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Volume 16
Issue 6
10.3390/ejihpe16060075
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Article

From Simulation to Sustainability: The Mediating Role of Clinical Self-Efficacy Among Undergraduate Healthcare Students

by
Waleed El-Sayed Mohammed Hemaida
1,
Ekram Mohammed Gomaa Geenedy
2,
Mohamed Sayed Abdellatif
3 and
Mohamed Ali Nemt-allah
4,*
1
Department of Nursing, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Wadi Addawasir 11991, Saudi Arabia
2
Adult Health Nursing Department, Critical Care Nursing, Faculty of Nursing, Capital University, Helwan 11731, Egypt
3
Department of Psychology, College of Education in Al-Kharj, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia
4
Educational Psychology and Statistics Department, Faculty of Education, Al-Azhar University, Tafhna Al-Ashraf 35822, Egypt
*
Author to whom correspondence should be addressed.
Eur. J. Investig. Health Psychol. Educ. 2026, 16(6), 75; https://doi.org/10.3390/ejihpe16060075
Submission received: 31 March 2026 / Revised: 21 May 2026 / Accepted: 25 May 2026 / Published: 26 May 2026
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Abstract

Despite growing recognition that nurses must be equipped with sustainability competencies to address climate-related health challenges, the psychological mechanisms through which nursing education fosters sustainability attitudes are not yet fully understood. This study examined the mediating role of clinical performance self-efficacy in the relationship between simulation-based learning quality and sustainability attitudes among undergraduate nursing students. A cross-sectional correlational design was employed with a main sample of 679 nursing students from four Egyptian universities. Data were collected using the CHEST, SECP Scale, and SANS_2. Mediation analysis used Hayes’ PROCESS macro with 5000 bootstrap resamples. Simulation-based learning quality significantly predicted both self-efficacy (β* = 0.772) and sustainability attitudes (β* = 0.613). Self-efficacy partially mediated this relationship, accounting for 68.34% of the total effect (indirect β* = 0.419, Boot 95% CI [0.343, 0.494]). Nursing educators should design simulation curricula that deliberately cultivate self-efficacy while embedding sustainability content, producing clinically competent and environmentally responsible graduates.
Keywords: simulation-based learning; clinical performance self-efficacy; sustainability attitudes; nursing education; mediation analysis; social cognitive theory simulation-based learning; clinical performance self-efficacy; sustainability attitudes; nursing education; mediation analysis; social cognitive theory

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MDPI and ACS Style

Hemaida, W.E.-S.M.; Geenedy, E.M.G.; Abdellatif, M.S.; Nemt-allah, M.A. From Simulation to Sustainability: The Mediating Role of Clinical Self-Efficacy Among Undergraduate Healthcare Students. Eur. J. Investig. Health Psychol. Educ. 2026, 16, 75. https://doi.org/10.3390/ejihpe16060075

AMA Style

Hemaida WE-SM, Geenedy EMG, Abdellatif MS, Nemt-allah MA. From Simulation to Sustainability: The Mediating Role of Clinical Self-Efficacy Among Undergraduate Healthcare Students. European Journal of Investigation in Health, Psychology and Education. 2026; 16(6):75. https://doi.org/10.3390/ejihpe16060075

Chicago/Turabian Style

Hemaida, Waleed El-Sayed Mohammed, Ekram Mohammed Gomaa Geenedy, Mohamed Sayed Abdellatif, and Mohamed Ali Nemt-allah. 2026. "From Simulation to Sustainability: The Mediating Role of Clinical Self-Efficacy Among Undergraduate Healthcare Students" European Journal of Investigation in Health, Psychology and Education 16, no. 6: 75. https://doi.org/10.3390/ejihpe16060075

APA Style

Hemaida, W. E.-S. M., Geenedy, E. M. G., Abdellatif, M. S., & Nemt-allah, M. A. (2026). From Simulation to Sustainability: The Mediating Role of Clinical Self-Efficacy Among Undergraduate Healthcare Students. European Journal of Investigation in Health, Psychology and Education, 16(6), 75. https://doi.org/10.3390/ejihpe16060075

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