Abstract
This study evaluated the effectiveness of near-peer simulation (NPS) in supporting competency development among graduate nurse practitioner students.
A mixed-methods design was used across 2 cohorts. Senior students facilitated competency-based primary care simulations for junior students. Data were collected using the Simulation Effectiveness Tool–Modified and open-ended questions.
Participants reported positive perceptions of NPS, with improved Simulation Effectiveness Tool–Modified scores in cohort 2. Themes included increased confidence, clinical reasoning, psychological safety, collaboration, mentorship, and professional growth.
NPS enhanced competency development, communication, clinical preparedness, leadership, and learner confidence, supporting its use in competency-based graduate nursing education.
•Near-peer simulation supported competency development among graduate nurse practitioner students.•Senior students strengthened leadership, communication, and professional role development through facilitation.•Junior students reported increased confidence, clinical reasoning, and preparedness for primary care practice.