Implications for practice and research

• A well-structured resuscitation simulation can improve nursing students’ self-efficacy, whether or not it ends with the death of the manikin.

• Future research should examine the impact of manikin death on other essential factors that contribute to nursing students’ learning.

Context

Simulation is widely used to train nursing students in assessing and managing cardiac arrest. However, considerable debate has been about whether the manikin should die due to unsuccessful cardiopulmonary resuscitation in simulation. Some believe that it could cause undue stress and interfere with learning.1 Others argue that death after resuscitation is expected and that successful resuscitation in every simulation distorts reality.2 This study aimed to examine whether …