Nursing Research and Practice of deliberate practice and expertise provides a framework for educators to use in assisting nurses and nursing students in achieving these skills. The results of this study demonstrate that improvement can be seen over time as students practice those skills. However, this improvement will need to be reinforced through subsequent simulations, and SL can provide a less expensive training environment that can be used to practice many nontechnical skills such as clinical judgment, teamwork, leadership, and communication. It can also provide an opportunity for nurses to participate in simulations from home or anywhere they can access the internet, providing educators with a new, ﬂexible option for training. In addition, this method of simulation may maximize opportunities for multidisciplinary teams to inter- act and practice necessary skills for high quality of care. 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