Clinical skills facilities create learning environments that will realistically simulate care environments without the inherent risks in actual practice settings. Student nurses on qualifying need to be fit for purpose and so fit for practice. Nurse lecturers utilise their clinical knowledge and expertise when teaching clinical skills however do they consider the underpinning educational evidence base when considering how best to teach and facilitate learning of clinical skills? This book analyses how teachers of nursing set out to teach the principles of clinical skills but that this did not always correlate with student nurses learning these principles. Using Spradley''s (1979) model cultural themes emerged indicating that there was an educational theory - practice gap when teaching clinical skills. This book offers recommendations for future educational practice in clinical skills facilitation and will be relevant to medical and healthcare educators in engaging in simulation and supervised practice.