This article describes the context and student perceptions of integrating simulation into the baccalaureate acute and critical care nursing course.A total of 209 teaching evaluation tools completed by senior students from 2007 to 2010 were analyzed retrospectively.The response agreement on specific items was high; in addition, the effectiveness of simulation as a teaching strategy was elaborated by three themes that emerged from students’ comments: (a) More simulation experience is needed, (b) simulation should be introduced early in the program, and (c) simulation is a great way to learn.Simulation is an effective teaching strategy that can be successfully integrated throughout the baccalaureate nursing curriculum.