The Effect of Benner's Jigsaw Teaching Technique Based on the Novice to Expert Model and Scenario-Based Peripheral Intravenous Catheterization Instruction on Skill Acquisition of Nursing Students: An Experimental Study.

This randomized controlled experimental study aims to evaluate the effectiveness of a training program based on the Jigsaw teaching technique and scenario-based learning in improving the peripheral intravenous catheterization skill levels of first-year nursing students. Participants will be randomly assigned to either the intervention group, receiving Jigsaw-based collaborative learning combined with clinical scenarios, or the control group receiving traditional skills training. The primary outcome is the improvement in students' clinical skill performance as measured by a standardized skill assessment checklist. The study seeks to determine whether innovative, active learning methods can enhance fundamental nursing skills training

Study Overview

• Status: Recruiting
• Conditions: Nursing Education; Clinical Skills Training
• Intervention / Treatment: Behavioral: Jigsaw and Scenario-Based Training; Behavioral: Traditional Training

Detailed Description

This study aims to evaluate the effectiveness of a structured educational intervention based on the Jigsaw teaching technique combined with scenario-based clinical training on the skill performance of first-year nursing students. The study is designed as a randomized controlled experimental trial.

The intervention group will receive a structured education program that includes collaborative learning through the Jigsaw method, scenario-based skill practice, and guided feedback. The control group will receive standard skills laboratory training provided within the regular curriculum. All students will complete the same skill performance assessment before and after the intervention.

The primary objective of the study is to determine whether the combined Jigsaw and scenario-based educational approach improves students' practical skill performance compared to standard training. Secondary objectives include evaluating changes in students' self-confidence, engagement in the learning process, and satisfaction with the educational method.

The study will be conducted in a controlled laboratory environment, and all participants will be randomly assigned to the intervention or control group. The results are expected to contribute to the development of innovative and effective teaching strategies for fundamental nursing skills education.

• Study Type: Interventional
• Enrollment (Estimated): 80
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Ayşe ULUÇAY HAMARAT, Lecturer, PhD Student; Phone Number: +90 5079262958; Email: ayseulucay@cumhuriyet.edu.tr

Study Locations

• Turkey (Türkiye)
  • Sivas
    • Sivas, Sivas, Turkey (Türkiye), 58070
      • Recruiting
      • Sivas Cumhuriyet University
      • Contact: Sivas Cumhuriyet University Sivas Cumhuriyet University; Phone Number: +90 346 487 00 00; Email: ayseulucayse@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Volunteering to participate in research
• To be a first-year Nursing student
• To be taking the Nursing Fundamentals-II course for the first time
• To be a smart phone or computerVolunteering to participate in resrs a day

Exclusion Criteria:

• Being a foreign national (due to the risk of having language problems)
• To have received high school and associate degree education in the field of Public health

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Jigsaw and Scenario-Based Training; Participants in this arm will receive training on peripheral intravenous catheter (PIVC) insertion using the Jigsaw cooperative learning method combined with scenario-based education. The training includes group-based learning, structured scenarios, skill demonstration, and supervised practice.	Behavioral: Jigsaw and Scenario-Based Training; A structured educational program combining the Jigsaw cooperative learning method with scenario-based training to improve peripheral intravenous catheter (PIVC) insertion skills. Training includes group-based learning, scenario discussions, skill demonstration, and supervised practice.
Active Comparator: Traditional Training; Participants in this arm will receive traditional/standard training for peripheral intravenous catheter (PIVC) insertion, including lecture-based instruction, demonstration, and supervised skills practice without Jigsaw or scenario-based components.	Behavioral: Traditional Training; Standard instructional approach including lecture-based teaching, demonstration, and supervised practice for peripheral intravenous catheter (PIVC) insertion, without Jigsaw or scenario-based components.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Laboratory and Clinical Skills Assessment Form for Peripheral Intravenous Catheter Placement Skills	This form was prepared by researchers in accordance with the relevant literature to observe the development levels of students' primary and secondary clinical skills training (PCS) application skills during laboratory and clinical skills training, based on Benner's theorem, and to objectively, safely, accurately, and systematically evaluate the acquired skills. The form will be evaluated based on a total score derived from the individual scoring of each item. Each item will be weighted as follows: 2 points for correctly performed items, 1 point for partially performed items, and 0 points for no correct action performed, with a maximum total score of 70 and a minimum score of 0. Before the PCS-LKBDF application, expert opinions will be obtained from 10 faculty members working in the Department of Nursing nationwide, and content validity, item discrimination, and item difficulty analysis will be performed on 10 students participating in the pilot application by a statistician.	Immediately post-intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Peripheral Intravenous Catheter Insertion Knowledge Test	This test, prepared by researchers, consists of 20 questions aligned with the course content of the IV medication and infusion administration unit, current articles available in the field, national and international (Practice Guidelines and nationally recognized nursing textbooks), and the objectives and goals of the course. Each correct answer is worth 5 points, and the total score obtainable from this knowledge test is 100. A higher score on this knowledge test will be considered an indication of increased success in the subject. Before the PIVK-BT test is administered, expert opinions will be obtained from 10 faculty members working in Nursing Departments nationwide, and content validity, item discrimination, and item difficulty analysis will be performed on 10 students participating in the pilot study by an independent statistician.	Immediately post-intervention

Collaborators and Investigators

• Sponsor: Cumhuriyet University
• Investigators: Study Chair: Şerife KARAGÖZOĞLU, PhD, Professor, Cumhuriyet University

Study record dates

Study Major Dates

• Study Start (Actual): February 24, 2026
• Primary Completion (Estimated): August 30, 2026
• Study Completion (Estimated): June 30, 2027

Study Registration Dates

• First Submitted: December 9, 2025
• First Submitted That Met QC Criteria: December 9, 2025
• First Posted (Actual): December 23, 2025

Study Record Updates

• Last Update Posted (Actual): March 19, 2026
• Last Update Submitted That Met QC Criteria: March 17, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Keywords: nurse; intravenous catheter; skills training; scenario-based training; jigsaw
• Other Study ID Numbers: Cumhuriyet University Nursing; 2025-10/37 (Other Identifier: Sivas Cumhuriyet Üniversitesi Sağlık Bilimleri Araştırmaları Etik Kurulu)

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