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An investigation of near-peer learning in simulation-based education and its influence on the professional socialisation of adult nursing students

Santos, Andrew 2025. An investigation of near-peer learning in simulation-based education and its influence on the professional socialisation of adult nursing students. EdD Thesis, Cardiff University.
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Abstract

This study examines how peer learning embedded within simulation-based education influences the professional socialisation of adult nursing students. Professional socialisation is a critical process through which students develop professional values, behaviours, and identities. However, increasing pressures within clinical practice can result in disillusionment, where students encounter a disconnect between taught ideals and the realities of care delivery, which can lead to negative socialisation. Simulation and peer-to-peer learning have become prominent pedagogical strategies in healthcare education, yet there remains limited understanding of their combined effect on shaping professional identity within simulation-based settings. This research addresses this gap through a qualitative case study conducted at Cardiff University, involving first- and third-year nursing students. Simulation scenarios were co-designed for authenticity, and data were collected using post-simulation questionnaires, debriefs, and semi-structured interviews with newly qualified nurses who had participated six months prior. Thematic analysis was undertaken using NVivo 12. Findings indicate that simulation created meaningful opportunities for critical reflection, peer interaction, and identity formation. Junior peers reported increased confidence, empowerment, and a heightened sense of belonging, while senior peers described a deeper sense of readiness for professional practice. Key themes such as empathy, collaboration, and self-assurance emerged as essential attributes fostered through peer-supported simulation. This study contributes to the body of knowledge on professional identity development in nursing education, highlighting peer learning in simulation as a valuable tool for fostering socialisation in a safe and supportive environment. It recommends the systematic integration of peer simulation into undergraduate nursing curricula to support both the early development of professional values and the transition from student to registered nurse.

Item Type: Thesis (EdD)
Date Type: Completion
Status: Unpublished
Schools: Schools > Social Sciences (Includes Criminology and Education)
Date of First Compliant Deposit: 17 February 2026
Last Modified: 17 Feb 2026 15:43
URI: https://orca.cardiff.ac.uk/id/eprint/184904

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