Document Type : Original Article
Authors
1 Clinical Research Center, Pasteur Educational Hospital, Bam University of Medical Sciences, Bam, Iran
2 Department of Nursing, Aligoudarz School of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran
3 Department of Clinical Psychology, AllamehTabataba’i University, Tehran, Iran
Abstract
Introduction: Developing competent, confident nursing students requires bridging simulation and clinical practice. This study examined the experiences of learners and student coaches with a student-centered clinical coaching model designed to promote active learning, structured feedback, and leadership development.
Methods: A qualitative content analysis was conducted in 2025 through semi-structured interviews and focus groups with 12 participants (8 learners and 4 student-coaches) from the Faculty of Nursing, Lorestan University of Medical Sciences, Aligoudarz, Lorestan province, Iran. Participants were selected through purposive sampling to capture diverse, information-rich perspectives on the Student-Centered Clinical Coaching model. Data were analyzed using the Graneheim and Lundman method, ensuring trustworthiness through triangulation and member checking.
Results: Analysis revealed six main categories for learners: guided learning in a safe simulation environment (immediate feedback, emotional safety, progressive improvement), organized and predictable learning flow (clear structure, active engagement, peer support), physical and cognitive fatigue, logistical constraints, desire for personalization, and richer feedback methods. For student-coaches, six categories emerged: transition to leadership and communication development, calibration and consistency of feedback (shared standards, rubric use, aligned language), balancing dual roles with emotional strain, contextual barriers (workload, limited preparation time, role ambiguity), and strengthening the model through practical refinements, collaboration, and motivation. Both groups emphasized timely, calibrated feedback and structured sessions as key drivers of confidence, competence, and leadership growth.
Conclusion: The SCCC model enhanced learners’ competence and confidence, fostered leadership among student-coaches, and can be strengthened through structured peer coaching, mentor development, and supportive feedback systems to sustain effective, collaborative nursing education.
Keywords
- Daneshfar M, Karimi Moonaghi H. 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
- Stephen LA, Kostovich C, O’Rourke J. Psychological safety in simulation: prelicensure nursing students’ perceptions. Clin Simul Nurs 2020;47:25-31. doi:10.1016/j.ecns.2020.06.010
- Labrague LJ, McEnroe-Petitte DM, Fronda DC, Obeidat AA. Interprofessional simulation in undergraduate nursing program: an integrative review. Nurse Educ Today 2018;67:46- 55. doi:10.1016/j.nedt.2018.05.001
- Tornwall J. Peer assessment practices in nurse education: an integrative review. Nurse Educ Today 2018;71:266-75. doi:10.1016/j.nedt.2018.09.017
- Badowski D. Peer coaching integrated in simulation: improving intraprofessional teamwork. J Prof Nurs 2019;35(4):325-8. doi:10.1016/j.profnurs.2018.11.001
- 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
- Goh HS, Zhang H, Lee CN, Wu XV, Wang W. Value of nursing objective structured clinical examinations: a scoping review. Nurse Educ 2019;44(5):E1-6. doi:10.1097/ nne.0000000000000620
- Hanshaw SL, Dickerson SS. High fidelity simulation evaluation studies in nursing education: a review of the literature. Nurse Educ Pract 2020;46:102818. doi:10.1016/j. nepr.2020.102818
- Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24(2):105- 12. doi:10.1016/j.nedt.2003.10.001
- Odreman H, Shears S, McNally R, Labrie T, Riolino M, Adamson L. Prebriefing techniques that promote psychological safety and clinical judgment in nursing students. Clin Simul Nurs 2025;102:101724. doi:10.1016/j.ecns.2025.101724
- Naismith J, Willetts G, Hood K, Cross W, Garvey L. Exploring simulation-based education in pre-registration nursing curriculum - barriers and enablers: an integrative review. Clin Simul Nurs 2025;103:101748. doi:10.1016/j. ecns.2025.101748
- Ko E, Choi YJ. Debriefing model for psychological safety in nursing simulations: a qualitative study. Int J Environ Res Public Health 2020;17(8):2826. doi:10.3390/ijerph17082826
- Alrashidi N, Pasay-An E, Alrashedi MS, Alqarni AS, Gonzales F, Bassuni EM, 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
- Bowers M, Terry D, Irwin P. The impact of reflective practice on nursing students: a scoping review. Nurse Educ Pract 2025;87:104468. doi:10.1016/j.nepr.2025.104468
- García-Salido C, Ramírez-Baraldes E, Garcia-Gutiérrez D. Learners to Leaders: Impact of Instructor Roles on Nursing Students’ Professional Development in Clinical Simulations. Nurs Rep 2024;14(4):3612-3627. doi:10.3390/ nursrep14040267
- Al Yahyaei A, Natarajan JR, Seshan V, Joseph MA, Valsaraj BP, Hamed Al Abri F. The usefulness of peer tutoring and its impact on nursing students’ academic performance, psychological empowerment, and satisfaction: pre-post design. SAGE Open Nurs 2024;10:23779608241282168. doi:10.1177/23779608241282168
- Gusar I, Tokić A, Lovrić R. Development of nursing students’ professional identity in different mentoring approaches during clinical training: a quasi-experimental study. Nurse Educ Today 2025;144:106459. doi:10.1016/j.nedt.2024.106459
- Middleton R, Lewer K, Antoniou C, Pratt H, Bowdler S, Jans C, et al. Understanding the processes, practices and influences of calibration on feedback literacy in higher education marking: a qualitative study. Nurse Educ Today 2024;135:106106. doi:10.1016/j.nedt.2024.106106
- Lim S, Xin Min L, Chan CJW, Dong Y, Mikkonen K, Zhou W. Peer mentoring programs for nursing students: A mixed methods systematic review. Nurse Educ Today 2022;119:105577. doi:10.1016/j.nedt.2022.105577
- Franklin AE. Clinical FACTS: simulation and clinical faculty time study. Clin Simul Nurs 2022;65:49-56. doi:10.1016/j. ecns.2022.01.006
- Fey MK. The Essentials of Debriefing. Healthcare Simulation in Nursing Practice, An Issue of Nursing Clinics, E-Book: Healthcare Simulation in Nursing Practice, An Issue of Nursing Clinics, E-Book. 2024;59(3):391.
- Madsgaard A, Svellingen A. The benefits and boundaries of psychological safety in simulation-based education: an integrative review. BMC Nurs 2025;24(1):922. doi:10.1186/ s12912-025-03575-y
- Svendsen BT, Petersen LF, Skjelsager A, Lippert A, Østergaard D. Using simulation scenarios and a debriefing structure to promote feedback skills among interprofessional team members in clinical practice. Adv Simul (Lond) 2024;9(1):39. doi:10.1186/s41077-024-00303-5
- Lee E, Mabry JL, Roberts T, Davis KM. Development of the Simulation-Positive Learning Evaluation (SIM-PLE) rubric for use in medical-surgical nursing high fidelity simulations. Nurse Educ Pract 2021;51:102992. doi:10.1016/j. nepr.2021.102992