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Methods: This evaluation involved a quasi-experimental pre-post design, a quantitative analysis exploring the participants' self-efficacy and a qualitative analysis of the open-ended questions. Findings: The quantitative analysis found a statistically significant difference in all 10 domains in the learners' self-efficacy scores. The qualitative analysis identified four themes: self-efficacy; course challenges; optimised learning; and course design and development. Conclusion: This blended course, which included virtual simulation, increased the self-efficacy of the specialist nurses and met their learning needs. 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