This literature review synthesizes current evidence (2017–2025) on mental health education in prelicensure nursing, clinical and simulation learning, and best practices for nurse preceptors, with a strong emphasis on student preparation, quality clinical experiences, and soft-skill development.

1. 1. Mental health competencies are foundational to all nursing practice, not limited to psychiatric units. Students must be prepared to manage crisis, emotional distress, and behavioral health needs across all care settings.
   2. High-quality simulation and well-structured clinical experiences are critical for developing communication skills, confidence, clinical reasoning, and positive attitudes toward patients with mental illness.
   3. Poor or unstructured clinical placements can harm learning, while intentional preparation, clear expectations, and supportive instruction significantly improve student outcomes.
   4. Self-care, resiliency, and wellness education are essential components of nursing curricula, aligned with AACN standards, and necessary to support student well-being and long-term retention.
   5. Community-based and non-traditional clinical settings (e.g., homeless shelters, schools, recovery programs) meaningfully deepen student understanding of social determinants of health and mental health disparities.
   6. Effective preceptorship programs depend on soft skills, role modeling, ongoing training, recognition, and institutional support rather than clinical expertise alone.
   7. Recognition and incentive strategies for preceptors, including non-monetary rewards, professional development opportunities, and visible acknowledgment, increase participation, satisfaction, and retention.

Across the literature, several consistent themes emergeOverall, the evidence supports intentional integration of mental health education throughout nursing programs, expanded use of simulation and community partnerships, and structured, supported preceptor development as essential strategies for preparing competent, resilient nurses and sustaining the workforce