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Abstract
Due to the complex needs of hospitalized patients today, strategies to enhance nurses’ competence are gaining increasing interest. Simulation is one way in which nursing education addresses the development of competence and self-efficacy. Several studies have measured competence in simulation objectively, and some have explored how self-efficacy influences competence. Evidence related to the impact of pre-simulation assignments on novice nurses’ competence and self-efficacy, however, has yet to be established. Accordingly, the purpose of this body of research was to examine how various simulation preparation methods enhance novice nurses’ competence and increase self-efficacy.