According to National League for Nursing, “Simulation provides a rich learning opportunity for students to integrate theory with practice while making real-time clinical decisions in an environment that poses no risk to patients.” just as this study was conducted to aid nurses’ knowledge and self-confident to identify deteriorating patients on step-down cardiac unit. I agree with Chelsea that both questions were addressed in the article, The effect of unit-based simulation on nurses’ identification of deteriorating patient. The simulation education showed positive results for both knowledge and self-confident with significant increase where knowledge scored from 72.73 to 81.82 and self-confident scored from 4.40 to 4.59. The Jeffries’ Nursing
