Simulation-Based Learning in Nursing Education: Perspectives of Student Nurses in the Philippines

Table 1. Summary ofEmergent Themes, Subthemes, and Illustrative Participant Quotes

Theme	Subtheme	Illustrative Participant Quote
1. Emotional and Psychological Responses	From anxiety to confidence	“At first, I was really nervous because it felt like an exam, but after several sessions, I felt more confident handling patients.” (P3)
Role of facilitator support	“The instructor’s feedback made me feel less scared and more prepared to respond.” (P7)
2. Skill Development and Practical Application	Enhanced critical thinking	“Simulation made me think fast and decide safely without harming a real patient.” (P2)
Teamwork and communication	“We learned how to work together, just like in a hospital setting.” (P9)
3. Challenges in Simulation-Based Learning	Resource and time constraints	“We sometimes lacked equipment, but we improvised with what we had.” (P1)
Adaptability and perseverance	“Even with limited tools, we learned to be resourceful and creative.” (P5)