Faculty Clinical Support Model for Nursing Internship Students: Self-Efficacy and Coping

September 1, 2026 updated by: Asim Alhejaili, Taibah University

Changes in Self-Efficacy and Coping Following Implementation of a Faculty Clinical Support Model Among Nursing Internship Students: A Single-Group Pre-Post Study

This study evaluated changes in self-efficacy and coping abilities among nursing internship students following implementation of a Faculty Clinical Support Model (FCSM) at Taibah University, Medina, Saudi Arabia. The FCSM is a structured faculty mentorship program in which each nursing intern is assigned a designated faculty mentor, with scheduled meetings at the start, midpoint, and end of each clinical rotation, and reflective debriefing sessions focused on stress, coping, and clinical decision-making. A single-group pre-post design was used. Self-efficacy and coping were measured at baseline (T0, July 2025) and at six months (T1, January 2026) using the Generalized Self-Efficacy Scale (GSE) and the Placement Coping Scale (PCS). A five-item evaluation form assessed participants' perceived impact of the model. This study was registered retrospectively; prospective registration was not completed because the FCSM was implemented as a routine institutional support initiative and was not recognized at the time as meeting the ICMJE clinical trial definition.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

The Faculty Clinical Support Model (FCSM) consisted of three components: (1) designated faculty mentors assigned to each nursing internship student for the duration of the internship year; (2) scheduled faculty-mentor-student meetings at three defined points per clinical rotation (start, midpoint, and end); and (3) planned reflective debriefing sessions focused on stress, coping strategies, and clinical decision-making. All participating faculty received a brief standardized orientation on strategies to support students' self-efficacy through graded mastery experiences and constructive feedback, and to promote adaptive coping prior to the intervention period.

Self-efficacy was measured using the Generalized Self-Efficacy Scale (GSE; 10 items, 1-10 scale), originally developed by Schwarzer and Jerusalem (1995) and adapted for the internship context. Coping was assessed using the Placement Coping Scale (PCS; 9 items, 1-10 scale). A five-item FCSM evaluation form (1-5 scale) assessed participants' perceived impact of the model on preparedness, confidence, coping, accessibility of support, and likelihood of recommending the model to future cohorts.

Data were analyzed using Wilcoxon signed-rank tests as primary analyses due to non-normal distributions, supplemented by paired t-tests, Cohen's d effect sizes, and Cronbach's alpha for internal consistency. Given the single-group design without a control condition, findings are interpreted as preliminary, hypothesis-generating evidence of association rather than confirmed causal effectiveness.

Ethics approval was obtained from the Research Ethics Committee, College of Nursing, Taibah University (TUCN-REC-2025-123, approved 18 May 2025).

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
114

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Saudi Arabia
      • Madinah, Saudi Arabia, 22490
        • College of Nursing, Taibah University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  1. Enrolled as a nursing internship student at Taibah University, Medina, Saudi Arabia
  2. Participating in clinical placement or internship rotations during the study period (July 2025 to January 2026)
  3. Willing to provide informed consent

Exclusion Criteria:

1. Prior professional nursing experience before the internship year

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: FCSM Intervention
All nursing internship students received the Faculty Clinical Support Model (FCSM), consisting of designated faculty mentors, scheduled faculty-student meetings at three points per clinical rotation, and reflective debriefing sessions focused on stress, coping, and clinical decision-making.
Behavioral: Faculty Clinical Support Model (FCSM)
A structured faculty mentorship program consisting of: (1) designated faculty mentors assigned to each nursing intern for the duration of the internship year; (2) scheduled faculty-mentor-student meetings at the start, midpoint, and end of each clinical rotation; and (3) reflective debriefing sessions focused on stress, coping strategies, and clinical decision-making. All faculty received a brief standardized orientation on strategies to support students' self-efficacy and adaptive coping prior to implementation.

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Change in Coping Score
Time Frame: Baseline (T0) and 6 months post-intervention (T1)
Mean score on the Placement Coping Scale (PCS; 9 items, 1-10 scale). Higher scores indicate better coping capacity.
Baseline (T0) and 6 months post-intervention (T1)
Change in Self-Efficacy Score
Time Frame: Baseline (T0) and 6 months post-intervention (T1)
Mean score on the Generalized Self-Efficacy Scale (GSE; 10 items, 1-10 scale). Higher scores indicate greater self-efficacy.
Baseline (T0) and 6 months post-intervention (T1)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Taibah University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
July 1, 2025

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
January 31, 2026

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
January 31, 2026

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
September 1, 2026

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
September 1, 2026

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
September 8, 2026

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
September 8, 2026

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
September 1, 2026

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
September 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • TUCN-REC-2025-123

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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