for Nursing Advancing Care Excellence for Veterans (ACE.V) developed an unfolding case study of a pregnant veteran with posttraumatic stress disorder to train nursing students in a simulation laboratory. Method: This is a descriptive evaluation of safety, communication, assessment, and educational intervention skills of 253 undergraduate nursing students undergoing training using the ACE.V in three simulated environments: in a short-stay mental health care unit, at home, and in an obstetrical unit. Results: Across the four skill sets, students were most likely to achieve the communication skills. Students' skills improved as the case evolved through the three time-sequenced care environments. Conclusion: The use of a simulated, evolving case scenario was an effective method of exposing nursing students to complex patient care.

Original languageEnglish (US)
Pages (from-to)7-17
Number of pages11
JournalClinical Simulation in Nursing
StatePublished - Feb 2020


  • behavioral health
  • nursing education
  • obstetrics
  • simulation
  • unfolding case study
  • veteran healthcare

ASJC Scopus subject areas

  • Modeling and Simulation
  • Education
  • Nursing (miscellaneous)


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