The authors, faculty at the School of Nursing and Midwifery at Monash University, Churchill, Victoria, Australia, reviewed the quantitative research comparing medium to high fidelity simulation using manikins with other educational strategies in nursing education. Of 2019 studies reviewed the authors only found 12 that meet the criteria. According to the authors all 12 studies reported statistical improvements in the areas of critical thinking, confidence and/orknowledge/skills after participating in the simulation, however, only six of the studies showed additional gains in these areas when compared to other teaching strategies. The review was well researched with very specific criteria for inclusion. The limited number of studies that met the criteria demonstrates the need for more quantitative studies comparing medium to high fidelity simulation using manikins with other educational strategies in nursing education.