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Currently submitted to: JMIR Formative Research

Date Submitted: Jul 4, 2026
Open Peer Review Period: Jul 14, 2026 - Sep 8, 2026
(currently open for review)

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Training in communication skills in conflict situations: learning experiences and competency development in clinical simulation

  • Pablo Del Pozo-Herce; 
  • Eva Garcia Carpintero-Blas; 
  • Alberto Tovar-Reinoso; 
  • Maria del Carmen Hernández-Cediel; 
  • Antonio Olmos Morcillo; 
  • Silvia Herrero Roldán; 
  • Elena Chover-Sierra; 
  • Antonio Martínez-Sabater; 
  • Raúl Juárez-Vela

ABSTRACT

Background:

Clinical simulation with standardized patients provides a safe environment for nursing students to develop communication skills and manage emotions in conflict situations.

Objective:

This study aimed to explore how these experiences contribute to the development of competencies in verbal and nonverbal communication, professional presence, and emotional management.

Methods:

Methods:

A qualitative descriptive study with a phenomenological approach was conducted with 98 first-year nursing students. Data were collected through focus groups and reflective narratives and analyzed using inductive thematic analysis supported by ATLAS.ti 24.

Results:

Results:

Three main themes were identified: (T1) therapeutic communication in conflict contexts; (T2) nonverbal communication and professional presence; and (T3) emotional experience and learning in clinical simulation.

Conclusions:

Conclusions:

Participants emphasized that alignment between verbal and nonverbal communication, together with effective emotional regulation, enhances self-confidence and communication effectiveness. Clinical simulation emerges as a valuable educational strategy that integrates communication skills, emotional management, and reflective learning, ultimately improving students’ preparedness to manage conflict situations in clinical practice


 Citation

Please cite as:

Del Pozo-Herce P, Garcia Carpintero-Blas E, Tovar-Reinoso A, Hernández-Cediel MdC, Olmos Morcillo A, Herrero Roldán S, Chover-Sierra E, Martínez-Sabater A, Juárez-Vela R

Training in communication skills in conflict situations: learning experiences and competency development in clinical simulation

JMIR Preprints. 04/07/2026:106251

DOI: 10.2196/preprints.106251

URL: https://preprints.jmir.org/preprint/106251

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