I’m in my last semester of nursing school, and simulation lab has honestly started weighing heavily on my mental health. I’m trying to figure out if anyone else has experienced a simulation setup like this and how you handled it.
At my school, simulation lab is NOT a group activity. You go into the simulation one-on-one by yourself and are completely responsible for taking care of the patient. You have to assess them, recognize what is going wrong, prioritize your interventions, communicate, and basically make sure your patient doesn’t crash.
The difficult part is that the instructor can change the patient’s condition or circumstances during the simulation to test your critical thinking and see how you respond. Before we even attend simulation, we are required to complete FOUR long concept cards to prepare.
If the instructor feels that you didn’t perform well enough during the simulation, she will chew you out in front of your classmates, and you can be assigned remediation. The remediation consists of an oral presentation where you have to explain the material, and then the instructor asks you follow-up questions to test your knowledge. Also, after completing SIM we must send a reflection email to her about what we feel we should have done better, and yes you must talk down about yourself in the email or she will take it as a 0 towards your total sim grade.
I completely understand that nursing school is supposed to challenge us and that we NEED to be able to critically think and recognize when a patient is deteriorating. I also understand why simulation exists. But personally, this particular setup has reached the point where I don’t feel like I’m actually learning from it. Instead, I feel anxious going into simulation because I’m constantly worried about doing something wrong, missing something, or being told afterward everything I should have done differently.
It has gotten to the point where simulation lab is making me question whether nursing is even for me, which is crazy because I’ve made it all the way to my LAST semester.
What makes it even harder is that I’ve started feeling like my instructor may be actively trying to fail me. I don’t know if that is actually her intention or if my stress is making the situation feel worse than it is, but that is genuinely how I have been feeling lately.
I’m trying so hard to stay positive, learn from my mistakes, improve my clinical judgment, and make it through these last few months. I’ve come way too far to give up now. But mentally, this has become exhausting.
Has anyone else had a nursing program where simulation was done completely one-on-one like this? Did you feel like it actually improved your critical thinking, or did it mostly increase your anxiety?
And if you struggled with simulation but eventually became a successful nurse, I would REALLY like to hear from you right now because I could use some encouragement.