Promoting continuing competence and confidence in nurses through high-fidelity simulation-based learning.

In many health care settings, nurses are challenged with higher acuity patients in technical and evolving environments. Practicing nurses are expected to adapt by independently acquiring new clinical knowledge through experience and independent study. However, health care institutions have struggled with providing quality patient care and supporting nurses' learning through experience at the same time. High-fidelity simulation-based learning addresses this need by providing no-risk experiential learning that expands skills without jeopardizing patient safety. There is limited literature discussing the use of high-fidelity simulation-based learning in continuing competency and staff development for practicing nurses. This article identifies opportunities for employers to use high-fidelity simulation-based learning programs that promote continued competency and confidence in practicing nurses.