The Effect of the Flipped Learning Model on Spiritual Care Perception and Competence in Nursing Students

January 7, 2026 updated by: Kağan Arslandoğmuş, Kırıkkale University

The Effect of the Flipped Learning Model on Nursing Students' Perception of Spiritual Care and Competence This study was designed as a randomised controlled trial to determine the effect of the flipped learning model on nursing students' perception of spiritual care and their competence in spiritual care.

The study will be conducted between 08.12.2025 and 09.02.2026 on 112 fourth-year nursing students. Students meeting the inclusion criteria will be randomised and divided into two random groups: the experimental group (n=50) and the control group (n=50). All participating students will be administered the 'Descriptive Characteristics Form', the 'Spirituality and Spiritual Care Rating Scale (MMBÖ)' and the 'Spirituality Scale Spiritual Care Competence Scale (MBYÖ)' and (pre-test). Students in the experimental group will undergo reverse application for 1 month.

All students in the control group will be administered the 'Descriptive Characteristics Form,' the 'Spirituality and Spiritual Care Rating Scale (MMBÖ),' the 'Spiritual Care Competence Scale (MBYÖ),' and a pre-test. No intervention will be administered to students in the control group.

After the reverse application is completed, the 'Descriptive Characteristics Form,' the 'Spirituality and Spiritual Care Rating Scale (MMBÖ),' the 'Spiritual Care Competence Scale (MBYÖ),' and the 'post-test' will be administered to the students in the experimental and control groups.

The collected data will be analysed using SPSS 22 software.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Enrolling by invitation

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.

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 (Estimated)

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.
112

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

  • Turkey (Türkiye)
    • Kırıkkale
      • Kırıkkale, Kırıkkale, Turkey (Türkiye), 71450
        • Kirikkale 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:

  • Students who volunteer to participate in the study, who have smartphones/computers and continuous Internet access, will be included in the study.

Exclusion Criteria:

  • Students who have previously studied a health-related subject and who have previously taken a course related to spiritual care will be excluded from the study.

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: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

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: Flipped Learning Model
Receiving Spiritual Care Training in Nursing with the Reverse Education Model
Other: flipped learning model

All participating students will be administered the 'Introductory Characteristics Form', the 'Spirituality and Spiritual Care Rating Scale (MMBÖ)' and the 'Spiritual Care Competence Scale (MBYÖ)' and a pre-test. Students in the experimental group will undergo reverse application for one month.

All students in the control group will be administered the 'Descriptive Characteristics Form,' the 'Spirituality and Spiritual Care Rating Scale (MMBÖ),' the 'Spiritual Care Competence Scale (MBYÖ),' and the pre-test. No intervention will be administered to students in the control group.

After the reverse application is completed, the 'Descriptive Characteristics Form', the 'Spirituality and Spiritual Care Rating Scale (MMBÖ)' and the 'Spiritual Care Competence Scale (MBYÖ)' and the 'post-test' will be administered to the students in the experimental and control groups.
No Intervention: TRADITIONAL EDUCATION MODEL
Receiving spiritual care training in nursing with the traditional education model

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
Determining the effect of the flipped learning model on nursing students' perception level of spiritual care
Time Frame: Baseline and post-intervention (8th week)]

Spirituality and Spiritual Care Rating Scale (SCRS); The scale consists of 17 items and has 3 sub-dimensions. The scale is scored using a 5-point Likert type (1 = Strongly Disagree, 2 = Disagree, 3 = Undecided, 4 = Agree, 5 = Strongly Agree). Thirteen items (1, 2, 5, 6, 7, 8, 9, 10, 11, 12, 14, 15, and 17) are scored normally, while four items (3, 4, 13, and 16) are scored in reverse. The total score is obtained by dividing the item scores by the number of questions. The maximum score that can be obtained from the scale is 85, and the minimum is 17. A high total score indicates a good level of perception of spirituality and spiritual care concepts.

The Spiritual Care Competence Scale (SCCS) consists of three areas of nursing competence related to spiritual care and a total of 27 items. The scale is a five-point Likert-type scale. The lowest possible score on the scale is 27, and the highest possible score is 135. A high score indicates nursing competence related to spiritual care.
Baseline and post-intervention (8th week)]

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Determining the effect of the flipped learning model on nursing students' their spiritual care competencies
Time Frame: Baseline and post-intervention (8th week)]

Spirituality and Spiritual Care Rating Scale (SCRS); The scale consists of 17 items and has 3 sub-dimensions. The scale is scored using a 5-point Likert type (1 = Strongly Disagree, 2 = Disagree, 3 = Undecided, 4 = Agree, 5 = Strongly Agree). Thirteen items (1, 2, 5, 6, 7, 8, 9, 10, 11, 12, 14, 15, and 17) are scored normally, while four items (3, 4, 13, and 16) are scored in reverse. The total score is obtained by dividing the item scores by the number of questions. The maximum score that can be obtained from the scale is 85, and the minimum is 17. A high total score indicates a good level of perception of spirituality and spiritual care concepts.

The Spiritual Care Competence Scale (SCCS) consists of three areas of nursing competence related to spiritual care and a total of 27 items. The scale is a five-point Likert-type scale. The lowest possible score on the scale is 27, and the highest possible score is 135. A high score indicates nursing competence related to spiritual care.
Baseline and post-intervention (8th week)]

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.
Kırıkkale University

Investigators

Investigators

A researcher involved in a clinical study. Related terms include site principal investigator, site sub-investigator, study chair, study director, and study principal investigator.
  • Principal Investigator: Kağan ARSLANDOĞMUŞ, Kırıkkale 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.
November 28, 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.
December 28, 2025

Study Completion (Estimated)

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.
February 17, 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).
December 8, 2025

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.
January 7, 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.
January 13, 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.
January 13, 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.
January 7, 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.
January 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.
  • KKU-SBE-KA-01

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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