Nursing students' experiences of in situ simulation training in leadership practice: a qualitative explorative study
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Purpose: Developing leadership and management skills among nursing students is increasingly recognized as essential for their future roles as professional nurses. Meanwhile, simulation-based learning has emerged as a valuable pedagogical approach in nursing education. This study aimed to explore third-year nursing students' experiences of in situ simulation training in leadership practice. Methods: A qualitative explorative design was used. Nursing students (n = 26) participated in focus group interviews after completing simulation training. Data was collected using semi-structured interview guides; content analysis was conducted to identify key themes. Results: Three themes emerged: prepared for reality, beneficial learning, and development of leadership competence. The themes showed how, by engaging in realistic scenarios, students gained deeper self-insight, strengthened their ability to connect theory with practice, and developed greater confidence in managing complex clinical situations. Conclusion: In situ simulation appears to be an effective approach for enhancing nursing students' leadership competence and professional development. The findings suggest that simulation supports the formation of professional identity and facilitates the transition from education to nursing practice.
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Qualitative evidence suggests that realistic leadership scenarios can help nursing students clarify their leadership approaches, strengthen confidence in their decisions, and prepare for workplace complexity.
“Qualitative evidence further suggests that realistic leadership scenarios can help nursing students clarify their leadership approaches, strengthen confidence in their decisions, and prepare for workplace complexity [6,21,22].”
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Task shifting in primary care to tackle healthcare worker shortages: An umbrella review
Leong, S. L., Teoh, S. L., Fun, W. H., & Lee, S. W. H. (2021) · European Journal of General Practice · doi:10.1080/13814788.2021.1954616 · Cited by 228 · see citing works
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- [1]Abdul-Rahim HZ, Sharbini SH, Ali M, Hashim SH, Abdul-Mumin KH. Leadership and management skills for student nurses: a scoping review. BMC Nurs. 2025; 24(1): 111. doi: 10.1186/s12912-024-02603-7 39885548 PMC11781058 · DOI
- [2]Sethi S, Chaturvedi DV, Kataria DP. A review of upskilling in the healthcare sector with special emphasis on nurses: life sciences. Int J Life Sci Pharma Res. 2023; 13(special issue 6): L1– 14. doi: 10.22376/ijlpr.2023.13.4.SP6.L1-L11 · DOI
- [3]Putri P, Afandi A. The positive impact of delegation in nursing: a literature review. DNurs Health J. 2023; 4: 58– 66.
- [4]Wang B-L, Batmunkh M-U, Samdandash O, Divaakhuu D, Wong W-K. Sustainability of nursing leadership and its contributing factors in a developing economy: a study in Mongolia. Front Public Health. 2022; 10: 900016. doi: 10.3389/fpubh.2022.900016 35692313 PMC9174683 · DOI
- [6]Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Scand J Prim Health Care. 2020; 38(1): 24– 32. doi: 10.1080/02813432.2020.1714143 31969033 PMC7054920 · DOI
- [8]Dogan P, Sendir M. Effect of different simulation methods in nursing education on critical thinking dispositions and self-efficacy levels of students. Think Skills Creat. 2022; 45: 101112. doi: 10.1016/j.tsc.2022.101112 · DOI
- [10]Oh S, Lim J. Developing and evaluating a camp-style leadership enhancement program for nursing students. J Korean Acad Nurs Adm. 2019; 25: 52. doi: 10.11111/jkana.2019.25.1.52 · DOI
- [12]Thomas C, Hodson-Carlton K, Ryan M. Preparing nursing students in a leadership/management course for the workplace through simulations. Clin Simul Nurs. 2011; 7(3): e99– e104. doi: 10.1016/j.ecns.2010.06.005 · DOI
- [13]Kyllingstad L, Kristoffersen M. Nyutdannede sykepleieres tanker om egen fremtid i sykepleieryrket. Nord Sygepl Forsk. 2022; 12(4): 1– 14. doi: 10.18261/nsf.12.4.5 · DOI
- [14]Costa P, Sousa JP, Nascimento T, et al. Leadership development in undergraduate nursing students: a scoping review. Nurs Rep. 2025; 15(5): 160. doi: 10.3390/nursrep15050160 40423194 PMC12114338 · DOI
- [15]Alharbi A, Nurfianti A, Mullen RF, McClure JD, Miller WH. The effectiveness of simulation-based learning (SBL) on students’ knowledge and skills in nursing programs: a systematic review. BMC Med Educ. 2024; 24(1): 1099. doi: 10.1186/s12909-024-06080-z 39375684 PMC11459713 · DOI
- [16]Brown KM, Rode JL. Leadership development through peer-facilitated simulation in nursing education. J Nurs Educ. 2018; 57(1): 53– 57. doi: 10.3928/01484834-20180102-11 29381162 · DOI
- [17]Oksavik WS, Heen C, Heggdal K. Faktorer som påvirker kommunikasjon og samspill i kirurgiske team med betydning for pasientsikkerhet – belyst fra operasjonssykepleierens ståsted. Klin Sygepleje. 2021; 35(1): 3– 22. doi: 10.18261/issn.1903-2285-2021-01-02 · DOI
- [18]Labrague LJ. Use of simulation in teaching nursing leadership and management course: an integrative review. Sultan Qaboos Univ Med J. 2021; 21(3): 344– 353. doi: 10.18295/squmj.4.2021.007 34522398 PMC8407893 · DOI · Paper page
- [19]Riaz S, Tabassum M. Effects of simulation-based education on improving leadership skills in medical and nursing students: a systematic review. J Exp Clin Med. 2024; 40(4): 783– 791.
- [20]Polit DF, Beck CT. Essentials of Nursing Research: Appraising Evidence for Nursing Practice. 8th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2014.
- [21]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 17872937 · DOI · Paper page
- [24]Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2): 105– 112. doi: 10.1016/j.nedt.2003.10.001 14769454 · DOI · Paper page
- [25]Jeffries P. Simulation in Nursing Education. Wolters Kluwer Health; 2020.
- [26]Tosterud R. Simulation used as a learning approach in nursing education: Students’ experiences and validation of evaluation questionnaires. Doctoral thesis, comprehensive summary. Karlstads universitet; 2015.
- [27]Daneshfar M, Moonaghi HK. The impact of clinical simulation on bridging the theory–practice gap in nursing education: a systematic review. BMC Med Educ. 2025; 25(1): 1216. doi: 10.1186/s12909-025-07790-8 40877870 PMC12392514 · DOI
- [28]Espin S, Sears N, Indar A, Duhn L, LeGrow K, Thapa B. Nursing students’ experiences of patient safety incidents and reporting: a scoping review. J Nurs Educ Pract. 2019; 10: 26– 35.
- [29]Gradišnik M, Fekonja Z, Vrbnjak D. Nursing students’ handling patient safety incidents during clinical practice: a retrospective qualitative study. Nurse Educ Today. 2024; 132: 105993. doi: 10.1016/j.nedt.2023.105993 37890191 · DOI
- [30]Abbasinia M, Ahmadi F, Kazemnejad A. Patient advocacy in nursing: a concept analysis. Nurs Ethics. 2020; 27(1): 141– 151. doi: 10.1177/0969733019832950 31109243 · DOI
- [31]Brown JE. Graduate nurses’ perception of the effect of simulation on reducing the theory-practice gap. SAGE Open Nurs. 2019; 5: 2377960819896963. doi: 10.1177/2377960819896963 33415260 PMC7774352 · DOI
- [32]Newton R, Krebs A. Bridging the theory-practice gap using simulation to teach care of patients with disabilities. Teach Learn Nurs. 2020; 15(4): 233– 236. doi: 10.1016/j.teln.2020.04.003 · DOI
- [33]Koukourikos K, Tsaloglidou A, Kourkouta L, et al. Simulation in clinical nursing education. Acta Inform Med. 2021; 29(1): 15– 20. doi: 10.5455/aim.2021.29.15-20 34012208 PMC8116070 · DOI
- [34]Kardong-Edgren S, Anderson M, Michaels J. Does simulation fidelity improve student test scores? Clin Simul Nurs. 2007; 3(1): e21– e24. doi: 10.1016/j.ecns.2009.05.035 · DOI
- [35]Lapkin S, Levett-Jones T. A cost-utility analysis of medium vs. high-fidelity human patient simulation manikins in nursing education. J Clin Nurs. 2011; 20(23–24): 3543– 3552. doi: 10.1111/j.1365-2702.2011.03843.x 21917033 · DOI
- [36]Lapkin S, Levett-Jones T, Bellchambers H, Fernandez R. Effectiveness of patient simulation manikins in teaching clinical reasoning skills to undergraduate nursing students: a systematic review. Clin Simul Nurs. 2010; 6(6): e207– e222. doi: 10.1016/j.ecns.2010.05.005 27820553 · DOI
- [37]Aggarwal R, Mytton OT, Derbrew M, et al. Training and simulation for patient safety. Qual Saf Health Care. 2010; 19 Suppl 2: i34– 43. doi: 10.1136/qshc.2009.038562 20693215 · DOI · Paper page
- [38]Alrashidi N, Pasay An E, Alrashedi MS, et al. Effects of simulation in improving the self-confidence of student nurses in clinical practice: a systematic review. BMC Med Educ. 2023; 23(1): 815. doi: 10.1186/s12909-023-04793-1 37904153 PMC10614341 · DOI
- [39]Rogoff B. The Cultural Nature of Human Development. Oxford University Press; 2003.
- [40]Wertsch JV. Voices of the Mind: A Sociocultural Approach to Mediated Action. Harvard University Press; 1993.
- [41]Lave J, Wenger E. Situated Learning: Legitimate Peripheral Participation. Cambridge University Press; 1991.
- [42]Edmondson A. Psychological safety and learning behavior in work teams. Adm Sci Q. 1999; 44(2): 350– 383. doi: 10.2307/2666999 · DOI · Paper page
Cited by
Sorted by citations
Almalki, M. (2026) · Cureus · doi:10.7759/cureus.117315
“Qualitative evidence further suggests that realistic leadership scenarios can help nursing students clarify their leadership approaches, strengthen confidence in their decisions, and prepare for workplace complexity [6,21,22].”
- Authors
- Eid, H. R., Raaen, A. H., Grevskott, T., Bjørgum, M., Myrvold, L., Øvereng, I., & Lysfjord, E. M.
- Affiliations
- Nord University (NO)
- Namsos Hospital (NO)
- Corresponding author
- Eid, Hege Rasmussen
- Venue
- Journal of Healthcare Leadership
- Publisher
- Informa UK Limited
- Published
- 2026-06
- Volume
- Volume 18
- Pages
- 1-14
- ISSN
- 1179-3201 (ISSN-L)
- PMC
- PMC13262596
- OpenAlex
- W7163882862
- Cited by
- 1
- References
- 1
- Citations by year
- 2026: 1
- FWCI
- 4.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Healthcare Leadership (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc)
- Funders
- Nord universitet
- Topics
- Health Sciences › Medicine › Physiology › Simulation-Based Education in Healthcare
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- in situ simulation, nursing students, nursing leadership, leadership competence, simulation-based training, nursing education, professional identity, transition to practice, student self-confidence, theory-practice integration
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