Impact of Clinical Simulation-Based Learning on Nursing Students’ Competency and Confidence: A Cross-Sectional Study

Year : 2026 | Volume : 16 | Issue : 01 | Page : 11 16
    By

    Nasir Hussain,

  1. Administrator, Department of Nursing, Stephens Group of Institutions, Jammu Stephens College of Nursing, Stephens Group of Institutions, Jammu and Kashmir, India

Abstract

Simulation-based learning (SBL) has emerged as a vital component in nursing education, offering students a safe, structured, and controlled environment to practice clinical skills. This study aimed to assess the impact of SBL on clinical competency and confidence among B.Sc. Nursing students. A cross-sectional study design was adopted, involving 120 B.Sc. Nursing students from Stephens College of Nursing, Stephens Group of Institutions, Jammu. Data were collected using a structured questionnaire and a validated competency checklist based on the Indian Nursing Council (INC) skill guidelines. The findings revealed that students exposed to simulation-based training demonstrated significantly higher clinical competency scores (mean = 82.6%) compared to those who received traditional clinical teaching alone (mean = 68.4%). Additionally, confidence levels were markedly higher among students in the simulation group, with statistically significant differences observed (p < 0.01). These results highlight the effectiveness of simulation in enhancing both skill acquisition and self-confidence among nursing students. The study concludes that SBL is an effective educational strategy that bridges the gap between theory and practice. It not only improves clinical competence but also fosters confidence in performing nursing procedures. Therefore, integrating simulation modules into the undergraduate nursing curriculum is strongly recommended to enhance the overall quality of nursing education and better prepare students for real-world clinical settings.

Keywords: Simulation-based learning, clinical competency, nursing education, student confidence, skill development

[This article belongs to Journal of Nursing Science & Practice ]

How to cite this article:
Nasir Hussain. Impact of Clinical Simulation-Based Learning on Nursing Students’ Competency and Confidence: A Cross-Sectional Study. Journal of Nursing Science & Practice. 2026; 16(01):11-16.
How to cite this URL:
Nasir Hussain. Impact of Clinical Simulation-Based Learning on Nursing Students’ Competency and Confidence: A Cross-Sectional Study. Journal of Nursing Science & Practice. 2026; 16(01):11-16. Available from: https://journals.stmjournals.com/jonsp/article=2026/view=247331


References

  1. Cant RP, Cooper SJ. Simulation-based learning in nurse education: systematic review. J Adv Nurs. 2010;66(1):3-15. doi:10.1111/j.1365-2648.2009.05240.x.
  2. Jeffries PR. The NLN Jeffries Simulation Theory. 2nd ed. Washington (DC): National League for Nursing; 2021.
  3. Shin S, Park JH, Kim JH. Effectiveness of patient simulation in nursing education: a meta-analysis. Nurse Educ Today. 2015;35(1):176-82. doi:10.1016/j.nedt.2014.09.009.
  4. Indian Nursing Council. Indian Nursing Council (Revised Regulations and Curriculum for B.Sc. (Nursing) Program – Corrigendum) Regulations, 2022. Gazette of India. New Delhi: Government of India; 2022.
  5. Kim J, Park JH, Shin S. Effectiveness of simulation-based nursing education depending on fidelity: a meta-analysis. BMC Med Educ. 2016;16:152. doi:10.1186/s12909-016-0672-7.
  6. Alinier G. A typology of educationally focused medical simulation tools. Med Teach. 2007;29(8):e243-e250. doi:10.1080/01421590701551185.
  7. Bradley P. The history of simulation in medical education and possible future directions. Med Educ. 2006;40(3):254-62. doi:10.1111/j.1365-2929.2006.02394.x.
  8. Koukourikos K, Tsaloglidou A, Kourkouta L, Papathanasiou IV, Iliadis C, Fratzana A, et al. Simulation in clinical nursing education. Acta Inform Med. 2021;29(1):15-20. doi:10.5455/aim.2021.29.15-20.
  9. Arthur C, Levett-Jones T, Kable A. Quality indicators for the design and implementation of simulation experiences: a Delphi study. Nurse Educ Today. 2013;33(11):1357-61. doi:10.1016/j.
    2012.07.012.
  10. Zeng J, Liang S, Zhang X, Yan R, Chen C, Wen L, et al. Assessment of clinical competency among TCM medical students using standardized patients of traditional Chinese medicine: a 5-year prospective randomized study. Integr Med Res. 2022;11(2):100804. doi:10.1016/j.imr.2021.100804.
Regular Issue Subscription Original Research
Volume 16
Issue 01
Received 27/02/2026
Accepted 25/03/2026
Published 30/03/2026
Publication Time 31 Days
3

Login


My IP

PlumX Metrics