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...Introduction complex chaotic hospital environment novice nurses need leadership skills marquis huston feel unprepared to handle difficult challenging clinical radovich et al retention rate for new rn s which means leave their jobs during first year blegen kovner transformational proposal implement a multi case simulation final semester course change from group of students caring patient would care multiple patients use cases content taught in previous medical surgical courses no prep the night before do not work culminating experience planning cc coordinator graduate student initial pilot fall purpose goals define how simulated learning simulations can enhance and address lack transition nursing practice conduct an evaluation current determine perceived confidence with providing independent manner if enhanced needed such as delegation conflict management critical thinking methods seniors participated spaced activities utilizing included standardized live high fidelity manniquins sign c...