Background: Some states allow simulation substitution of supervised clinical instruction. However, a review of the literature found that a standard substitution ratio for simulation hours to supervised clinical hours does not exist among prelicensure nursing programs.

Method: A descriptive survey was sent to more than 1,400 prelicensure schools of nursing.

Results: Schools of nursing reported various substitution ratios demonstrating ambiguity between institutions.

Conclusion: This study provided an initial view of current practices related to simulation as a substitution for supervised clinical experiences.