Producing competent graduate advanced practice nurses who will be able to function in the current healthcare environment requires a quality education with the development of critical thinking through experiential learning. Simulation in undergraduate education has been extensively studied and shown to enhance the quality of nursing education. The literature examining simulation in graduate level nursing education is scarce and more research on this topic is needed. Computer-based simulation has emerged as an option that allows students to operate in a simulated clinical scenario. Faculty can be deterred from the use of simulation if they are not comfortable with it or lack resources and knowledge needed to implement simulation. This study addressed utilization of computer-based simulation with graduate-level faculty and determined their perceptions regarding use of this simulation. Lead faculty in graduate level advanced health assessment courses from 39 schools were contacted for participation, with a final sample size of 14 participants. Participants discussed their experiences with Shadow Health Advanced Health Assessment virtual reality simulation. Eight themes emerged from the data analysis: introduction and implementation of Shadow Health, pre- and debriefing, evaluation, time factor in using Shadow Health, technology, cultural limitations, student characteristics for Shadow Health success, and preferred pedagogical methods. These themes provide insight into faculty perspectives regarding Shadow Health virtual reality simulation and can help nurse educators understand the successes and challenges associated with virtual reality simulation. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]