Clinical Research Directory

Effect of AI-Supported Case Analysis on Nursing Students

The aim of this study is to determine the effect of AI-supported oncology case analysis on nursing students' knowledge, level of learning satisfaction, and clinical decision-making skills. This study is planned to be conducted using a single-blind randomized controlled trial design for the quantitative research component and an interview design for the qualitative research component. The students will be divided into two groups: an intervention group (artificial intelligence) and a control group (traditional instruction).

Pecha Kucha-Based ERAS Education in Cardiovascular Surgery: Effects on Nursing Students' Knowledge and Attitudes

Nursing education is rapidly evolving due to changing healthcare needs and Generation Z learning preferences, which favor short, visual, and interactive methods. Innovative teaching strategies are therefore needed to improve nursing students' critical thinking, clinical decision-making, and problem-solving skills. The Pecha Kucha (PK) method is a concise, visual presentation format consisting of 20 slides shown for 20 seconds each. It has been reported to improve attention, learning motivation, and knowledge acquisition in nursing education. However, its use in teaching Enhanced Recovery After Surgery (ERAS) protocols in cardiovascular surgery has not been previously studied. ERAS protocols are evidence-based perioperative care pathways aimed at reducing surgical stress, complications, and recovery time. Nurses play a key role in implementing these protocols, including patient education, pain management, early mobilization, nutrition, and discharge planning. However, nurses' knowledge and application of ERAS remain limited. This study aims to evaluate the effect of ERAS education delivered via the Pecha Kucha method on nursing students' knowledge and attitudes toward evidence-based nursing. The study will contribute evidence on innovative teaching strategies in nursing education. This experimental study will include 71 second-year nursing students at Lokman Hekim University between May 15, 2026 and May 15, 2027. Data will be analyzed using appropriate parametric or non-parametric tests depending on distribution

The Effectiveness of the Puzzle Method on Nursing Students' Infection Control Learning Level

This randomized controlled trial aims to evaluate the effect of the puzzle teaching technique on the infection control knowledge levels of first-year nursing students. Infection control and asepsis represent fundamental competencies that are essential for patient safety and quality of care. Despite the recognized importance of these concepts, many undergraduate nursing students struggle to retain theoretical information and apply it effectively in clinical practice when exposed only to traditional, lecture-based instruction. Active learning approaches have been shown to enhance students' engagement, motivation, and long-term knowledge retention compared to conventional teaching methods. Among these approaches, puzzle-based learning has recently emerged as an innovative, low-cost, and enjoyable educational tool that promotes active participation, problem-solving, and conceptual understanding. By integrating play and cognitive challenge, puzzles help learners reinforce complex theoretical content and recall it more effectively. In this study, first-year nursing students enrolled in a fundamentals of nursing course will be randomly assigned to either an experimental group or a control group. Both groups will first receive standard theoretical instruction on infection control and asepsis delivered through traditional lectures. Following this, the experimental group will participate in a three-week puzzle-based learning intervention, while the control group will receive no additional activities beyond the standard lecture. The puzzle intervention will include weekly, instructor-led sessions where students collaboratively complete custom-designed educational puzzles-such as crosswords, matching games, and problem-solving tasks-focused on infection control concepts (hand hygiene, aseptic technique, sterilization, personal protective equipment, and prevention of healthcare-associated infections). Each session will last approximately 45-60 minutes and will emphasize group interaction, peer discussion, and immediate feedback. Data will be collected using a pre-test/post-test design. All participants will complete a structured infection control knowledge test before the intervention, immediately after the three-week period, and again four weeks later to assess retention. In addition, a short questionnaire will be administered to the experimental group to measure student satisfaction and perceived learning effectiveness associated with the puzzle technique. The primary outcome is the change in infection control knowledge scores from pre-test to post-test. Secondary outcomes include knowledge retention at four weeks and students' satisfaction with the learning experience. Statistical analyses will compare mean score differences between and within groups using appropriate parametric or non-parametric tests. This study is grounded in Kolb's experiential learning theory and Bloom's revised taxonomy, both of which support active, student-centered approaches that promote deep learning. Puzzle-based learning is expected to enhance cognitive engagement, encourage self-directed learning, and strengthen understanding of core infection control principles. By evaluating the effectiveness of this interactive teaching strategy, the study aims to provide empirical evidence supporting the integration of active learning methods into nursing curricula. The findings will contribute to the development of more engaging, effective, and evidence-based instructional strategies in nursing education, particularly for first-year students learning infection control and aseptic techniques. It is anticipated that the puzzle teaching technique will improve students' theoretical knowledge, increase their motivation for learning, and support safer future clinical practice.

Mind Mapping: Impact on Critical Thinking and Problem-Solving Skills

This randomized controlled trial aims to evaluate the effectiveness of the mind mapping method in enhancing critical thinking and problem-solving skills among nursing students. The study will be conducted with 65 nursing students enrolled in a "Critical Thinking in Nursing" course at Gazi University during the 2025-2026 academic year. Participants will be assigned to experimental and control groups using stratified randomization based on pre-test scores from the "Marmara Critical Thinking Tendencies Scale" and the "Problem-Solving Inventory." The five-week intervention focuses on five clinical case studies: infection control, medication administration, patient safety, ethical issues, and systematic approaches. While both groups receive the same theoretical content, they follow different practical methodologies: The Control Group will engage in standard case analysis methods. The Experimental Group will work in small teams (4-5 students) to create and present visual mind maps for each case study, using either traditional or digital tools. Following the intervention, both groups will complete post-tests to assess changes in their critical thinking and problem-solving competencies.

Puzzle-Based Learning on Nursing Students' Parenteral Medication Knowledge and Motivation

This randomized, controlled, parallel-group, interventional study aims to evaluate the effects of Crossword-Based Learning for Parenteral Drug Administration on the knowledge level, self-efficacy perception, and learning motivation of Nursing Department students. It is considered original because it examines the effects of crossword-based learning on cognitive and psychosocial outcomes in parenteral drug administration, a skill with a high risk of error in the clinical field. The study will be conducted with 80 (40 Experimental, 40 Control) nursing students selected through a power analysis. Participants will be assigned to groups by random assignment, and the study will be conducted in accordance with the triple-blind principle (participant, data collector, statistician). The experimental group will receive Crossword Activities in four different phases (Initial, Theoretical, Laboratory, and Post-Clinical Practice) in addition to the standard educational content. The control group will only complete the standard education. The primary outcomes of the study are; At the end of the 4th stage, the Parenteral Drug Administration Knowledge Test will be evaluated based on the Safe Parenteral Drug Administration Self-Efficacy Scale (SES-SES) and the Higher Education Learning Motivation Scale (SLS-SES) scores.

The Effect of Simulation-Based ECG Training on ECG Reading Skills of Nursing Students

Accurately analyzing ECG rhythms is a critical competency for nursing students. However, many students fail to achieve an adequate level of knowledge and skill in this area. Therefore, simulation-based learning approaches and innovative, interactive teaching strategies can be effective in improving students' ECG interpretation skills. Furthermore, continuous professional education and hands-on experiences are crucial to ensure the sustainability of these competencies in clinical practice. This study is designed as a randomized controlled trial to determine the effect of simulation-based education on the ECG reading skills of nursing students. The study sample is planned to consist of 60 participants, with 30 in the intervention group and 30 in the control group. Data collection tools will include the Participant Information Form, the ECG Knowledge Test, and the Simulation-Based Learning Evaluation Scale. After administering pre-tests, students will be randomly assigned to the intervention and control groups using a simple randomization method. Both groups will receive ECG training. Following the training, students in the intervention group will receive hands-on, simulation-based ECG training in a simulation lab. In contrast, students in the control group will reinforce their ECG knowledge and skills through interactive games developed using Web 2.0 tools such as Wordwall and Nearpod. After the training, both groups will be tested, and a post-test will be administered in the fourth week to evaluate learning retention and knowledge permanence. As a result of this study, it will be determined whether simulation-based education is more effective than traditional digital methods in enhancing nursing students' ECG knowledge and skill levels.

The Effect of an Artificial Intelligence-Supported Virtual Reality Simulation on Nursing Students' Holistic Care Skills

This study aims to evaluate the effect of artificial intelligence (AI)-supported virtual reality (VR) simulation on nursing students' holistic care skills. The study is a randomised controlled trial involving fourth-year nursing students, divided into an experimental and a control group. Whilst the experimental group will receive AI-supported VR simulation training, the control group will receive traditional case-based training. Outcomes to be assessed include decision-making, symptom identification, nursing diagnosis, simulation design and satisfaction with the training methods.

Simulation-Based Training for Urinary Catheterization Skills in Nursing Students

The purpose of this study is to comparatively evaluate the effectiveness of two different simulation-based training methods on nursing students' knowledge and skills regarding urinary catheterization in male patients. Accordingly, the effects of hybrid simulation training using a wearable urinary catheter model on students' knowledge level, psychomotor skill acquisition, satisfaction, learning self-confidence, and communication skills will be revealed compared to standard training using traditional partial task instructional models.

Evaluation of the Effects of Traditional and E-Learning Methods in Cancer Pain Care Education on Learning Outcomes and Institutional Costs

Cancer pain is a significant clinical problem that directly affects patients' quality of life and requires nurses to be equipped with adequate knowledge and skills to provide effective care. The current shift in knowledge and skill acquisition from traditional teaching methods toward e-learning-based approaches has increased the importance of comparing the effects of these educational methods on learning outcomes in cancer pain management education. Within this context, the course content on cancer pain management will be developed using both traditional and e-learning methods based on the ADDIE instructional design model. The effects of these two methods on students' learning outcomes and institutional teaching costs will be evaluated. Thus, this study aims to contribute to identifying effective and cost-efficient teaching strategies in nursing education.

Online Watch-Summarize-Question-Ask Method in Falls Education for Nursing Students

This randomized controlled study will evaluate the effectiveness of an online Watch-Summarize-Question-Ask (WSQA) learning method on nursing students' knowledge, skills, attitudes, and behaviors related to patient fall prevention and management. Sixty-six nursing students will be randomly assigned to intervention and control groups. Both groups will receive standard patient safety education, while the intervention group will additionally participate in an online, evidence-based fall prevention training program structured according to the WSQA method, including video-based learning, summarization, question generation, and interactive discussions. Outcomes will be assessed using validated instruments measuring fall management knowledge, self-efficacy, attitudes toward fall prevention, care planning performance, and student satisfaction. The study aims to determine the effectiveness of an innovative educational approach to improve fall prevention competencies and enhance the quality and safety of nursing care.

Low Back and Neck Pain in Nursing Students at The University of The West Indies

The purpose of this study is to identify the prevalence of neck and low back pain in nursing students enrolled at the University of the West Indies, Mona; to assess their knowledge, attitude and practice of good spine health and to determine the outcome of a standardised spine exercise program on nursing students experiencing neck and low back pain, using a prospective randomised control design.

The Effect of Post-Scenario Debriefing and Rapid Cycle Deliberate Practice in Anaphylactic Shock Training on Nursing Students' Knowledge, Performance, Self-Confidence, and Satisfaction

This study aims to examine the effect of rapid cycle deliberate practice (RCDP) on nursing students' knowledge, performance, self-confidence, and satisfaction levels regarding anaphylactic shock management. Based on a randomized controlled study design, the study will compare third-year nursing students in terms of RCDP application with traditional analysis methods performed at the end of a scenario. Students, divided into intervention and control groups, will have their knowledge levels, simulation performance, self-confidence, and satisfaction assessed using various scales. The retention of learning and students' subjective learning experiences will also be included in the research. The outcome of this study will determine whether RCDP is an effective method for improving critical clinical decision-making and emergency management skills in nursing students.

Using Virtual Humans to Teach Cognitive Function Assessment to Nursing Students

Purpose of the Study This study wants to find out whether a virtual human (a computer-based simulated person) can help nursing students learn how to assess someone's thinking and memory skills. Main Question Do nursing students learn cognitive function assessment better when they use a virtual human compared with reading printed materials? What Participants Will Do Participants will learn how to do a cognitive function assessment for about 60 minutes, either by using a virtual human or by reading printed materials.

Flipped Learning in Nursing Education

This study aims to examine the effects of cancer screening training, conducted using a ChatGPT-based flipped learning model, on knowledge, learning motivation, and class participation.

Effect of Critical Thinking Disposition Program on Developing Reflective Thinking and Motivation to Learn Among Nursing Students

Study Title: Effect of Critical Thinking Disposition Program on Developing Reflective Thinking and Motivation to Learn among Nursing Students Study Description: This study aims to investigate the effect of a Critical Thinking Disposition Program on nursing students' reflective thinking and motivation to learn. In the rapidly evolving healthcare environment, nurses must possess both critical thinking skills and disposition to make accurate clinical judgments and provide high-quality professional care. Many novice nurses lack critical thinking disposition, which can result in inaccurate clinical judgments and an inability to identify causes of problems. The program will target nursing students to enhance their internal motivation to think critically, solve problems, evaluate ideas, and make informed decisions. The intervention focuses on developing cognitive strategies, attitudes, and behaviors that support self-motivated learning and professional competence. Outcomes will be measured by evaluating students' reflective thinking and motivation to learn before and after the program. Primary Outcome Measures: Improvement in reflective thinking scores Increase in motivation to learn scores Secondary Outcome Measures: Development of critical thinking disposition attributes such as truth-seeking, open-mindedness, analyticity, inquisitiveness, self-confidence, and maturity

EFT and Resilience in Nursing Students

The purpose of this study is to determine the effect of Emotional Freedom Technique (EFT) application on stress, anxiety, and sleep quality in nursing students. The nursing education process can cause high levels of psychological and physiological stress in students due to many factors such as a heavy theoretical knowledge load, clinical practice stress, exam anxiety, and shift work. This situation results in increased anxiety and impaired sleep quality, thereby negatively affecting students' academic performance, clinical skills, and overall well-being. In this context, the study aims to evaluate whether EFT, as a complementary method, is effective in reducing stress and anxiety levels in nursing students, as well as improving sleep quality. It is believed that the results of this research will contribute to the development of alternative approaches that support psychological well-being in nursing education and will provide evidence-based data on the integration of EFT into educational programs.

The Effect of Simulation Training on Nursing Students' Perception, Myths and Attitudes of Dating Violence

Violence is a major global public health problem, causing approximately 1.5 million deaths each year. Dating violence, a common form of violence among young people, has serious consequences for women's and youths' physical and mental health, including mortality, chronic diseases, mental disorders, risky health behaviors, and substantial economic burden. As future healthcare providers, nursing students' myths, attitudes, and perceptions regarding dating violence can directly influence the quality and sensitivity of the care they deliver to survivors. Current literature mainly consists of descriptive studies focusing on nursing students' perceptions or attitudes toward dating violence, while experimental and structured educational interventions are limited. This study aims to develop and evaluate an educational program supported by high-fidelity simulation and flipped learning to increase nursing students' awareness levels regarding dating violence, as well as to address their myths, attitudes, and perceptions. In the flipped learning component, students will review digital educational materials before class and actively participate in in-class activities; in the simulation component, students will engage in realistic scenarios involving dating violence cases to enhance their clinical readiness and care competencies. The study is designed to contribute to the prevention of dating violence by strengthening nursing students' knowledge, awareness, and professional responsibility in this field.

The Effect of Escape Room Method in Nursing Process Teaching

This study will be conducted to determine the effectiveness of education provided through the educational escape room method in nursing process teaching and to examine its effects on 4th-year nursing students' self-efficacy, teamwork, and anxiety.

The Effect of Video-Based Virtual Reality Education on Self-Confidence and Motivation in Nursing Students

This study is a randomized controlled, parallel patterned, single-blind experimental study conducted to investigate the effects of video-based virtual reality (VR) training on self-confidence and motivation levels of nursing students regarding peripheral venous catheterization (PVC) skills. The intervention group will receive video-based training via VR headsets, while the control group will be presented with the same content via traditional face-to-face narration and demonstration. Self-confidence and motivation levels before and after the training will be assessed with valid scales. The study is expected to contribute to the development of innovative technology-supported teaching strategies in nursing education.

The Effectiveness of Serious Game-Based Training for Nursing Students in Postpartum Haemorrhage Management

This randomised controlled trial aims to evaluate the effectiveness of serious game-based training for postpartum haemorrhage (PPH) management among third-year nursing students. The study employs a pre-test-post-test design with two parallel groups: an experimental group (game-based education) and a control group (traditional education). The sample size was determined by power analysis to be 70 students in total, with 35 students in each group. Participants will be assigned in a 1:1 ratio by computer-assisted block randomisation by a person independent of the research team; students and instructors will not be blinded, but the biostatistician performing the data analysis will be blinded. The intervention group will first receive traditional education, followed by gamification-based education including nursing interventions in the management of PPB; the control group will receive only traditional education. Data will be collected using the PPK Management Knowledge and Skills Assessment Form and the PPK Management Self-Confidence Scale.

Applying Interactive E-books on Breastfeeding to Enhance Nursing Students' Learning

This study aims to explore the impact of interactive breastfeeding e-books on nursing students' breastfeeding learning outcomes. The subjects are third-year nursing students from a university in central Taiwan. A randomized controlled design will be adopted. The experimental group will use interactive breastfeeding e-books for learning, while the control group will use traditional face-to-face courses to evaluate the changes in students' breastfeeding knowledge, skills, and learning motivation. The expected results can provide a reference for innovative teaching models in nursing education and promote the future clinical promotion of breastfeeding.

Enhancing Nursing Skills With SimCapture Technology

The action research aims to enhance clinical nursing skills of nursing students through the implementation of the SimCapture cloud management system. Research has found that traditional teaching methods are insufficient in cultivating students' clinical skills, and students' learning characteristics and technological developments have also placed new demands on teaching. Although the research team previously attempted blended learning and simulation-based teaching, students' technical grades have shown a declining trend. To address this issue, the researchers plan to implement the SimCapture system and, based on observational learning theory, design teaching activities to enhance students' learning motivation and self-efficacy, ultimately improving their clinical skills.

Virtual Reality in Nursing Students' Communication Skills

The purpose of this clinical trial is to determine the effect of a virtual reality application on nursing students' skills in breaking bad news and approaching crying patients at a nursing faculty in western Turkey. The primary questions to be addressed are: Is there a significant difference in breaking bad news skills between students receiving the virtual reality intervention and those receiving the standard curriculum? Is there a significant difference in skills related to approaching crying patients between students receiving the virtual reality intervention and those receiving the standard curriculum? Comparison group: The researchers will compare the intervention group, which receives the virtual reality application, with the control group, which follows the standard curriculum, to assess differences in skill development. Participants: Nursing students aged 18 years or older, who are taking a communication course for the first time and voluntarily participating. Participants will be randomly assigned to the intervention or control groups. Participants in the intervention group will: Attend an orientation session for the virtual reality application, Engage in a virtual reality scenario based on the SPIKES protocol involving breaking bad news and approaching a crying patient, Participate in a debriefing session to discuss their experiences. Participants in the control group will receive the standard curriculum course.

Ahi-Based Education on the Professional Values of Nursing Students

In current nursing education programs, professional values education mostly remains at a theoretical level; students' internalization of these values and reflection of them in their behavior is limited. Ahilik is a historical system based on ethical principles, professional responsibility, and a sense of service to society. The aim of this study is to experimentally evaluate the effect of Ahilik-based education on the professional values of nursing students. Hypotheses H0: There is no significant difference between the professional values of nursing students who receive Ahilik education and those who do not. H1: The professional values of nursing students who receive Ahilik education are significantly different from those who do not.