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ChatGPT-Supported Metacognitive Feedback in Nursing Students
Sponsor: Izmir Katip Celebi University
Summary
This randomized controlled study aims to evaluate the effects of ChatGPT-supported metacognitive feedback on nursing students' metacognitive awareness and self-regulated learning during clinical nursing practice. A total of 140 fourth-year nursing students will be randomly assigned in a 1:1 ratio to an intervention group or a control group. Students in the intervention group will receive structured ChatGPT-supported metacognitive feedback based on reflective learning prompts, while students in the control group will continue routine clinical education and receive traditional verbal and written feedback from clinical instructors. Data will be collected before and after the intervention using a demographic information form, the Metacognitive Awareness Inventory, and the Self-Regulated Learning Scale in Clinical Nursing Practice. The study is designed as a pretest-posttest parallel-group randomized controlled trial.
Official title: Effects of ChatGPT-Supported Metacognitive Feedback on Nursing Students' Clinical Reasoning and Self-Regulated Learning
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
106
Start Date
2026-08-24
Completion Date
2026-10
Last Updated
2026-08-18
Healthy Volunteers
Yes
Interventions
ChatGPT-Supported Metacognitive Feedback
Participants assigned to the experimental group will receive ChatGPT-supported metacognitive feedback during clinical nursing practice for up to six weeks. Students will prepare structured reflective texts focusing on their learning goals, strategies, monitoring, and self-evaluation. These reflections will be processed using a researcher-developed metacognitive feedback framework with ChatGPT. ChatGPT will generate metacognitive and Socratic prompts intended to support students' awareness and regulation of their learning processes. No patient-identifying information will be entered into ChatGPT, and ChatGPT will not provide clinical decisions, treatment recommendations, or judgments regarding the correctness of patient care.
Routine Clinical Education and Traditional Feedback
Participants assigned to the control group will continue routine clinical nursing education during the study period. Students will participate in their usual clinical practice and prepare patient education plans as part of their standard educational activities. They will receive traditional verbal and written feedback from clinical instructors and faculty members. No ChatGPT-supported metacognitive feedback will be provided to the control group during the intervention period.