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.