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To die or not to die: manikin death in resuscitation simulation does not impact nursing students’ self-efficacy
  1. Alexandra Lapierre,
  2. Patrick Lavoie
  1. Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada
  1. Correspondence to Alexandra Lapierre, Université de Montréal, Montreal, QC H3T 1A8, Canada; alexandra.lapierre{at}

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Commentary on: Tucker G, Urwin C, Unsworth J. The impact of unsuccessful resuscitation and manikin death during simulation on nursing student’s resuscitation self-efficacy: A quasi-experimental study. Nurse Educ Today. 2022 Dec;119:105587. doi: 10.1016/j.nedt.2022.105587. Epub 2022 Oct 4.

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.


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 …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.