The Maryland Clinical Simulation
(MCSRC) was funded to increase the quality and quantity of simulation
used in nursing education.
Schools of nursing are substituting simulation
for clinical experience without requisite knowledge of simulation
The MCSRC developed a statewide curriculum model
for a 3-day train-the-trainer
program framed in theory and grounded in evidence. The program teaches nurse educators
across 3 levels: novice, competent, and expert.
The evaluation plan was developed using Kirkpatrick's 4 levels to measure outcomes of the program. Self-confidence, satisfaction, knowledge, and behavioral changes have been realized. Nurse educators
are now using theory, standards, and guidelines when conducting simulation
The curriculum model has proved effective in increasing the quality and quantity of simulation
used in educating Maryland's nurses. To date, 154 nurse educators
have participated in the train-the-trainer