Campus Location

Dallas Campus (Online)

Date of Award


Document Type

DNP Project



Degree Name

Doctor of Nursing Practice

Committee Chair or Primary Advisor

Dr. Sandra Cleveland

Second Committee Member or Secondary Advisor

Dr.Cheryal Green

Third Committee Member or Committee Reader

Dr. Christina Ryan


Resilience has become a popular topic in nursing research. Nurses experience enormous stress throughout their training process that extends into their first employment as they transition into practice. Simulation training is a standard for training nurses and for continuing professional education within academia. Most simulation training for nurses is focused on building critical thinking skills. While critical thinking is an essential quality equipping nurses to meet professional demands, resilience is a crucial quality to overcome the stress of both training and practice. Resilience is believed to play an essential role in the retention of new graduate nurses and preventing burnout creating longevity in clinical practice and efficiently coping with adversities and traumatic exposure often seen in the clinical setting. While there are many factors that influence resilience, this study used reflective questions related to Bandura’s (2009) model of mindfulness and self-efficacy in concert with Swift River computer virtual clinical simulation. The resilience scores of nurses before and after completing virtual computer simulation with reflective questions were compared. Resilience was measured using the Connor-Davidson Resilience Scale. The resilience score of the graduate nurses was lower than the national average both in the beginning and after the simulation. While this comparative study showed no statistical evidence using a single simulation exercise, more longitudinal studies are needed, as the virtual simulation is here to stay, and resilience continues to be a concern.

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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