Objectıve Structured Clınıcal Examınatıon Stress For Intravenous Perıpheral Catheterızatıon

Investıgatıon Of The Effect Of Intravenous Peripheral Catheterızatıon Objectıve Structured Clınıcal Examınatıon Applıcatıon On The Stress And Skıll Levels Of Nursıng Students

In this planned study, the stress levels of nursing students regarding intravenous access during the OSCE (Objective Structured Clinical Examination) will be measured using self-report questionnaires and smartwatches. Stress levels will be compared with those of another student group who did not undergo the OSCE assessment but performed intravenous access procedures.

Study Overview

• Status: Not yet recruiting
• Conditions: Stress; Nursing Education; OSCE (Objective Structured Clinical Examination)
• Intervention / Treatment: Other: OSCE

• Study Type: Interventional
• Enrollment (Estimated): 52
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Ece Kurt; Phone Number: 90 462 377 8880; Email: ece_ece3543@hotmail.com

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• The students are enrolled in the Fundamentals of Nursing II course for the first time, will be experiencing OSCE for the first time, and have volunteered to participate in the research.

Exclusion Criteria:

• The reasons for the students' disqualification include their graduation from a vocational health high school or their studies in a health-related field, their lack of prior experience in basic nursing skills, their failure to participate in laboratory work conducted as part of the course, and their incomplete completion of tests.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: objective exam; In this group, students' stress levels before entering the first station in the OSCE will be determined using the State Anxiety Inventory and a smartwatch. Immediately afterward, while the student is performing IV catheter insertion at the station, the procedure steps will be evaluated by the instructor using a Skill Checklist. At the end of the procedure, students' stress levels will be re-evaluated using the State Anxiety Inventory and a smartwatch.	Other: OSCE; Students will be assigned to experimental and control groups based on their knowledge test scores using block randomization. The following day, all students will be taken to the laboratory for practice. The instructor will demonstrate IV catheter insertion once on a mannequin, following the procedural steps, and then students will work with the instructor in groups of eight. Each student will practice the procedure on the mannequin at least once. Students in the experimental group will undergo OSCE (Obstructive Skills Test). The OSCE will be prepared in a laboratory setting with two stations where students will practice their skills. Students will be asked to perform IV catheter insertion at the first station. At the second station, students will perform a procedure chosen by lottery. Students will not be evaluated on the skill at the second station. Students will have 5 minutes to perform the skill at each station. A bell will ring every 5 minutes, and students will move from one stat
No Intervention: routine practice

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
VAS stress level	At the beginning and end of the program, students' stress levels will be reassessed using the State Anxiety Inventory. The Visual Analog Scale for Stress (VAS): Based on the logic of subjectively marking the intensity of a specific emotional state on a one-dimensional line, it has become widely used over time in measuring variables such as pain, anxiety, and stress. The VAS form used specifically for stress was developed to determine the immediate stress level felt by participants in a practical, rapid, and highly sensitive manner. The scale is applied by placing a single mark on a 10 cm long line between the endpoints "I am not stressed at all" and "I am currently feeling very stressed." This mark is measured in millimeters from the left end and converted into a numerical score between 0 and 10; this structure minimizes the workload for participants while providing researchers with high-resolution, continuous data.	1 day
Intravenous Catheter Insertion Skill Evaluation	During the activity, the skills of students in both groups will be assessed using a checklist. Intravenous Catheter Insertion Skill Checklist: Prepared by researchers in accordance with the literature. The final version was then finalized after obtaining the opinions of 10 academics specializing in the Fundamentals of Nursing. The intravenous skill checklist consists of a total of 27 procedural steps. Each step is evaluated as "correctly performed" (1 point) or "incorrectly performed" (0 points).	1 day
Stress level measurement using a smartwatch	At the beginning and end of the practice, physiological stress levels will be measured using a smartwatch. For smart measurement, a Huawei Watch Fit 2 device will be used, employing a wrist-based optical heart rate sensor (HUAWEI TruSeen™ 5.0) and the HUAWEI TruRelax™ algorithm based on HRV (heart rate variability). Thanks to this algorithm, the watch transmits the results of low-level stress (1-29), normal-level stress (30-59), moderate-level stress (60-79), and high-level stress (80-99) to a mobile application on the researcher's cell phone.	1 day

Collaborators and Investigators

• Sponsor: Cukurova University

Study record dates

Study Major Dates

• Study Start (Estimated): May 20, 2026
• Primary Completion (Estimated): May 23, 2026
• Study Completion (Estimated): December 20, 2026

Study Registration Dates

• First Submitted: February 23, 2026
• First Submitted That Met QC Criteria: March 6, 2026
• First Posted (Actual): March 11, 2026

Study Record Updates

• Last Update Posted (Actual): March 11, 2026
• Last Update Submitted That Met QC Criteria: March 6, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Other Study ID Numbers: 24.11.2025/ 743406

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Students will not be asked for permission to share their data.

Drug and device information, study documents

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