Abstract: Background: The survey was used to identify current nursing simulation practices of the INACSL membership.Method: The similarities between U.S. and international responders identified: (a) the education/experience of simulation educators, (b) use of a theory/conceptual framework, (c) use of commercial based simulation products and internally created scenarios, (d) interprofessional simulation, (e) student roles played in simulation, (f) regulation of simulation by licensing/governing body, and (g) simulations based on objectives.Results: Significant differences were noted: (a) mandatory viewing of recording, (b) length of debriefing time, (c) ratio of simulation counted as clinical hours, (d) use of National League for Nursing simulation products, and (e) use of summative evaluation.Conclusion: Study findings provide a global perspective and identify opportunities for research in nursing education.