Featured Article| Volume 16, P33-39, March 2018

Intraprofessional Simulation's Impact on Advanced Practice and Baccalaureate Student Self-Efficacy

Published:December 12, 2017DOI:


      • Self-efficacy has been shown to positively influence the delivery of quality nursing care.
      • Intraprofessional (IP) peer learning activities enhance student self-efficacy.
      • Leadership and communication skills are improved by IP peer learning activities.
      • IP simulation enhances nursing students' understanding of advanced practice roles.



      Benefits of peer learning activities among students have been well documented. According to Bandura's social cognitive theory, self-efficacy positively influences the delivery of quality nursing care. A pediatric simulation with peer learning and advanced practice nursing (APN) students was conducted to foster self-efficacy in baccalaureate in nursing (BSN) students.


      A pre–post quasi-experimental design was used to evaluate the simulations' effect on student self-efficacy in a convenience sample of BSN students at a Midwest Jesuit university.


      More than 90% of BSN students agreed that they benefited from the simulation in the areas of leadership, skill development, communication, and collaboration. In addition, a statistically significant increase (p < .0001) in BSN students' reported understanding of the roles and relationships between a physician, APN-, and a BSN-prepared nurse was revealed.


      Intraprofessional nursing peer learning activities can enhance students' self-efficacy. Future studies should include objective measurements of student clinical performance and intraprofessional collaboration with correlational analysis of both BSN and APN student self-efficacy.


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      1. American Association of Colleges of Nursing (AACN). (2012). New AACN data confirm that more nurses are advancing their education—A trend that enhances patient safety and healthcare quality [press release]. Retrieved from

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