Degree Name
Nursing Practice, DNP
Publication Date
4-30-2026
First Advisor
Lisa Drake
Second Advisor
Chandra Carter
Abstract
This quality improvement project aims to address the need for innovative teaching strategies to meet the demands of licensure exams and the increasing complexity of patient care. Evidence supports simulation-based learning as an effective method to enhance critical thinking and clinical judgment; however, faculty members lack confidence in implementing innovative strategies in their courses. The purpose of this project is to determine whether a standardized escape room simulation tool would impact faculty’s self-confidence in developing and implementing simulation-based activities. Guided by the National League for Nursing (NLN) Jeffries Simulation Theory and Lewin’s Change Theory, the project evaluates the change in faculty self-confidence. A quasi-experimental pre- and post-design was used to determine self-confidence in undergraduate nursing faculty at a university-based undergraduate nursing program. The Laerdal’s Escape Room Simulation Workbook was implemented using the Plan-Do-Study-Act (PDSA) framework to guide the project. Data was collected using the NLN Student Satisfaction and Self-Confidence in Learning Survey and analyzed using a paired samples t-test. Although there was a small sample size, the findings revealed statistically significant (p < 0.001) improvement in faculty’s self-confidence from a mean score of 26.46 pre-intervention to 44.38 post-intervention, reflecting an improvement. The results support the use of a standardized tool in order to incorporate simulation-based teaching strategies in nursing courses. This project supports the integration of structured faculty development to enhance simulation use, improve teaching practices, and strengthen student outcomes, contributing to quality nursing education and student readiness.
Rights Management
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Moore, Farren M., "Quality Improvement Project: Impact of an Escape Room Simulation Tool on Nursing Confidence" (2026). Doctor of Nursing Practice Projects. 314.
https://arch.astate.edu/dnp-projects/314
