The National League for Nursing Project to Explore the Use of Simulation for High-Stakes Assessment: Process, Outcomes, and Recommendations.

AIM:This project was designed to explore the feasibility of using simulation for high-stakes assessment in pre-licensure RN programs. METHOD:A think tank of experts recommended simulation scenarios suitable for assessing students at the end of their program. Two teams were formed: one to design the simulations, the other to develop the evaluation plan. Scenarios were piloted and refined, then sent to schools across the country. Student performances on video recordings were scored by raters. RESULTS:Essential elements of simulation design, implementation, evaluation tools, and processes were found. CONCLUSION:Well-designed and facilitated scenarios, delivered in the controlled environment of the simulation center, can be a reliable and valid tool for evaluating the clinical skills of students.