This paper highlights findings from a literature search to examine the effects of patient simulation on students' self-efficacy and confidence. The old teaching method of "see one, do one and teach one" which has long been used to teach nursing skills and to promote the acquisition of clinical expertise is no longer accepted as the best way to teach students. A nurse's confidence in her/his ability is essential for good patient care. Only when nursing students have confidence in their own abilities are they able to shift focus to the needs of their patients. Shifting from their own needs to that of a patient is essential to being a safe and competent practitioner. A literature review was conducted to examine the available research findings relating to self-efficacy in the education of nurses, high-fidelity patient simulation effect on nurses' self-efficacy, and the effectiveness of high-fidelity simulation and its challenges.
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