Feature ArticlesTime-to-Task Validation in Sequential Simulations as a Component of Nursing Student CompetencyShinnick, Mary Ann PhD, RN, ACNP, CHSE-AAuthor Information Author Affiliation: UCLA School of Nursing, Los Angeles, California. The author declares no conflicts of interest. Correspondence: Dr Shinnick, UCLA School of Nursing, Room 3-956, 700 Tiverton, Los Angeles, CA 90095 ([email protected]). Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.nurseeducatoronline.com). Accepted for publication: June 1, 2020 Published ahead of print: July 12, 2020 Cite this article as: Shinnick MA. Time-to-task validation in sequential simulations as a component of nursing student competency. Nurse Educ. 2021;46(3):154-158. doi: 10.1097/NNE.0000000000000898 Nurse Educator: 5/6 2021 - Volume 46 - Issue 3 - p 154-158 doi: 10.1097/NNE.0000000000000898 Buy SDC Metrics Abstract Background Time goals have not been tested as a component of nursing competence. Methods Using a known-groups approach, a multisite study was performed on prelicensure nursing students (novices) and experienced nurses (experts) who participated in 2 simulations of patient deterioration with time goals. Video capture was achieved with an eye tracker. Results While all novices did not achieve the time goals in both simulations, there was a significant improvement between the 2 simulations (P = .04). Experts were more successful in achieving the time-to-task goals in both simulations (44% and 95%, respectively). Statistical significance was found between the novice and expert groups in achieving the time goal for both simulations (P < .01). Conclusions This study was able to differentiate the expert group as being more proficient in a timed assessment, although the novices showed improvement between 2 simulations. This illustrates an opportunity for skill development among novices in managing patient deterioration amenable to time as an objective assessment. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.