Gagne Learning Model in Nursing Education

THE EFFECT OF BREAST CANCER EDUCATION CONDUCTED WITH THE GAGNE LEARNING MODEL ON KNOWLEDGE, ATTITUDES TOWARDS LEARNING, AND CRITICAL THINKING SKILLS OF NURSING STUDENTS

This study aims to examine the effect of breast cancer education, conducted using the Gagne learning model, on nursing students' knowledge, attitudes towards learning, and critical thinking skills.

Study Overview

• Status: Enrolling by invitation
• Conditions: Nursing Education; Learning Process in Nursing Graduation; Learning Techniques
• Intervention / Treatment: Other: Gagne Learning group; Other: Control group- Traditional learning model

Detailed Description

The study is a randomized controlled trial with experimental and control groups. The study implements an educational program based on Gagne's learning model and a traditional learning model. Data are collected using a comprehensive breast cancer knowledge test, an attitude scale toward learning, a critical thinking skills questionnaire, and a self-breast examination teaching skills form.

• Study Type: Interventional
• Enrollment (Estimated): 68
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Namık Kemal Street
    • Tekirdağ, Namık Kemal Street, Turkey (Türkiye), 59030
      • Tekirdag Namık Kemal University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Third-year students who had taken courses in fundamentals of nursing, internal medicine nursing, physiology, pathology, and computer science, but had not taken oncology nursing, were included in the study as volunteers.

Exclusion Criteria:

• Students who were not in their third year of study, did not take one of the following courses: fundamentals of nursing, internal medicine nursing, physiology, pathology, computer science, those who had taken the oncology nursing course, and those who did not volunteer to participate in the research were excluded.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention group- Gagne Learning Model; Group receiving training with the Gagne learning model	Other: Gagne Learning group; Group receiving training with the Gagne learning model
Placebo Comparator: Control Group- Traditional Learning Model; Groups receiving education through the traditional learning model	Other: Control group- Traditional learning model; Groups receiving education through the traditional learning model

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Comprehensive Breast Cancer Knowledge Test	The comprehensive beast cancer knowledge test consists of 20 general knowledge questions. The scale is answered using a True-False format. There are 8 true and 12 false statements. The comprehensive breast cancer knowledge test comprises two dimensions: general knowledge and treatability. Questions 1 through 12 cover general knowledge about breast cancer, while questions 13 through 20 concern the treatability of breast cancer.	4 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Attitudes Towards Learning Scale	The attitude towards learning scale consists of a total of 34 items. The scale comprises sub-dimensions of effort toward learning, valuing learning, and avoidance of learning. Of these items, 25 are positive and 9 are negative. The scale is rated on a 5-point Likert scale, with options being "Strongly Agree", "Largely Agree", "Partially Agree", "Disagree", and "Strongly Disagree". The highest possible attitude score is 170 and the lowest is 34.	4 weeks

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Critical Thinking Skills Questionnaire	The scale is the "Critical Thinking Skills Questionnaire". Consisting of 22 items on a 5-point Likert scale, the critical thinking skills questionnaire assigns scores to participants for each question on a scale of 1 (Strongly Disagree), 2 (Disagree), 3 (Undecided), 4 (Agree), and 5 (Strongly Agree).	4 weeks
Self-Breast Examination Teaching Skill Form	The "Self-Breast Examination Teaching Skill Form," is included in the Birth and Women's Health Practice Guide for Nurses and Midwives. The form, which uses a 3-point likert scale, consists of 22 skill stages. The form includes application columns (1, 2, 3) depending on whether or not the successful behavior is demonstrated. The form consists of two parts: process and product. In the evaluation process, each item is given one point, with the process dimension receiving a total of 22 points and the product dimension receiving 5 points, for a total of 27 points.	4 weeks

Collaborators and Investigators

• Sponsor: Namik Kemal University
• Investigators: Principal Investigator: DİLEK ERDEN, Namik Kemal University

Publications and helpful links

General Publications

• Tang, W. L., Tsai, J. T., & Huang, C. Y. (2020). Inheritance coding with Gagné-based learning hierarchy approach to developing mathematics skills assessment systems. Applied Sciences, 10(4), 1465.

Study record dates

Study Major Dates

• Study Start (Actual): December 1, 2025
• Primary Completion (Estimated): February 15, 2026
• Study Completion (Estimated): February 28, 2026

Study Registration Dates

• First Submitted: December 22, 2025
• First Submitted That Met QC Criteria: January 12, 2026
• First Posted (Actual): January 16, 2026

Study Record Updates

• Last Update Posted (Actual): February 3, 2026
• Last Update Submitted That Met QC Criteria: February 2, 2026
• Last Verified: February 1, 2026

More Information

Terms related to this study

• Keywords: Nursing student; Critical thinking; Gagne learning model; Nursing educaiton; Attitude towards learning
• Other Study ID Numbers: DERDEN-3

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: I can share it with researchers who request it for reasonable reasons.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No