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Sunderland Repository records the research produced by the University of Sunderland including practice-based research and theses.

Improving performance amongst nursing students through the discovery of discrepancies during simulation.

Unsworth, John, Melling, Andrew, Tuffnell, Chis and Allan, Jaden (2015) Improving performance amongst nursing students through the discovery of discrepancies during simulation. Nurse Education in Practice, 16 (1). pp. 47-53. ISSN 1471-5953

Item Type: Article


Discrepancy creation is a form of self-regulated learning which can be used to improve individual performance. Discrepancy can be created as a result of comparison against an occupational standard or when an individual strives to achieve higher personal goals. This study explores the process of discrepancy discovery and reduction following simulation sessions. Second year under-graduate nursing students undertook three simulation sessions over a one year period. After each session the participants completed a series of visual analogue scales to rate their own performance and the perceived performance of peers, final year student and a newly registered nurse. Once discrepancy had been identified, participants were asked to produce a short written action plan on how the discrepancy could be addressed and to work on this action plan between sessions.

A total of 70 students completed discrepancy scores for all three scenarios. The most common areas of discrepancy were understanding physiology, understanding medicines and pharmacology, patient assessment and handover (hand off). Wilcoxon Signed Ranks suggested a statistically significant difference between student scores in all areas with the exception of team-work. All of the participants used peers as their comparator when identifying discrepancy. There was also a statistically significant difference in the scores following each simulation session suggesting improved performance.

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More Information

Uncontrolled Keywords: simulation, goals, discrepancy, performance improvement, feedback
Depositing User: John Unsworth


Item ID: 8990
Identification Number:
ISSN: 1471-5953
Official URL:

Users with ORCIDS

ORCID for John Unsworth: ORCID iD

Catalogue record

Date Deposited: 26 Mar 2018 15:28
Last Modified: 18 Dec 2019 16:06


Author: John Unsworth ORCID iD
Author: Andrew Melling
Author: Chis Tuffnell
Author: Jaden Allan

University Divisions

Faculty of Health Sciences and Wellbeing
Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences


Education > Higher Education
Sciences > Nursing

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