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Nurs Educ Perspect
October 2021
About the Authors The authors are faculty at the University of North Alabama Anderson College of Nursing and Health Professions, Florence, Alabama. Wendy Darby, PhD, NP-BC, CNE, is a professor. Melissa DeFoor, MSN, RN, CLD, LCCE, is a lecturer. Neysa Brown, MSN, RN, is a lecturer. Tera Kirkman, EdD, is an associate dean and professor. The authors are grateful to Dr. Vicki Pierce, dean of the Anderson College of Nursing and Health Professions, for her support of this research project. For more information, contact Dr. Darby at
A digital count-up clock was incorporated into a multiple-patient simulation that required nursing students to respond to laboratory values and administer medications in a timely fashion. This study utilized observational methodology to analyze student response times and leadership behaviors. Results indicated a count-up clock can be utilized to assess attainment of patient safety competencies.
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