Web-based Clinical Pedagogy Program to Enhance Nurse Preceptors' Teaching Competency

February 28, 2018 updated by: WU Xi Vivien, National University of Singapore

Web-based Clinical Pedagogy Program to Enhance Nurse Preceptors' Teaching Competency and Nursing Students' Learning Outcomes in Clinical Competency

The study aims to develop a Web-based clinical pedagogy program (WCP) for nurse preceptors; compare the WCP with the current preceptorship course on clinical teaching competence, assessment techniques and self-efficacy; examine nurse preceptors' attitudes toward Web-based learning; and explore the preceptors' perspectives of WCP.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

Clinical nursing education provides opportunities for students to learn in multiple patient care settings, receive appropriate guidance, and foster the development of clinical competence and professionalism. Nurse preceptors guide students to integrate theory into practice, teach clinical skills, assess clinical competency, and enhance problem solving and critical thinking skills. Previous researches have indicated that the teaching competency of the nurse preceptors can be transferred to the students' clinical learning to enhance their clinical competencies. Web-based learning is recognised as an effective learning approach for enhancing nursing knowledge and skills. The flexible and resource-rich nature of Web-based learning may encourage nurses to use it as a platform for continuing education.

The present study aims to develop a Web-based clinical pedagogy program (WCP) for nurse preceptors; compare the WCP with the current preceptorship course on clinical teaching competence, assessment techniques and self-efficacy; examine nurse preceptors' attitudes toward Web-based learning, and explore the preceptors' perspectives of WCP .

The design of the components in WCP is grounded on Bandura's self-efficacy theory. The WCP is an evidence-based program which provides a comprehensive coverage on clinical teaching pedagogy and assessment strategies. The unique web-based technology and interactive features provide a platform to allow the nurse preceptors to discuss the clinical encounters with their peers, and consult the experts. The WCP provides flexibility in learning, which may match the tight work schedule of the preceptors and aligns with the initiative of Singapore government to encourage leveraging on technology and continuing education for citizens.

A prospective cluster randomisation trial will be used for this study. The WCP will be provided to the preceptors in the experimental cluster, while the preceptors in the controlled cluster will receive the current preceptorship course. A follow-up qualitative study using focus group will be conducted to further explore the preceptors' perspectives of WCP.

Clinical teaching competence inventory (CTCI), preceptor self-efficacy assessment instrument (PSAI), attitudes towards web-based continuing learning survey (AWCLS) will be used to evaluate preceptors' learning outcomes. Socio-demographic data will be collected for both groups at baseline. Nurse preceptors will be invited to complete questionnaires on CTCI, PSAI, and AWCLS at three time points, before the learning program (baseline), after the learning program (post-test 1), and after clinical teaching experience (post-test 2). In addition, 16 preceptors will be invited to participate in the focus group discussions.

Ministry of Health, Singapore encourages strategies that are innovative and promote professional development of healthcare professionals, who feel more motivated and dignified to care for the health of the population. It is paramount that continuing education courses integrate with technology, increase the flexibility and responsiveness of the nursing workforce, and offer alternative means to take up courses.

Study Type

Interventional

Enrollment (Anticipated)

150

Phase

  • 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 Contact

Study Contact Backup

Study Locations

  • Singapore
      • Singapore, Singapore, 117597
        • National University of Singapore
        • Contact:

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

Ages Eligible for Study

21 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • nurse preceptors and clinical nurse leaders;
  • guiding the nursing students for clinical teaching and assessment;
  • 21 years old and above;
  • have not completed the clinical teaching course provided by the hospital; and
  • possess and able to use smart mobile devices (Smart phone, tablet, or laptop) in daily lives.

Exclusion Criteria:

  • nurse preceptors who do not know how to use the smart mobile devices.

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: HEALTH_SERVICES_RESEARCH
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: SINGLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Experimental cluster
The Web-based clinical pedagogy program (WCP) will be provided to the participants in the experimental cluster.
Other: Web-based clinical pedagogy program (WCP)
The nurse preceptors in the experimental cluster will be given access to download the WCP on mobile devices. The unique interactive features provide continuous support and allow preceptors to discuss the clinical encounters with their peers and consult experts for advice.
NO_INTERVENTION: Control cluster
The participants in the control cluster will receive the current face-to-face preceptorship course.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Preceptor Self-efficacy Questionnaire (PSEQ)
Time Frame: Change from Baseline PSEQ at 6 months
The PSEQ (Parsons, 2007) consists of 21 items, and assesses the confidence in preceptor skills using a four-point Likert scale
Change from Baseline PSEQ at 6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Clinical Teaching Competence Inventory (CTCI)
Time Frame: Change from Baseline CTCI at 6 months
The CTCI consists of four domains of teaching and assessment competencies and 31 items on a five-point Likert scale. The four domains are: student evaluation (assessment), goal setting and individual teaching, teaching strategies, and demonstration of organized knowledge.
Change from Baseline CTCI at 6 months
Attitudes toward Web-based Continuing Learning Survey (AWCLS)
Time Frame: Change from Baseline AWCLS at 6 months
There are four dimensions and 18 items using a 7-point Likert scale in the survey. The four dimensions are the perceived usefulness scale assesses the nurses' perceptions of the extent to which they perceive that the influence of web-based continuing learning is useful; the perceived ease of use scale evaluates the nurses' perceptions of the extent to which web-based continuing learning is easy to use; the behaviour scale measures the nurses' willingness to take up web-based continuing learning; and the affection scale assesses the nurses' perceptions regarding positive feelings about web-based continuing learning.
Change from Baseline AWCLS at 6 months

Collaborators and Investigators

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

Sponsor

National University of Singapore

Collaborators

Tan Tock Seng Hospital

Investigators

  • Principal Investigator: Vivien Xi Wu, PhD, National University of Singapore

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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 (ANTICIPATED)

September 1, 2018

Primary Completion (ANTICIPATED)

December 1, 2019

Study Completion (ANTICIPATED)

March 2, 2020

Study Registration Dates

First Submitted

February 20, 2018

First Submitted That Met QC Criteria

February 28, 2018

First Posted (ACTUAL)

March 7, 2018

Study Record Updates

Last Update Posted (ACTUAL)

March 7, 2018

Last Update Submitted That Met QC Criteria

February 28, 2018

Last Verified

February 1, 2018

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • MOE2017-TRF-009

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

study protocol and final report will be submitted to peer-reviewed journal for possible publication.

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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