Journals / Journal of Health Sciences and Medicine / 2026 / Volume: 9 Issue: 5

Exploring nursing students’ perceptions of a simulation-based clinical decision-making module: implications for professional identity and confidence

Bilge Delibalta(HACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-8350-4463
Yeter Kurt(KARADENIZ TECHNICAL UNIVERSITY)0000-0002-3673-1417
Ebru Turhal(KARADENİZ TEKNİK ÜNİVERSİTESİ)0000-0003-4781-4944
Fulya Batmaz(KARADENİZ TEKNİK ÜNİVERSİTESİ)0000-0002-5599-639X
Ahmet Kağan Özkaya(KARADENİZ TEKNİK ÜNİVERSİTESİ)0000-0003-3562-6495
Pages
—
Publication Date
2026-09-19
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

These findings suggest that structured simulation-based clinical decision-making experiences may help bridge the gap between theoretical knowledge and clinical practice in undergraduate nursing education.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aims: Clinical decision-making is a fundamental component of safe and effective nursing practice.
📊
Key Findings & Data:Simulation-based learning (SBL) has emerged as an innovative educational strategy to support students’ clinical reasoning, professional development, and preparedness for practice.
💡
Conclusion & Impact:These findings suggest that structured simulation-based clinical decision-making experiences may help bridge the gap between theoretical knowledge and clinical practice in undergraduate nursing education.
🔬Design:Research Article
📍Scope:2023 Verileri
⚙️Variables:Simulation · nursing education · professional identity formation

Abstract

Aims: Clinical decision-making is a fundamental component of safe and effective nursing practice. Simulation-based learning (SBL) has emerged as an innovative educational strategy to support students’ clinical reasoning, professional development, and preparedness for practice. However, relatively little is known about how nursing students perceive simulation-based clinical decision-making experiences in relation to their professional identity, professional responsibility, and confidence. This study aimed to explore final-year nursing students’ experiences of a simulation-based clinical decision-making module (CDMM), with particular attention to their perceptions of professional identity, professional responsibility, and confidence in clinical decision-making. Methods: A qualitative descriptive study was conducted with twelve final-year nursing students from a state university in Turkiye. Participants completed a two-day simulation-based CDMM in March 2023 and subsequently participated in semi-structured individual interviews. Data were analysed using Braun and Clarke’s six-phase thematic analysis. Results: Four interrelated themes were identified: (1) transitioning towards the professional nursing role, (2) assuming responsibility for clinical decision-making, (3) developing confidence in clinical decision-making, and (4) recognising the value of SBL. Conclusion: Participants perceived the CDMM as a meaningful learning experience that supported their transition towards the professional nursing role, increased their awareness of professional responsibility, enhanced their confidence in responding to similar clinical situations, and highlighted the educational value of SBL. These findings suggest that structured simulation-based clinical decision-making experiences may help bridge the gap between theoretical knowledge and clinical practice in undergraduate nursing education.

🔖

Cite This Article

Delibalta, B., Kurt, Y., Turhal, E., Batmaz, F., Özkaya, A. K. (2026). Exploring nursing students’ perceptions of a simulation-based clinical decision-making module: implications for professional identity and confidence. Journal of Health Sciences and Medicine, Volume: 9 Issue: 5. https://doi.org/10.32322/jhsm.1970622

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (20)

  1. Alshehri FD, Jones S, Harrison D. The effectiveness of high-fidelity simulation on undergraduate nursing students’ clinical reasoning-related skills: a systematic review. Nurse Educ Today. 2023;121:105679. doi:10.1016/j.nedt.2022.105679
  2. Görücü S, Türk G, Karaçam Z. The effect of simulation-based learning on nursing students’ clinical decision-making skills: systematic review and meta-analysis. Nurse Educ Today. 2024;140:106270. doi:10.1016/j.nedt.2024.106270
  3. Lei YY, Zhu L, Sa YTR, Cui XS. Effects of high-fidelity simulation teaching on nursing students’ knowledge, professional skills and clinical ability: a meta-analysis and systematic review. Nurse Educ Pract. 2022;60:103306. doi:10.1016/j.nepr.2022.103306
  4. Levett-Jones T, Hoffman K, Dempsey J, et al. The “five rights” of clinical reasoning: an educational model to enhance nursing students’ ability to identify and manage clinically “at risk” patients. Nurse Educ Today. 2010;30(6):515-520. doi:10.1016/j.nedt.2009.10.020
  5. Hemşirelik Eğitimi Derneği. Hemşirelik Ulusal Çekirdek Eğitim Programı (HUÇEP) 2022. Published 2023. Accessed July 1, 2026. https://hemed.org.tr/wp-content/uploads/2023/10/hemsirelik_cekirdek_egitim_programi.pdf
  6. Yanıkkerem E, Karakuş Selçuk A, Çetinkaya A. Hemşirelik öğrencileri açısından ideal hemşirelik eğitimi konusunda nitel bir çalışma: gerçekteki boşluklar ve şoklar. BAUN Health Sci J. 2021;10(1):1-12.
  7. Akturan S, Üçüncüoğlu M, Güner Y, Delibalta B, Duman Dilbaz A, Çilingir D. A multi-source evaluation of undergraduate nursing education: a mixed-designed method. Firat Univ Med J Health Sci. 2024;38(2):106-113.
  8. Cant RP, Cooper SJ. The value of simulation-based learning in pre-licensure nurse education: a state-of-the-art review and meta-analysis. Nurse Educ Pract. 2017;27:45-62. doi:10.1016/j.nepr.2017.08.012
  9. Watts PI, Rossler K, Bowler F, et al. Onward and upward: introducing the Healthcare Simulation Standards of Best Practice™. Clin Simul Nurs. 2021;58:1-4. doi:10.1016/j.ecns.2021.08.006
  10. Güner Y, Turhal E, Üçüncüoğlu M, Tuncel B, Akturan S, Keleş Ş. The formation of professional identity in nursing. Turkiye Biyoetik Derg. 2021;8(2):82-89. doi:10.5505/tjob.2021.72677
  11. Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. A schematic representation of the professional identity formation and socialization of medical students and residents: a guide for medical educators. Acad Med. 2015;90(6):718-725. doi:10.1097/ACM.0000000000000700
  12. Creswell JW, Poth CN. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. 4th ed. SAGE Publications; 2018.
  13. Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000;23(4):334-340. doi:10.1002/1098-240x(200008)23:4 3.0.co;2-g
  14. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-357. doi:10.1093/intqhc/mzm042
  15. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. doi:10.1191/1478088706qp063oa
  16. Lincoln YS, Guba EG. Naturalistic Inquiry. SAGE Publications; 1985.
  17. Fitzgerald A, Clukey L. Factors influencing nursing professional identity development: a qualitative study. Nurs Forum. 2022;57(6):1346-1353. doi:10.1111/nuf.12816
  18. Chillman P, Wakefield H, Sayer J. Enhancing professional identity and professional values in mental health nursing students through simulation-based learning. Br J Ment Health Nurs. 2025;14(3):1-6. doi:10.12968/bjmh.2025.0007
  19. Abdulmohdi N, McVicar A. Investigating the clinical decision-making of nursing students using high-fidelity simulation, observation and think aloud: a mixed methods research study. J Adv Nurs. 2023;79(2):811-824. doi:10.1111/jan.15507
  20. Bandura A. Self-Efficacy: the Exercise of Control. WH. Freeman; 1997.