Inclusion Criteria:  Aged over 18 years;  Students approved in the discipline related to nursing care for adult and elderly patients.  Exclusion Criteria:  Students who actively work in the scenario of patient care in critical and risk situations; Members of the Realistic Health Simulation League; Students with previous training in the health area (nursing technicians, firefighters, among others) ; Participants who for some reason are absent from one of the project stages.  -