Simulation-based clinical education includes the use of devices, trained people, lifelike virtual environments, and role-playing, not just handling mannequins. With realistic clinical scenarios, simulation-based educational interventions in nursing can train novice as well as experienced nurses, helping them to develop effective non-technical skills, practise rare emergency situations, and provide a variety of authentic life-threatening situations. Both simulation and traditional teaching approaches are useful tools for teaching the learning process. Though both the techniques are effective in teaching nursing students, investigators identified few research gaps in both the novel teaching methods. Furthermore, in the revised basic B.Sc. nursing curriculum 2021, the Indian Nursing Council included simulation-based teaching. All these factors motivated the investigator to conduct a study on effectiveness of simulation on self-efficacy, learning, and confidence among nursing students in North India with the aim of closing the research gaps.

A randomised control trial will be conducted among nursing students in Northern States of India. The prefinal and final undergraduate nursing students will be assigned to either a simulation, or traditional teaching method. The students will learn about Myocardial Infarction Management Bundle (MIMB) through any one of the two teaching methods. The trial aims to determine the effectiveness of simulation on self-efficacy, learning and self-confidence among nursing students. Students’ self-efficacy, learning and self-confidence will be assessed by using modified universal self- efficacy scale and modified Chamberlain Learning and Self-Confidence tool. The secondary outcome is to determine change in the level of knowledge on cardiovascular assessment, monitoring of the patient, ECG identification of Myocardial Infarction, Laboratory investigation, Medical and Nursing management of Myocardial Infarction.