Date of Conferral



Doctor of Education (Ed.D.)




Marilyn K. Wells


Due to the shortage of clinical sites, nursing educators, deans, and directors are compelled to implement alternative clinical solutions such as high-fidelity simulation (HFS). The problem is that nursing educators are often not prepared to implement HFS as a teaching strategy. Faculty readiness is imperative for a successful simulation program and student outcomes. Therefore, the purpose of this study was to investigate the perceptions and practices of faculty, deans, and directors on the implementation of HFS across the nursing curriculum. Kolb's experiential learning theory provided the theoretical support for both the teaching and learning required by faculty for a successful simulation program. The key research question was to investigate how nursing educators perceived the implementation of HFS across the curriculum and how nursing deans and directors provided support for integrating HFS throughout the curriculum. The study population included 13 nursing faculty and 7 deans using simulation at prelicensure programs. Data collection included interviews, observations of simulation labs, and document analysis. Data were analyzed using open and priori coding. Five themes emerged relating to need for faculty development, need for time, need for resources, need for space, and need for support. These findings were consistent with the literature. Based on the findings, a professional development program in simulation pedagogy was developed. The faculty development program could lead to a positive social change by reducing barriers and increasing the use of simulation. Increasing the use of simulation allows nursing students to practice clinical reasoning skills and gain confidence and competence with the goal of improving patient outcomes.