In a larger qualitative study, Larew, Sessans, Spunt, Foster, and Covington (2005) used Benner’s theory to institute a simulation module into the curriculum of the University of Maryland Baltimore School of Nursing. In this study 190 adult health nursing students participated. The goal of the study was to develop protocol which would enhance the learning of novice nursing students. Benner’s theory predicts that nurses with more experience will identify problems with fewer, more subtle cues. The design of the study centered on common postoperative complications and the cues which are seen in postoperative patients. Escalating prompts were used in the scenarios. The baseline cues were provided in the medical record and a taped end of shift report. Students collected assessment data at the bedside. Prompts continue from vague to specific. Some students were able to respond to the vague prompts of the medical history and the report. Less experienced students required more specific, serious prompts as Benner’s theory predicted. The researchers presented students with one problem at a time rather than having multiple complications occurring at one time. Each student required a varying amount of time to assess the situation, process information, and organize. According to Larew et al., a strict time schedule would not be beneficial to the novice student, but students with successful outcomes showed improved levels of self confidence.